Detail-oriented medical billing and claims processing specialist with expertise in revenue cycle management. Streamlined EHR data entry and chronic care documentation to enhance billing support. Collaborated with accounts receivable and customer teams to resolve discrepancies, improving financial reporting accuracy. Experienced in various EMR systems and maintaining HIPAA compliance throughout billing processes.
Overview
3
3
years of post-secondary education
16
16
years of professional experience
Work History
Client Services Supervisor
Business maintenance Services
Kennesaw, GA
09.2025 - Current
Supervised client service teams for business maintenance accounts.
Coordinated service schedules, dispatch, and work order priorities.
Resolved client requests and escalated maintenance issues.
Resolved billing discrepancies with accounts receivable and customer teams
Reconciled vendor statements to ensure accuracy of the accounts payable ledger.
Patient Services Manager / Medical Billing Support
TCPA
12.2024 - 09.2025
Managed chronic care documentation to ensure accurate EHR data entry and support for billing processes. Generated superbills and supported chronic care management billing through effective use of ICD-10 and CPT coding. Coordinated with clinical teams to ensure documentation supported insurance claim submission and reimbursement. Reviewed patient care documentation to verify coding accuracy and ensure billing compliance with HIPAA standards.
Worked from a remote location to facilitate seamless communication and coordination.
Managed TCPA patient services scheduling, referrals, and intake workflows.
Directed daily activities of front desk staff to ensure efficient patient flow. and guided daily patient communication.
Verified insurance details and updated patient records in EHR systems.
Medical Billing Specialist
Kare Bare Home Health
02.2020 - 12.2024
Processed and submitted medical claims to Medicare, Medicaid, and commercial insurance payers using billing software, ensuring compliance with healthcare billing regulations and coding standards (ICD-10, CPT, HCPCS). Investigated and resolved claim denials and rejections, correcting billing discrepancies and following up on unpaid or underpaid claims to secure proper reimbursement. Reviewed patient accounts to identify discrepancies and outstanding balances, analyzing denial trends and implementing improvements to minimize claim rejection rates.
Submitted home health claims for Kare Bare patient accounts accurately
Assessed insurance eligibility and coverage for patient procedures
Recorded payments and adjustments in billing system accurately
Worked remotely to manage tasks efficiently
Front Office Specialist
Piedmont Hospital
Atlanta, GA
01.2019 - 06.2023
Scheduled appointments and coordinated patient check-in and check-out processes.
Verified insurance information and updated patient records in hospital systems.
Greeted patients and visitors at Piedmont Hospital front desk with professionalism.
Scheduling Coordinator
WellStar Cardiovascular Medicine Physicians Group
Kennesaw, GA
12.2010 - 02.2020
Coordinated scheduling for cardiology procedures and diagnostic testing using Epic EHR systems, ensuring optimal use of resources and timely patient care. Managed prior authorizations for procedures, treatments, and hospitalizations, facilitating necessary approvals for patient services. Communicated with physicians, hospital departments, and patients to ensure effective care coordination and timely scheduling of services, enhancing patient experience.
Scheduled patient appointments for cardiovascular medicine providers across clinic schedules. for cardiovascular medicine providers across clinic schedules.
Handled inbound calls for scheduling, cancellations, and rescheduling of patient visits. for scheduling, cancellations, and rescheduled visits.
Checked and confirmed insurance details while updating patient records in medical systems. and updated patient records in medical systems.
Scheduler and Medical Records Lead
Northside Orthopedics and Sports Medicine
Canton, GA
01.2014 - 08.2018
Coordinated prior authorizations and precertifications for medical procedures and hospitalizations, ensuring compliance with insurance requirements. Executed patient registration, scheduling, insurance verification, and billing collections to streamline patient intake and revenue cycle processes. Maintained medical records and validated release of information requests per HIPAA guidelines, safeguarding patient privacy and data integrity.
Managed coordination of surgeon calendars, procedure blocks, and clinic templates to optimize scheduling efficiency.
Coordinated scheduling of patient appointments for orthopedic and sports medicine visits to enhance clinic operations.
Verified referrals, authorizations, and insurance details for scheduled visits to ensure compliance and proper patient care.
Education
Nursing Coursework -
Southwestern College of Business
Cincinnati, OH
High School Diploma -
Withrow High School
Cincinnati, OH
08.1995 - 01.1999
Skills
Medical Billing and Claims Processing Revenue Cycle Management Insurance Verification Denials and Appeals Management Payment Posting Patient Account Resolution
EMR: Epic NextGen Practice Fusion Cerner GEMMS Practice Management Systems
Technical Skills: Microsoft Office Excel Word Outlook Data Entry Electronic Documentation Reporting
REVENUE CYCLE AND BILLING EXPERTISE
Medical Claims Processing | ICD-10 CPT HCPCS Coding | Insurance Verification and Eligibility | Claims Submission | Denials and Appeals Management | Patient Account Resolution | Billing Audits | Revenue Cycle Management | HIPAA Compliance | Medical Terminology
Timeline
Client Services Supervisor
Business maintenance Services
09.2025 - Current
Patient Services Manager / Medical Billing Support