Proven leader at Gettysburg Family Practice, Inc., adept in inter-department collaboration and workflow coordination. Knowledgeable customer service professional with extensive experience in billing, coding and patient satisfaction through research, mentoring, and problem-solving. Consistently demonstrating adaptability and professionalism.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Billing, Insurance and Customer Service Supervisor
Gettysburg Family Practice, Inc.
04.2020 - Current
Collaborated with other departments to address recurring inter-team concerns , improving overall team cooperation.
Oversee and assist team employees through day-to-day work and vacation coverage.
Responded to customer inquiries and resolved complaints to establish trust and increase satisfaction.
Provided backup to front desk to step in to assist with placing payment plans, creating TPL accounts, addressing balance inquiries and and additional billing concerns.
Maintained daily direct deposits for insurance payments and balanced daily bank reports.
Completed daily deposits to ensure all collected accounts, personal payments and insurance payments balance.
Researching and implementing new CPT and ICD-10 coding and procedures, ensuring all staff effected had accurate information for correct billing.
Responsible for reviewing and adjusting the Office Fee Schedule on a yearly basis to ensure no loss of revenue.
Consistently maintain all workqueues for insurance claim denials, adjustments and no responses to ensure prompt payments.
Responsible for past due accounts, overseeing the monthly collection process, communicating collection issues to the providers and sending reports to the collection agency.
Evaluated individual performance metrics to identify areas of improvement, working closely with the office manager to provide targeted goals for employees for better performance.
Experience and current usage of Amgen's Copay Program for Injectable Bisphosphonate reimbursement, aiding in a reduction of patient financial strain.
Closely worked with the office quality management team and insurance representatives on a quarterly basis to aid in closure of care gaps by applying CPT II coding to claims.
Access to multiple Insurance platforms to check claims, payments and eligibility for patients, including government websites for Medicare, Medicaid, Availity, Navinet and Optum.
Billing, Insurance and Customer Service Associate
Gettysburg Family Practice, Inc
06.2018 - Current
Enhanced customer satisfaction by effectively addressing billing inquiries and resolving issues.
Handled billing and payment issues by following guidelines and resolving disputes.
Posted insurance and personal payments daily.
Entered in manual charges from super bills from providers.
Responsible for tracking and entering No Show Charges from missed patient appointments.
Responsible for reviewing and correct CPT and ICD-10 coding on all charge capture workqueues before sending to Third Party Payors.
Aided in Opening and distributing office mail.
Aided in working credit workqueues and processed patient refunds in conjunction with the Office Manager.
Answered main billing telephone lines promptly and handled concerns in an effective and caring maner.
Medical Assistant
Gettysburg Family Practice, Inc.
06.2017 - Current
Cross-trained to aid the nursing team when short staffed to help alleviate stress and strain on the team while still closely working in the Reception and Scheduling Teams.
Sanitized, restocked, and organized exam rooms.
Obtained client medical history, medication information, symptoms, and allergies.
Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
Facilitated seamless patient care with thorough and accurate documentation of medical histories, vital signs, and medications.
Ensured patient safety and comfort during examinations, effectively addressing concerns and answering questions.
Boosted patient satisfaction by providing compassionate care and promptly addressing needs during visits.
Scheduling Coordinator
Gettysburg Family Practice, Inc.
02.2016 - Current
Proactively identified scheduling issues and developed quick solutions to promote efficiency and profitability.
Used Electronic Health Records in Allscripts and Epic to schedule patients.
Managed high call volumes while maintaining exceptional accuracy in appointment scheduling.
Worked closely with other departments to resolve complex scheduling conflicts or accommodate special requests from patients or physicians.
Trained new staff members on scheduling protocols, contributing to a well-prepared team of patient coordinators.
Collaborated with healthcare providers to maintain efficient schedules and optimize patient outcomes.
Managed multiple provider schedules and prioritized tasks to meet demands of fast-paced work environment.
Prepared and Maintained provider schedule templates.
Medical Receptionist
Gettysburg Family Practice, Inc.
04.2005 - Current
Coordinated patient scheduling, check-in, check-out and payments for billing.
Checked patient insurance, demographic, and health history to keep information current.
Helped patients complete necessary medical forms and documentation.
Maintained strict confidentiality of patient information, adhering to HIPAA regulations and medical office policies.
Adhered to strict HIPAA guidelines to protect patient privacy.
Managed high call volumes, directing calls to appropriate departments while maintaining a polite and professional demeanor.
Managed multi-line phone system and pleasantly greeted patients.
Developed strong relationships with patients, fostering loyalty and trust in the practice''s services.
Placed new supply orders, managed inventory and restocked clerical spaces.
Ensured accurate record-keeping by diligently updating patient information and verifying insurance coverage.
Transcribed phone messages and relayed to appropriate personnel.
Obtained payments from patients and scanned identification and insurance cards.
Education
Program Study - Medical Billing And Coding
Penn Foster College
Scottsdale, AZ
05-2024
Associate of Science - Equine Science
The University of Findlay
Findlay, OH
05-2002
Skills
Training and mentoring
Inter-department collaboration
Research and due diligence
Employee schedule management
Workflow Coordination
Scheduling and calendar management
Problem-solving abilities
Multitasking
Reliability
Professionalism
Adaptability
Certification
Certified Billing and Coding Specialist with National Healthcareer Association certified on June 16, 2024
Timeline
Billing, Insurance and Customer Service Supervisor
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