Dedicated Billing Specialist with extensive experience in medical billing, claims processing, and customer service. Proven track record of enhancing billing systems and ensuring HIPAA compliance.
Overview
26
26
years of professional experience
Work History
Billing Specialist
Grove Park Pharmacy
04.2014 - 08.2024
Processed and reconciled billing statements to ensure accuracy and prompt payment.
Managed insurance claims submissions, resolving discrepancies with payers efficiently.
Trained new staff on billing procedures and software systems to enhance team performance.
Implemented improved filing systems for patient records, increasing retrieval efficiency.
Collaborated with pharmacy management to streamline billing workflows and improve customer service.
Led initiatives to reduce claim denials through enhanced documentation practices and training sessions.
Researched and resolved billing discrepancies to enable accurate billing.
Developed standard operating procedures for billing processes, ensuring compliance with regulations.
Worked with multiple departments to check proper billing information.
Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
Collaborated with the collections team to recover overdue payments from clients, maintaining cash flow and minimizing writeoffs.
Maintained detailed records of each account''s payment history, providing easy access to information for audit and analysis purposes.
Contributed to improved financial reporting by reconciling discrepancies between invoiced amounts and actual payments received.
Maximized revenue potential by identifying and resolving under-billed accounts.
Ensured compliance with industry regulations by staying up-to-date on changes in billing rules and guidelines.
Strengthened client relationships through effective communication regarding billing issues and concerns.
Enhanced accuracy in patient billing through meticulous record-keeping and verification of insurance details.
Enhanced interdepartmental communication to ensure accuracy and completeness of billing information.
Used ICD-10 coding to ensure seamless billing procedures.
Billing Adminstrator
Southeastern Health Plus
10.2010 - 05.2013
Managed billing processes, ensuring accuracy and compliance with healthcare regulations.
Implemented improvements in billing procedures, enhancing overall efficiency in revenue cycle management.
Analyzed patient accounts to resolve discrepancies and facilitate timely payments.
Verified insurance eligibility and obtained prior authorizations to ensure billing efficiency and customer eligibility.
Manage paperwork and provide effective communications between doctors offices and our facility.
Complete patient intake procedures.
Schedule deliveries of durable medical equipment to the homes of patients.
Completed billing for medical equipment through Medicaid, Medicare, and private insurances while maintaining compliance with state and federal laws and regulations.
Worked with ATP and RT to maintain current procedures and guidelines.
Assist in a Customer Service Role when needed with walk in customers to ease the stress on co-workers.
Assist customers and patients with learning how to use durable medical equipment.
Attending all workshops and conferences to stay up to date on current procedures codes.
Used ICD-9 coding and HCPC coding to facilitate billing procedures.
Office Manager
Blu-Bird Medical
01.2004 - 10.2010
Oversaw daily office operations to ensure efficiency and compliance with regulatory standards.
Managed scheduling and coordination of staff meetings, enhancing communication across departments.
Developed training programs for new hires, improving onboarding experience and staff retention rates.
Streamlined administrative procedures, resulting in increased productivity and reduced operational delays.
Led budget planning initiatives, aligning resource allocation with organizational goals for cost-effectiveness.
Mentored junior staff in office protocols, fostering a collaborative work environment and skill development.
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.
Assisted customers/patients in a Customer Service Role as needed to assist with alleviating co-workers stress.
Assisted customers/patients with learning to use durable medical equipment.
Attended workshops, classes, and conferences to stay up to date on current procedure codes.
Customer Service Representative
Medi-Home Care
01.2003 - 12.2003
Resolved customer inquiries using CRM software to enhance service efficiency.
Provided accurate product information and support, improving customer satisfaction rates.
Managed scheduling for home care visits, ensuring timely service delivery to clients.
Trained new staff on customer service protocols and company policies to maintain quality standards.
Completed patient intake procedures.
Obtained Prior Authorizations from doctor's offices and facilitated communications between doctor's offices and insurance companies.
Used ICD-9 coding and HCPC coding to ensure efficient billing that is compliant with state and federal laws and regulations.
Office Manager Intern
Whites Medical Center
03.1998 - 01.2003
Coordinated administrative tasks to support daily operations and enhance efficiency.
Assisted in managing office supplies and inventory control to ensure availability and reduce costs.
Supported scheduling of staff meetings and appointments, optimizing time management for executives.
Maintained organized filing systems, improving document retrieval and compliance with regulations.
Collaborated with healthcare teams to streamline communication and enhance patient service delivery.
Led initiatives to foster a positive office environment, enhancing team collaboration and morale.
Provided exceptional customer service, addressing inquiries promptly and professionally.
Coordinated travel arrangements for staff members, optimizing itineraries for time and cost efficiency.
Aided in the onboarding process of new employees, ensuring they were equipped with necessary knowledge and tools for success.
Reduced paperwork backlog by diligently organizing and filing documents in a timely manner.
Managed office inventory, ensuring adequate supplies were available for daily operations.
Managed incoming correspondence, delegating tasks as appropriate and ensuring timely responses were provided.
Assisted in improving interdepartmental communication through coordination of meetings and events.
Used ICD-9 coding and HCPC coding to facilitate accurate and complete billing that was in compliance with federal and state laws and regulations.
Assisted patients/customers in a Customer Service Role as needed to decrease the stress of my team.
Assisted patients/customers with instructions on using durable medical equipment.
Completed regular training classes and workshops to stay up to date on coding and billing procedures and to maintain knowledge of federal and state laws and regulations.
Billing Specialist at Clinical Administrative Solutions / Whole Mind PsychiatryBilling Specialist at Clinical Administrative Solutions / Whole Mind Psychiatry