Organized Medical Professional with foundation in records management. Experienced in billing and collection procedures. Advanced medical terminology knowledge. Successful at efficiently handling client inquiries, billing and administrative tasks. Familiar with contracts and other documents affecting billing processes. Prepares professional, polished statements and business correspondence.
Overview
12
12
years of professional experience
Work History
Clinic Billing Specialist
Progyny
05.2022 - Current
Identified, researched and resolved billing variances to maintain system accuracy and currency.
Generated and submitted invoices based upon established accounts receivable schedules and terms.
Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
Communicated with insurance providers to resolve denied claims and resubmitted.
Prepared billing statements for patients and verified correct diagnostic coding.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Reimbursement Specialist
Myriad Genetics
12.2021 - 05.2022
Processed billing calls and answered questions from patients and third-party carriers
Corrected, completed and processed claims for multiple payer codes
Responded to customer concerns and questions on daily basis
Processed online and paper appeal submissions and refund requests
Assisted in reconciling deposit and patient collections
Monitored outstanding invoices and performed collections duties
Handled account payments and provided information regarding outstanding balances.
Insurance Billing Specialist
Legacy Health Care Services
12.2020 - 12.2021
Generated and submitted invoices based upon established accounts receivable schedules and terms
Handled high volume of in-bound calls pertaining to reconciliation of delinquent accounts
Identified, researched and resolved billing variances to maintain system accuracy and currency
Contacted clients with past due accounts to formulate payment plans and discuss restructuring options
Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments
Delivered prompt service to prioritize customer needs
Collaborated with staff members to enhance customer service experience and exceed team goals through effective client satisfaction rates
Responded to customer requests, offering excellent support and tailored recommendations to address needs.
Scheduler
Wake Endoscopy Center
03.2017 - 12.2020
Professionally and courteously verified appointment times with patients
Adeptly managed a multi-line phone system and pleasantly greeted all patients
Maintained strict patient and physician confidentiality
Treated all patients, their families, visitors, peers, staff and providers in a pleasant and courteous
manner
Scheduled appointments, registered patients and distributed sample pharmaceuticals as prescribed
Contacted hospitals to confirm patients medical histories and prevent inaccurate diagnoses and
treatments
Completed skilled administrative work to support all office staff and operational requirements
Managed master calendar and scheduled appointments for multiple providers based on optimal patient
loads and clinician availability.
Billing Clerk
West Yavapai Guidance Clinic
02.2015 - 02.2017
Medical Coding experience using ICD-9 and ICD-10 codes
Protect the security of medical records to ensure that confidentiality is maintained
Review records for completeness, accuracy, and compliance with regulations
Release information to persons or agencies according to regulations
Retrieved medical records for physicians, technicians, or other medical personnel
Train medical records staff
Correctly Coded and billed claims for various hospital and nursing facilities
Managed a multi-line phone system and pleasantly greeted all patients
Completed appropriate claims claims paperwork, documentation and system entry
Diligently filed and followed up on third party claims
Interacted with providers and other medical professionals regarding billing and documentation policies,
procedures and regulations.
Medical Front Office Assistant
Valley Pain Consultants
08.2012 - 12.2014
Medical Coding experience using ICD-9 and ICD-10 codes
Explain treatment procedures, medications, diets, or physicians' instructions to patients
Contact medical facilities or departments to schedule patients for tests or admission
Perform general office duties, such as answering telephones, taking dictation, or completing insurance
forms
Greet and log in patients arriving at office or clinic
Schedule appointments for patients
Inventory and order medical, lab, or office supplies or equipment
Keep financial records or perform other bookkeeping duties, such as handling credit or collections or
mailing monthly statements to patients.
Medical Records Clerk
KFORCE
05.2012 - 08.2012
Managed the department or supervise clerical workers, directing or controlling activities of personnel in
the medical records department
Resolved or clarify codes or diagnoses with conflicting, missing, or unclear information by consulting with
doctors or others or by participating in the coding team's regular meetings
Process patient admission or discharge documents
Process and prepare business or government forms
Retrieve patient medical records for physicians, technicians, or other medical personnel.
Education
Bachelor of Science - Criminal Justice
Madonna University
Livonia, MI
05.2006
Skills
Records organization and review Various coding systems
Research and due diligence Billing systems and software