Sophisticated and reliable Medical Billing Specialist, talented at correcting and resubmitting claims to Medicaid, Medicare and other various insurance companies. Coordinates with insurance companies and expedites claims processes. Dedicated administrative professional skilled in handling multiple projects with high pressure deadlines and adapting to new situations and challenges to best enhance the organizational brand.
Overview
3
3
years of professional experience
Work History
Billing Specialist
Community Health Systems, Poplar Bluff Regional Physicians Services
Poplar Bluff, MO.
12.2021 - 03.2022
Track and maintain records of patient billing and billable items
Prepare and submit billings to insurance companies or other payers
Follow up on delinquent claims and past due invoices
Manage Medicare and Medicaid claims
Promote focus on continuous improvement for all medical billing procedures
Identified, researched and resolved billing variances to maintain system accuracy and currency.
Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
Executed billing tasks and recorded information in company databases.
Handled account payments and provided information regarding outstanding balances.
Processed payment via telephone and in person with focus on accuracy and efficiency.
Verified/updated patient data weekly to complete detailed eligibility reports for Medicaid spending accounts for management review.
Assistant Manager
Dollar General
Doniphan, MO
01.2020 - 03.2020
Supported senior managers with day-to-day operational requirements
Delegated tasks to appropriate staff members and monitored performance
Directed daily store operations, including staff management, task delegation, merchandising, and customer service.
Completed regular inventory counts to verify stock levels, address discrepancies and forecast future needs
Increased sales revenues by promoting complementary products and educating customers about store promotions
Offered hands-on assistance to customers, assessing needs and maintaining current knowledge of consumer preferences
Monitored cash intake and deposit records, increasing accuracy and reducing discrepancies
Assistant Restaurant Manager
Chicken on the Run
Doniphan, MO
08.2014 - 07.2017
Complied with health and fire codes with strong oversight of food storage, preparation and cleaning procedures
Managed customer relationships and maintained positive dining experiences
Ran cashier station at front counter and maintained accurate drawer count.
Maintained effective supply levels by monitoring and reordering food stock and dry goods
Developed unique events and special promotions to drive sales
Handled escalated customer concerns with speed and knowledgeable support to achieve optimal satisfaction and maintain long-term loyalty
Maintained kitchen cleanliness and sanitation through correct procedures and scheduled cleaning of surfaces and equipment
Reduced inaccuracies by carefully counting cash and keeping meticulous records of transactions
Education
Medical Billing & Coding - Health Administration
Bryant And Stratton College
Orchard Park, NY
10.2021
Skills
Thorough claims reviews
Telephone etiquette
Health insurance industry knowledge
Insurance coverage verification
Medical terms and procedure knowledge
Precision and Accuracy
Proactive and Self-Motivated
State & Federal Regulation Compliance
Time Management
Data Analysis & Integrity
Timeline
Billing Specialist
Community Health Systems, Poplar Bluff Regional Physicians Services
12.2021 - 03.2022
Assistant Manager
Dollar General
01.2020 - 03.2020
Assistant Restaurant Manager
Chicken on the Run
08.2014 - 07.2017
Medical Billing & Coding - Health Administration
Bryant And Stratton College
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