Known for critical thinking and HIPAA compliance, consistently achieving quality assurance and billing accuracy.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Healthcare Billing Specialist
Kelly Connect
03.2021 - Current
Manage credit and collection functions
Prepare customer invoices electronically
Monitor aging AR balances
Analyze, and review customer credit worthiness
Identify delinquent accounts
Ensure proper documents and agreements are on file
Perform payment reconciliations
Investigate and resolve discrepancies
Develop and schedule payment plans
Maintained strict adherence to HIPAA guidelines and regulations, ensuring the confidentiality and security of all patient information.
Conducted monthly reviews of aging report data, prioritizing high-dollar accounts for prompt resolution efforts.
Enhanced patient satisfaction with clear and concise explanations of billing statements, addressing any concerns promptly and professionally.
Identified opportunities for revenue growth by analyzing trends in payer reimbursement rates and negotiating favorable contracts with insurance companies.
Collaborated with healthcare providers to reconcile discrepancies, facilitating accurate and timely claim submission.
Medical Billing Coordinator
Lake Holly Rehab
10.2020 - 01.2021
Knowledge of ICD-10, ICD-9 coding systems
Familiarity with medical office operations
Attention to detail and accuracy in data entry
Excellent communication and interpersonal skills
Contributed to the development of best practices for medical billing operations, ensuring consistency across all departments within the organization.
Effectively resolved disputes regarding coverage eligibility or claim denials through professional communication with patients and insurance representatives alike.
Enhanced patient satisfaction with clear communication of payment expectations, resolving concerns, and providing flexible payment options.
Assisted in staff training initiatives to develop a knowledgeable team capable of handling complex billing situations effectively.
Accounts Receivable Clerk
Apple One Service
12.2019 - 10.2020
CDT coding and terminology
Prepared and mailed invoices to customers, processed payments, and documented account updates.
Contributed to month-end closing procedures by preparing detailed accounts receivable aging reports for management review.
Made outbound calls to vendors and customers to discuss and resolve account needs.
Responded to inbound inquiries regarding accounts and payments.
Coordinated with other departments to ensure accurate application of payments, credits, and adjustments to client accounts.
Decreased uncollectible debt by closely monitoring accounts and promptly identifying high-risk customers for management review.
Collections Account Manager
Capital Group
03.2017 - 12.2019
Implemented automated reminder systems that contributed to a decrease in past due invoices.
Collaborated with sales and customer service teams to identify potential issues early on, preventing further escalation of delinquent accounts.
Negotiated settlements with customers facing financial hardship to maintain goodwill while recovering outstanding debt.
Reviewed collection reports regularly with management to provide updates on progress and potential areas for improvement.
Increased recovery rates by conducting thorough investigations into debtor circumstances and tailoring collection approaches accordingly.
Managed account portfolio effectively, ensuring accurate record-keeping and timely follow-ups on outstanding balances.
Education
Associate of Science -
Cedar Valley College
12-2022
High School Diploma -
Lancaster High School
06-2015
Skills
ICD-10 proficiency
Medical billing software proficiency
Leadership qualities
Critical thinking
HIPAA compliance
Professionalism and integrity
Quality assurance
Medical coding expertise
Denial management expertise
Billing and collection procedures
Certification
Certified Coding Specialist (CCS) - American Health Information Management Association.
Microsoft Office Specialist, Excel Associate - Microsoft.