Proven Medical Biller with a track record at Curahealth Hospital / Pam Health, adept in claims processing and fostering team collaboration. Excelled in financial reporting and problem-solving, significantly enhancing operational efficiency. Skilled in regulatory compliance and attention to detail, consistently achieving management's strategic goals.
Overview
17
17
years of professional experience
Work History
Medical Biller
Curahealth Hospital / Pam Health
Oklahoma City, Oklahoma
08.2020 - 03.2023
Utilized software programs include Microsoft Word, Excel, CPSI, Meditech, and WellSky.
Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
Created monthly aging reports to identify delinquent accounts for review by management team.
Submitted electronic claims to various insurance carriers.
Prepared detailed financial reports as requested by management team.
Performed follow up activities on unpaid claims with insurance companies or other third party payers by phone or written correspondence.
Applied HIPAA privacy and security regulations while handling patient information.
Submitted appeals using provider portals and phone communication.
Business Assistant
Heartland Dental
Shawnee, OK
09.2013 - 06.2020
Ensured work aligned with service levels agreed upon and patient requirements.
Obtained insurance and verification of benefits.
Followed procedures, documentation, instructions, and Audit & Business Controls guidelines from both the patient and the company.
Applied core knowledge to effectively communicate sensitive or technical information, while adhering to regulatory guidelines.
Collected, arranged, and input information into the database system.
Managed the reception area by greeting visitors in a friendly manner.
Assistant Banking Center Manager II
MidFirst Bank
Shawnee, Oklahoma
03.2006 - 09.2013
Monitored employee performance, and developed improvement plans.
Managed opening and closing procedures, and recommended changes to enhance the efficiency of daily activities.
Submitted reports to senior management to aid in business decision-making and planning.
Supported staff development and goal attainment by focusing on skill development and job satisfaction.
Monitored cash intake and deposit records, increasing accuracy and reducing discrepancies.
Trained team members in successful strategies to meet operational and sales targets.
Set and enforced policies focused on increasing team productivity, and strengthening operational efficiency.
Assessed employee performance, and developed improvement plans.
Protected company assets with strategic risk management approaches.
Corporate Director and Administrator Managed Care, Payer Relations, Contracting and Networks at PAM Health Hospital, Voyages Behavioral Hospital System and Professional Group Medical CareCorporate Director and Administrator Managed Care, Payer Relations, Contracting and Networks at PAM Health Hospital, Voyages Behavioral Hospital System and Professional Group Medical Care