Proven Medical Biller with a track record of enhancing revenue collections and reducing claim denials for Garden State Psychiatric Services. Skilled in insurance verification and patient billing, alongside strong abilities in implementing quality control measures. Excelled in training staff and streamlining billing processes, achieving significant improvements in efficiency and accuracy.
Overview
3
3
years of professional experience
1
1
Certification
Work History
Medical Biller
Garden State Psychiatric Services
04.2023 - Current
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.
Ensured timely payments from insurance providers through submission of accurate and complete claims.
Posted payments and collections on regular basis.
Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
Implemented quality control measures to identify potential errors before submitting claims, reducing rejections significantly.
Supported efficient scheduling practices by verifying patient eligibility and coverage prior to appointments.
Prepared billing statements for patients and verified correct diagnostic coding.
Reduced instances of denied claims, carefully reviewing and rectifying coding errors before submission.
Medical Biller
The Thrive Network
01.2022 - 04.2023
Verified insurance of patients to determine eligibility.
Filed and updated patient information and medical records.
Ensured timely payments from insurance providers through submission of accurate and complete claims.
Implemented quality control measures to identify potential errors before submitting claims, reducing rejections significantly.
Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
Supported efficient scheduling practices by verifying patient eligibility and coverage prior to appointments.
Trained new team members in medical billing software, increasing efficiency within the department.
Adhered to established standards to safeguard patients' health information.
Advanced department's electronic billing capabilities, leading training sessions for staff on new software features.
Streamlined patient billing process, resulting in reduced processing time by implementing efficient coding practices.
Conducted detailed analyses of billing cycles to identify patterns and implement strategies for reducing delays in payments.
Responded to customer concerns and questions on daily basis.
Generated monthly billing and posting reports for management review.
Education
Certified Medical Biller
AAPC
08-2022
Associate of Arts - Interior Design
Art Institute of Philadelphia
Philadelphia, PA
05-1989
Skills
Insurance claims
Insurance billing
Medical billing
Electronic claims
Insurance verification
Patient billing
Accounts receivable
Insurance claims processing
Claim submission
Medicare and medicaid process
Certification
Microsoft Office Specialist, Excel Associate - Microsoft.
Certified Professional Biller (CPB) - AAPC (formerly American Academy of Professional Coders).