Reliable Medical Biller with coding and medical terminology knowledge. Polished and hardworking performer with background overseeing accounts and handling records management tasks. Team-oriented person with great decision-making skills.
Overview
10
10
years of professional experience
Work History
Revenue Specialist
EnableComp
10.2022 - Current
Medical Billing and Coding
ICD-10
Data Entry
Chat
Payment Posting
Revenue Cycle Management
Denial Management
Analyze and evaluate claim payments
Determine if medical provider in compliance
Research Request and acquire all pertinent medical records
Implant invoices and other supporting documents
Submit hospital claims to insurance companies to ensure reimbursement
Conduct telephone follow-ups
Salesforce ticket management
Enforcer ticket management
Utilize Excel, Microsoft Word, Microsoft Teams, and Outlook, and Epic to perform Job duties
Communicated with insurance providers to resolve denied claims and resubmitted.
Verified insurance of patients to determine eligibility.
Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
Posted payments and collections on regular basis.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Adhered to established standards to safeguard patients' health information.
Liaised between patients, insurance companies, and billing office.
Customer Service Representative 1
Safe Step Walk-In Tub
12.2019 - 10.2022
Advised prospective and current clients of products and services
Answered constant flow of customer calls with minimal wait times.
Updated account information to maintain customer records.
Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
Offered advice and assistance to customers, paying attention to special needs or wants.
Responded to customer requests for products, services, and company information.
Participated in team meetings and training sessions to stay informed about product updates and changes.
Demonstrated mastery of customer service call script within specified timeframes
Maintained up-to-date records at all times
Properly directed inbound/outbound calls in phone queues to improve call flow
Schedule Appointments
Data Entry
Mapping
Email Communication
Utilize Windows, Excel, Pivot Tables, Microsoft, SaaS, and Google to perform work processes
Customer Advocate
Verizon Wireless
01.2014 - 10.2019
Developed and maintained strong customer relationships by promptly addressing and resolving customer concerns.
Handled difficult customer situations with grace and professionalism, consistently meeting first-call resolution metrics.
Listened to customers in actively to assess issues and provide accurate information.
Developed and implemented strategies to improve customer service experience, resulting in increased satisfaction.
Sales
Answer High Volume Calls
De Escalate Calls by utilizing active listening and positive positioning statements to ensure positive resolution for both customer and company.
Multitasking
Create individualized Solutions
Provide Floor Support for peers by answering questions, providing feedback and direction for credits and equipment
Troubleshooting
Support teams with call and ticket monitoring/review to ensure customers were receiving quality service and/or to suggest coaching
Time Management
Education
Cosmetology & Barber - Esthetics
Paul Mitchell School
Murfreesboro, TN
05.2020
No Degree - Industrial Organizational Psychology
Middle Tennessee State University
Murfreesboro, TN
High School Diploma -
Antioch High
Antioch
05.2009
Skills
Claims Review
Database Maintenance
Data Entry
Healthcare Terminology
Patient Account Analysis
Medical Claims Submission
HIPAA Compliance
ICD-10 Coding
Payments Posting
Medicare and Medicaid Processes
VA Claims Processes
Medical Billing
Timeline
Revenue Specialist
EnableComp
10.2022 - Current
Customer Service Representative 1
Safe Step Walk-In Tub
12.2019 - 10.2022
Customer Advocate
Verizon Wireless
01.2014 - 10.2019
Cosmetology & Barber - Esthetics
Paul Mitchell School
No Degree - Industrial Organizational Psychology
Middle Tennessee State University
High School Diploma -
Antioch High
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