Joshua Toliver
Leawood,KS
Summary
Diligent and meticulous Medical Billing Specialist with 4 years of verifying patient information, experience in processing & submitting accurate medical claims and following up on unpaid & denied claims. Proficient in medical coding systems (ICD-10, CPT), electronic health record (EHR) systems, and maintaining compliance with insurance regulations. Adept at collaborating with healthcare providers, managing accounts receivable, and generating financial reports to ensure efficient billing operations.
Overview
14
14
years of professional experience
Work History
Medical Billing Specialist
Midwest Pediatric Specialists
Overland Park, KS
12.2022 - Current
- Processed and submitted medical claims to insurance companies, ensuring accuracy and adherence to billing guidelines
- Verified patient information, including demographics and insurance coverage, to ensure proper billing procedures
- Followed up on unpaid or denied claims, working with insurance companies to resolve issues and secure payment
- Responded promptly to inquiries from patients, insurance companies, and other stakeholders regarding billing matters
- Ensured precise billing records by conducting regular audits, verifying accuracy, identifying compliance issues, and implementing corrective actions, reducing claims denials
- Assisted in the development of standardized billing procedures for improved efficiency and accuracy
- Developed strong relationships with insurance company representatives by maintaining regular communication, collaboratively resolving claims issues, and consistently submitting accurate claims, improving turnaround times for reimbursements
- Assisted patients with understanding their insurance coverage and explaining any billing-related questions or concerns
Brace Technician/Office Administrator
SNYDER BRACE, INC
Columbia, MO
10.2016 - 12.2022
- Cover all front office jobs such as, answering the phone, maintaining patients' charts, working with insurance companies
- Bill insurance companies and transfer balances appropriately
- Follow up on denials, appeals and unpaid claims
- Post payments and update order appropriately
- Work on all aspects of the brace building process from start to finish
Warehouse/Shipping
SOCCER PRO
Columbia, MO
10.2015 - 08.2016
- Receiving and shipping products
- Jersey pressing, gathering correct names and numbers for correct teams
- Gathering and completing orders from the warehouse
Water Restoration Technician
SERVPRO
Columbia, MO
01.2014 - 08.2015
- Undertook house calls, assessed damage and formed a plan of action
- Set up and monitor equipment, progress of the project
- Tore out and disposed of any damaged material
General Maintenance
MARSHALL MUNICIPAL UTILITIES
Marshall, MO
05.2010 - 08.2013
- Perform general cleaning of buildings or properties
- Inspect meters for unauthorized connections, defects, and damage such as broken seals
- Report to service departments any problems such as meter irregularities, damaged equipment, or impediments to meter access, including dogs
Baseball/Softball Field Supervisor
BLUE VALLEY RECREATION
Overland Park, KS
05.2012 - 07.2012
- Conflict resolution skills and good interpersonal relation skills
- Able to communicate well with parents, coaches and officials
- Good problem-solving skills and fast reaction time with ability to make solid decisions
- Setup and takedown of baseball fields and management of umpires
Education
Bachelor of Science - Business Administration
Columbia College
Columbia, MO08.2018
Skills
- Medical billing
- Medical records
- Insurance Verification
- Claim submission
- Payment posting
- Patient Billing
- ICD-10
- Proficient in Microsoft Word
- Works well in any group setting
Willingtorelocate
- Seattle, WA
- Miami, FL
Personal Information
Authorized To Work: US
Timeline
Medical Billing Specialist
Midwest Pediatric Specialists
12.2022 - Current
Brace Technician/Office Administrator
SNYDER BRACE, INC
10.2016 - 12.2022
Warehouse/Shipping
SOCCER PRO
10.2015 - 08.2016
Water Restoration Technician
SERVPRO
01.2014 - 08.2015
Baseball/Softball Field Supervisor
BLUE VALLEY RECREATION
05.2012 - 07.2012
General Maintenance
MARSHALL MUNICIPAL UTILITIES
05.2010 - 08.2013
Bachelor of Science - Business Administration
Columbia College
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