Julie Criswell
Ormond Beach,FL
Summary
Hard working and detail-oriented Medical Billing Collection Analyst with four years of experience, strong medical insurance knowledge, and excellent communication skills. Proven ability to post and adjust payments from insurance companies, as well as locate errors and refile rejected claims. Skilled in medical billing and coding, insurance claim processing, patient record management, data entry, and customer service.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Medical Billing Collection Analyst
Florida Health Care Plans
Daytona Beach, Florida
03.2021 - Current
- Use proficiency in ICD-10, CPT, and HCPCS coding systems to ensure accurate claims are submitted for billing
- Input patient demographics, insurance information, and billing codes into billing software applications
- Submit electronic claims to insurance payers within designated deadlines
- Review and post received payments from insurance companies and patient payments to the appropriate patient accounts
- Investigate, analyze, and resolve reasons for claim denials, resubmit corrected claims, and implement strategies to reduce denial rates
- Stay updated on healthcare billing regulations and ensure compliance with HIPAA guidelines
Front Desk Support Specialist
Florida Health Care Plans
Orange City, Florida
02.2018 - 02.2021
- Responsible for counting and preparing daily deposit for Brinks pick-up
- Managed petty cash and distribution of funds
- Collected daily paperwork and scanned into medical records database
- Worked with outside vendors to order and maintain office and clinical supplies, including obtaining approval for special orders requested by doctors and/or nurses
- Signed for delivered packages and routed to correct locations along with mail and interoffice envelopes
- Created and maintained Word, Excel, and PowerPoint documents
- Aided offices in basic maintenance and troubleshooting of computers, printers, and fax machines
- Worked within Allscripts PM and EHR to retrieve and record patient information with physician offices and healthcare facilities
- Assisted with patient care including checking in/out, taking payments, scheduling appointments, requesting prescriptions, and handling referrals
- Verified insurance coverage and co-pay
- Helped with front desk coverage in all departments, including primary care, walk-in clinic, behavioral health, and surgery center
- Assisted Practice Manager with various assigned projects
Hygiene Coordinator
White Wolf Dental
Port Orange, Florida
03.2016 - 01.2018
- Responsible for maintaining hygienists’ day-to-day schedule and ensuring maximum capacity and productivity was achieved
- Assisted with checking in and checking out of patients, including collecting payments, processing insurance claims, and scheduling appointments
- Conducted daily phone calls according to recall reports to ensure patients who are due or past due for appointments were scheduled
- Answered incoming phone calls and resolved any issues that patients had
- Provided excellent customer service both over the phone and in the office to achieve patient satisfaction
Assistant Office Manager
Aspen Dental
Daytona Beach, Florida
01.2014 - 02.2016
- Responsible for the daily non-clinical operations of the office including patient satisfaction, revenue, profitability, non-clinical team selection, performance, and development
- Executed patient consults to ensure patients understood Doctor prescribed treatment plans, as well as entered and updated patient treatment plans at the direction of the Doctor
- Resolved patient satisfaction issues and identified and followed through on actions to eliminate those issues
- Ensured patient accounts were updated with current patient information including personal information as well as insurance breakdowns
- Ordered supplies and managed office inventories
- Ensured the office was OSHA and HIPAA compliant
Education
Certified Professional Coder -
American Academy of Professional Coders
08-2021
Bachelor of Science - Health Services Administration
University of Central Florida
Orlando, Florida12-2013
Skills
- Medical terminology
- Communication
- Organization
- Multi-tasking
- Problem solving
- Patient confidentiality
- Collaboration
Certification
Certified Professional Coder
Timeline
Medical Billing Collection Analyst
Florida Health Care Plans
03.2021 - Current
Front Desk Support Specialist
Florida Health Care Plans
02.2018 - 02.2021
Hygiene Coordinator
White Wolf Dental
03.2016 - 01.2018
Assistant Office Manager
Aspen Dental
01.2014 - 02.2016
Certified Professional Coder -
American Academy of Professional Coders
Bachelor of Science - Health Services Administration
University of Central Florida
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