Joyce Champlin
31 Village Green, Rhinebeck,NY
Summary
Organized Medical Biller thoroughly versed in medical coding and HIPAA requirements. Personable professional with several years of hands-on experience claiming refunds, reviewing claims, and maintaining billing reports. Accommodating and helpful team player proficient in job-related billing software.
Overview
16
16
years of professional experience
Work History
Medical Insurance Biller
Northern Dutchess Paramedics
Rhinebeck
08.2014 - 06.2024
- Reviewed and processed medical claims for accuracy, according to insurance guidelines.
- Verified patient information, such as demographics and insurance coverage, to ensure accuracy of claim submissions.
- Checked claims coding for accuracy with ICD-10 standards.
- Performed insurance verification, pre-certification, and pre-authorization.
- Monitored past due accounts and pursued collections on outstanding invoices.
- Managed all payment processing, invoicing, and collections tasks.
- Submitted claims to insurance companies.
- Answered customer questions to maintain high satisfaction levels.
Emergency Room Unit Secretary
Columbia Memorial Hospital
Hudson, NY
08.2009 - 08.2011
- Maintained patient records and charts, ensuring accuracy and completeness of information.
- Verified insurance eligibility using online systems provided by various payers.
- Performed data entry into electronic health records system accurately and timely.
- Answered telephones and directed calls to appropriate medical or administrative staff.
- Provided emotional support to patients' families during times of distress.
Personal Coordinated
The ARC of Kingston
Kingston, NY
05.2008 - 08.2011
- Reviewed individual medical records of students with special healthcare needs as needed.
- Advised faculty members on how best to support students' physical, emotional, social, intellectual, environmental, and spiritual growth.
Education
GED -
Skills
- Medical Billing
- ICD-10
- Medical Coding
- CPT Coding
- Insurance Verification
- Claims Processing
- Commercial and Private Insurance
- HIPAA Compliance Certification
- Billing and Collection Procedures
- Account follow-up
- Accounts Receivable
- Medical coding understanding
- Information inputting
- Patient Collections
- Worker's Compensation Knowledge
- Insurance claims processing
- Submission of medical claims
- Patient Billing
- Electronic Claims
- Payment posting
- ICD-10 Coding
- Billing codes
- CMS-1500 Billing Forms
References
References available upon request.
Timeline
Medical Insurance Biller
Northern Dutchess Paramedics
08.2014 - 06.2024
Emergency Room Unit Secretary
Columbia Memorial Hospital
08.2009 - 08.2011
Personal Coordinated
The ARC of Kingston
05.2008 - 08.2011
GED -
Similar Profiles
Gianna FusaroGianna Fusaro
Emergency Medical Technician at Northern Dutchess ParamedicsEmergency Medical Technician at Northern Dutchess Paramedics
Shereca FairbairnShereca Fairbairn
Northern Dutchess Hospital at Northern Dutchess HospitalNorthern Dutchess Hospital at Northern Dutchess Hospital
Carly JackowitzCarly Jackowitz
Registered Nurse at Northern Dutchess HospitalRegistered Nurse at Northern Dutchess Hospital
Liam CurthoysLiam Curthoys
Store Clerk at Rhinebeck wine and liquor Inc.Store Clerk at Rhinebeck wine and liquor Inc.
Michael FerrariMichael Ferrari
Security Officer at Bard CollegeSecurity Officer at Bard College