Highly skilled, knowledgeable, and proficient Medical Biller bringing extensive, specialized experience working in medical billing, patient account management, and customer service specialist.
Overview
15
15
years of professional experience
Work History
Lead Customer Resolution Specialist
Mbli Biotech
Schaumburg, IL
09.2021 - Current
Mentors new hires on best practices in customer resolution techniques, contributing to the overall success of the team.
Provides exceptional support to customers by thoroughly understanding their needs and offering tailored solutions
Processes orders in the ERP system ( Great Plains ), confirms order, communicates shipping information
Manages customer records and communications
Monitors credit limits, collections , past due accounts
Communicates orders to OEM production
Manages back orders , inventory and reorders inventory as needed
Coordinates with internal teams to expedite issue resolution, resulting in quicker turnaround times for customers.
Assists in the development of training materials focused on improving the skills of other Customer Resolution Specialists within the company.
Office Manager
Alumni Builders
Chicago
01.2015 - Current
Handled sensitive information with discretion, maintaining confidentiality of company documents and personnel records.
Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence.
Maintained accurate financial records by reconciling accounts payable/receivable transactions regularly to ensure balanced budgets.
Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
Conducted regular inventory assessments of office supplies, ordering necessary items proactively to prevent stock shortages.
Enhanced team productivity by delegating tasks effectively and overseeing daily workflow.
Coordinated office events and meetings, ensuring timely execution and optimal scheduling for all participants.
Streamlined office operations by implementing efficient filing systems and organizational strategies.
Served as a liaison between upper management and staff members, facilitating open channels of communication to address concerns or issues promptly.
Reduced costs with meticulous budget monitoring and expense tracking for essential supplies and equipment.
Increased customer satisfaction by developing effective client feedback system that led to service improvements.
Reduced overhead costs significantly through negotiation of vendor contracts for office supplies and services.
Insurance Verification Specialist
Seasons Hopsice and Palliative Care
Rosemont, WV
06.2011 - 11.2014
Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
Assured timely verification of insurance benefits prior to patient procedures or appointments.
Updated patient records with accurate, current insurance policy information.
Made contact with insurance carriers to discuss policies and individual patient benefits.
Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
Collaborated with team members to resolve discrepancies in insurance verification, ensuring proper billing practices.
Demonstrated a high level of professionalism and attention to detail in all aspects of insurance verification specialist role, consistently exceeding performance expectations.
Expedited patient registration process by efficiently validating eligibility for various insurance plans.
Reduced errors in billing by accurately maintaining patient records with updated insurance information.
Optimized productivity within the department by prioritizing tasks according to urgency and importance levels.
Coordinated with care teams across various departments to ensure seamless integration of verified coverage information into overall treatment planning.
Trained new staff on current, correct insurance verification procedures.
Assisted in training new employees on best practices for efficient insurance verification processes and procedures.
Medical Biller/Benefit Coordinator
Phillips ( Formerly Lifewatch)
Rosemont, IL
03.2010 - 06.2011
Verified insurance of patients to determine eligibility.
Communicated with insurance providers to resolve denied claims and resubmitted.
Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
Filed and updated patient information and medical records.
Collected payments and applied to patient accounts.
Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
Implemented quality control measures to identify potential errors before submitting claims, reducing rejections significantly.
Liaised between patients, insurance companies, and billing office.
Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
Education
Bachelor Degree - Philosophy
Babes Bolyai University
Cluj-Napoca, Romania
Skills
Solid Team player focused on providing the highest level of service
Excel at developing strong relations with staff and clients, strong record creating a positive first impression
Recognized for a proven ability to efficiently process medical claims for major and private insurance carriers including HMO/PPO, Blue Cross/Blue Shield, Aetna, and Cigna Medicaid/Medicare
Highly skilled with a demonstrated knowledge of medical terminology, ICD-9/CPT codes, No Fault, and Worker’s Compensation claims
Solid ability to communicate effectively with others, both orally and in writing, using both technical and non-technical language
Successful completion of Speech programs, which are designated to provide superior public speaking and organizational skills
Hands on leader with superior skills focused on safety, problem solving motivation and teamwork
Profound ability to understand and follow oral and written policies, procedures and instructions