India Harris
Huntersville,NC
Summary
Results-oriented healthcare professional with 8 years of experience in revenue cycle management. Proven expertise in optimizing billing processes, reducing denials, and ensuring compliance with healthcare regulations. Strong analytical and problem-solving skills, coupled with effective communication and leadership abilities. Adept at utilizing healthcare software and electronic health records systems. Committed to maintaining the highest standards of ethics and quality in healthcare administration. Excited to contribute to a dynamic healthcare team and drive positive outcomes.
Overview
10
10
years of professional experience
Work History
Billing Analyst
Ensemble Health Partners
Remote
04.2021 - Current
- Maintained up-to-date knowledge of industry regulations, ensuring compliance in all aspects of the billing process.
- Maintained strict confidentiality with all personal data as per company guidelines.
- Improved patient satisfaction with transparent communication regarding financial responsibilities and payment options.
- Identified areas for improvement in billing practices, providing recommendations that led to increased efficiency and cost savings.
- Reduced claim denials by diligently reviewing patient records, verifying insurance coverage, and maintaining up-to-date information.
- Expedited claims resolution by establishing strong relationships with insurance carriers and addressing inquiries promptly.
- Ensured timely submission of claims by adhering to strict deadlines and prioritizing tasks effectively.
- Enhanced revenue collection by efficiently managing medical billing processes and resolving discrepancies.
- Posted payments and collections on regular basis.
- Collected payments and applied to patient accounts.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Enhanced the overall financial performance of the organization by diligently monitoring outstanding claims and following up on overdue payments.
- Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
- Reduced errors in account reconciliation, ensuring accurate credit balances for all clients.
- Identified trends in credit balance occurrences, recommending improvements to internal procedures and policies.
Senior Benefits Consultant
GoHealth
07.2018 - 03.2021
- Resolved issues and inquiries from plan participants regarding health and welfare benefits and deductions through telephone, email and in-person interactions.
- Observed strict procedures to maintain data and plan participant confidentiality.
- Explained benefits to plan participants in easy to understand terms in order to educate each on available options.
- Upsold additional products and services after identifying customer needs and requirements.
- Spent ample time with each customer, verbally reviewing and explaining documents for client comprehension.
Medical Billing and Collections Specialist
Metrolina Internal Medicine
06.2015 - 11.2019
- Executed billing tasks and recorded information in company databases.
- Kept all patient information secure and confidential.
- Followed up with appropriate parties to obtain prompt payments.
- Determined proper codes for medical records and patient services.
- Identified, researched and resolved billing variances to maintain system accuracy and currency.
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Investigated, evaluated and adjusted multi-line claims in accordance with standards and laws.
Education
Healthcare Management - Health Administration
Colorado Technical University
Colorado Springs, COSkills
- Data management
- Good listening skills
- Responsible
- Clerical
- Analytical skills
- Microsoft Office
- Leadership
- Conflict resolution
- Self-motivated professional
- Flexible & Adaptable
- Computer proficiency
- Compassion
- MS Office
- Training & Development
Timeline
Billing Analyst
Ensemble Health Partners
04.2021 - Current
Senior Benefits Consultant
GoHealth
07.2018 - 03.2021
Medical Billing and Collections Specialist
Metrolina Internal Medicine
06.2015 - 11.2019
Healthcare Management - Health Administration
Colorado Technical University