Facilitate with A/R on running reports to audit open accounts to complete payments, improving overall collections to close accounts
Re-engineered billing process for multiple health care providers, managing various Tax Identification Numbers (TINs) to ensure accurate billing and compliance; investigating discrepancies from electronic clearing house minimizing errors quarterly
Verify patient's medical eligibility and benefits, research denials, interpret EOBs, and audit accounts
Monitored and managed workflows leading to resolution strategies, improving turnaround time from submission to approval; recording detailed requests and outcomes in EHR
Collaborate with healthcare providers and billing team to address eligibility issues and discrepancies, facilitating timely resolution and improving revenue cycle performance
Manage daily charge entry, ETF's, payment posting, patient ledgers and invoices; Address patient concerns related to billing and insurance issues, achieving Resolution rate of at least 75%
Support patient care coordinators with patient intake/registration, medical records, patient triage, and other various administrative duties ensuring accurate data entry
Insurance Biller
American Physical Medicine
Scottdale, AZ
05.2022 - 06.2023
Reduced claim denials by diligently reviewing and verifying patient insurance coverage prior to submission.
Contributed to company growth by identifying opportunities for improvement within the billing department''s workflows.
Assisted patients with understanding their insurance benefits and financial responsibility, fostering positive relationships.
Conducted regular audits of billed services to identify discrepancies and prevent potential revenue loss due to inaccuracies or fraud.
Boosted office productivity by creating user-friendly templates for common forms and reports in the billing department.
Maintained excellent professional relationships with insurance company representatives, facilitating efficient claim processing and reimbursement.
Patient Coordinator
Bloom Reproductive Institute
Scottsdale, AZ
09.2019 - 10.2021
Enhanced patient satisfaction by efficiently scheduling appointments and managing patient flow.
Maintained up-to-date knowledge on insurance policies, medical terminology, and clinic protocols in order to provide accurate information and assistance to patients.
Acted as main point of contact for over 500+ patients, multiple healthcare providers, and staff by closely reviewing medical charts and maintaining high levels of communication.
Handled sensitive situations with empathy when dealing with distressed patients or those facing serious health challenges.
Increased efficiency of the front office operations through effective multitasking, attention to detail, and organization skills.
Lead Hostess & Bar Server
Arizona Country Club
Scottsdale, AZ
09.2017 - 04.2020
Barista
Mocha Moose Espresso
Wasilla, AK
06.2015 - 04.2018
Education
Bachelor of Science - Health Care Administration
Grand Canyon University
Phoenix, AZ
04.2016 - 08.2020
Skills
Medical codes and terminology
Patient advocacy
Telemedicine
HMO/PPO's
HIPAA compliance
Empathetic
Adapative
Proactive
Timeline
Prior Authorization & Eligibility Specialist
Anchorage & Valley Radiation Therapy Centers
10.2023 - 10.2024
Insurance Biller
American Physical Medicine
05.2022 - 06.2023
Patient Coordinator
Bloom Reproductive Institute
09.2019 - 10.2021
Lead Hostess & Bar Server
Arizona Country Club
09.2017 - 04.2020
Bachelor of Science - Health Care Administration
Grand Canyon University
04.2016 - 08.2020
Barista
Mocha Moose Espresso
06.2015 - 04.2018
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