Proficient in CPT and ICD coding, paired with outstanding customer service capabilities, dedicated to improving financial accuracy and streamlining revenue cycle operations.
Overview
10
10
years of professional experience
Work History
Medical Biller I
TriHealth
Norwood, OH
05.2023 - Current
Collect outstanding balances and receivables through diligent follow-up efforts.
Review claim denials and payer requirements to implement corrective actions.
Investigate and resolved credit balances to ensure financial accuracy.
MEDICAL BILLING SPECIALIST
Riverhills Neuroscience
Cincinnati, OH
11.2020 - 04.2023
Posted and adjusted payments from insurance companies accurately.
Analyzed complex Explanation of Benefits forms to verify correct billing practices.
Identified errors and refiled rejected claims promptly.
Communicated with insurance providers to resolve denied claims and ensured resubmission.
PATIENT ACCESS COORDINATOR
UC Health Hospital
Cincinnati, OH
09.2019 - 11.2020
Obtained patient insurance information to determine eligibility for specific services rendered.
Initiated prior authorizations for outpatient imaging procedures to ensure timely approvals.
Communicated with physicians and medical providers to clarify clinical requests and facilitate processes.
Followed up on inaccuracies and resolved problematic accounts efficiently.
MEDICAL INSURANCE COLLECTOR
Central Ohio Primary Care Physicians Inc.
Westerville, OH
05.2017 - 08.2019
Processed over 250 medical claims daily with high accuracy.
Maintained expertise in benefits claim processing and HIPAA regulations.
Reviewed provider coding for service verification and accuracy.
Submitted corrected claims and filed appeals efficiently.
Resolved billing issues through effective correspondence with insurance payers.
REVENUE CYCLE SPECIALIST
Heart Of Ohio Family Health
Columbus, OH
11.2015 - 03.2017
Balanced and reconciled accounts to maintain financial accuracy.
Coded and billed claims for providers with precision.
Analyzed billing and coding data to enhance charge capture accuracy for medical services.
Identified and rectified discrepancies in medical documentation, ensuring compliance.
Education
Certificate - Medical Insurance Billing And Coding
Everest College
Gahanna, OH
03.2008
High School Diploma -
Libbey High School
Toledo, OH
Skills
Hospital and physician billing
Commercial and government insurance
Medical terminology
Epic proficiency
Electronic medical records
Microsoft Office suite
CPT and ICD knowledge
Denial management strategies
Customer service excellence
Affiliations
Ohio Notary/Loan Signing Agent
National Notary Association
Timeline
Medical Biller I
TriHealth
05.2023 - Current
MEDICAL BILLING SPECIALIST
Riverhills Neuroscience
11.2020 - 04.2023
PATIENT ACCESS COORDINATOR
UC Health Hospital
09.2019 - 11.2020
MEDICAL INSURANCE COLLECTOR
Central Ohio Primary Care Physicians Inc.
05.2017 - 08.2019
REVENUE CYCLE SPECIALIST
Heart Of Ohio Family Health
11.2015 - 03.2017
Certificate - Medical Insurance Billing And Coding