Proven Medical Billing Specialist with a track record of enhancing revenue generation and claims resolution efficiency at Fyzical/The Provider Connection. Mastered HIPAA compliance and excelled in denial management, significantly reducing rejected claims. Known for exceptional communication skills, fostering trust and improving patient experiences. Demonstrates meticulous attention to insurance billing, ensuring accuracy and compliance. Detail-oriented professional with focus on deadlines and skilled in handling medical billing without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information.
Overview
25
25
years of professional experience
Work History
Medical Billing Specialist
Fyzical/The Provider Connection
01.2018 - Current
Communicated with insurance providers to resolve denied claims and resubmitted.
Posted and adjusted payments from insurance companies.
Located errors and promptly refiled rejected claims.
Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Collected payments and applied to patient accounts.
Filed and updated patient information and medical records.
Participated in departmental meetings, sharing insights and ideas for improving overall medical billing efficiency and revenue generation.
Printed and reviewed monthly patient aging report and solicited overdue payments.
Continuously updated knowledge of industry regulations and compliance requirements, ensuring adherence to all applicable standards.
Posted payments and collections on regular basis.
Responded to customer concerns and questions on daily basis.
Utilized various software programs to process customer payments.
Audited and corrected billing and posting documents for accuracy.
Medical Assistant
Allergy Associates
08.1999 - 12.2018
Performed medical records management, including filing, organizing and scanning documents.
Built strong relationships with patients through effective communication skills that foster trust in the clinic''s commitment to quality care.
Coordinated patient referrals to specialists or other healthcare providers as needed for comprehensive care management plans.
Improved patient experiences by efficiently managing appointments and maintaining organized medical records.
Optimized appointment scheduling processes to minimize conflicts and maximize physician availability for patients.
Assisted with billing and coding processes, ensuring accurate insurance claims and patient invoicing.
Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Physical Therapist Assistant at Fyzical Therapy and Balance Center (now Called Gardner PT and Balance Centers)Physical Therapist Assistant at Fyzical Therapy and Balance Center (now Called Gardner PT and Balance Centers)