Pursuing full-time role that presents professional challenges and leverages interpersonal skills, effective time management, and problem-solving expertise.
Knowledgeable about preparing invoices, processing payments and pursuing past-due balances. Well-versed in accurately coding different types of bills for clear recordkeeping and tracking. Team-oriented, dependable and performance-driven.
Overview
12
12
years of professional experience
Work History
Billing Team Lead
Clearway Pain Solutions Institute
05.2024 - Current
Identified, researched, and resolved billing variances to maintain system accuracy and currency.
Trained team members on Athena and insurance policy.
Resolved issues through active listening and open-ended questioning, escalating major problems to manager.
Coordinated individual duties after careful evaluation of each employee's skill level and knowledge.
Improved customer satisfaction scores through application of superior conflict resolution and problem-solving skills.
Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
Billing Specialist II
Clearway Pain Solutions Institute
10.2023 - 05.2024
Identified, researched, and resolved billing variances to maintain system accuracy and currency.
Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
Researched and resolved billing discrepancies to enable accurate billing.
Worked with multiple departments to check proper billing information.
Responded to customer concerns and questions on daily basis.
Handled account payments and provided information regarding outstanding balances.
Collaborated with customers to resolve disputes.
Subject Matter Expert (SME) Pharma
NextGen Healthcare
04.2022 - 10.2023
Resolves problem accounts from payer denials and follows up on any claims that require a payer response
Review procedure and diagnostic coding
Enter charges in Nextgen and RCX
Audited and Billed all Pharma infusions encounter
Trained new employee
Created SOP and Job Aids
Worked aging report
Reported trends and denials to the client
Manage a staff of 23 employees
RCM Specialist II
NextGen Healthcare
04.2020 - 04.2022
Adhere to policy and procedures to ensure timely and accurate billing of outpatient charges
Ensure patient registration is completed in a timely manner
Work with Revenue Cycle Supervisor to resolve payer issues
Participate in any auditing activities with the client
Assist with payer correspondence, appeals and refunds
Trained tier I representative on AR
Handle escalation from tier I representative
Revenue Control Team Lead
MedStar Health
01.2018 - 03.2020
Answers and resolves patient/guarantor inquiries received, via telephone, regarding patient's accounts within established standards for abandoned calls, duration of calls taken per representative, and the amount of time that patient is held in queue
Contributes to the achievement of established department and Patient Financial Services goals and objectives, and adheres to department policies, procedures, quality standards, and safety standards
Complies with governmental and accreditation regulations
Serves as a liaison between Patient Financial Services, patients, attorneys, etc., regarding patient accounts, charges, payment history, billing/registration errors, etc
Resolves problems and complaints, referring complex issues to Team Leader and/or Supervisor
Medical Biller/Collector II
Numotion
10.2017 - 08.2019
Consistently exceeds defined production and quality standards by 50% as compared to the Billing & Collections Coordinator I
Ensure all billing and collections practices follow all company best practices state and federal regulations
Perform follow-up and collections activities on assigned accounts to maintain a reduced Days Sales Outstanding (DSO)
Perform daily review of orders for billing
Recommend receivables for refund and adjustment or write off
Senior Customer Service Representative
National Government Services
02.2015 - 10.2017
Enrolling small businesses into health coverage
Assisted employer with billings and payment
Verified HIPAA with member
Took over 50 calls a day
Knowledge of the Affordable Care Act
Certified by the Center of Medicare and Medicaid to enroll consumer in to qualify health plans
Knowledge of medical and insurance terminology
Customer Service Coordinator
Maryland Health Connection
12.2013 - 01.2015
Verified HIPAA with member
Took over 50 calls a day
Knowledge of the Affordable Care Act
State certified to enroll consumer in to qualify health plans
Knowledge of medical and insurance terminology
Clinical Coordinator (CONTRACT)
United Healthcare
08.2013 - 11.2013
Scheduling member for home visit with doctor
Verified HIPAA with member
Knowledge of medical terminology
Computer knowledge including MS Outlook, MS Word
Education
High School Diploma -
Southwestern Highschool
Baltimore, MD
06-2006
Skills
Payment processing
Industry expertise
Compliance
Invoice management
Billing cycle management
Billing systems and software
Audit procedures
Patient account management
Billing dispute resolution
Customer service
Timeline
Billing Team Lead
Clearway Pain Solutions Institute
05.2024 - Current
Billing Specialist II
Clearway Pain Solutions Institute
10.2023 - 05.2024
Subject Matter Expert (SME) Pharma
NextGen Healthcare
04.2022 - 10.2023
RCM Specialist II
NextGen Healthcare
04.2020 - 04.2022
Revenue Control Team Lead
MedStar Health
01.2018 - 03.2020
Medical Biller/Collector II
Numotion
10.2017 - 08.2019
Senior Customer Service Representative
National Government Services
02.2015 - 10.2017
Customer Service Coordinator
Maryland Health Connection
12.2013 - 01.2015
Clinical Coordinator (CONTRACT)
United Healthcare
08.2013 - 11.2013
High School Diploma -
Southwestern Highschool
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