Highly skilled, detailed oriented professional with over 20 years of customer service experience with an extensive background in medical billing for various specialties.
Overview
11
11
years of professional experience
Work History
A/R Specialist
Urology Associates of Mobile
Mobile, AL
10.2023 - Current
Reviewed customer accounts for accurate information and payment terms.
Analyzed customer accounts to identify discrepancies or unpaid invoices.
Researched and resolved customer disputes regarding billing issues.
Maintained records of all transactions in accounting system.
Data entry
Billing/Insurance Verification Specialist
Forefront Medical Management
Mobile, AL
04.2016 - 08.2023
Reviewed medical records to ensure accuracy of required information needed for pre-authorization requests.
Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
Maintained accurate documentation on all pre-authorization requests, denials and appeals.
Provided timely follow up with payers regarding payment status of claims.
Analyzed complex health plan contracts to determine benefit coverage levels for services rendered.
Monitored changes in government regulations affecting healthcare reimbursement systems.
Participated in training sessions on new software programs used for verification purposes.
Updated patient and insurance data and input changes into company computer system.
Patient Service Representative
Express Employment
Mobile, AL
03.2013 - 04.2016
Greeted patients upon arrival and directed them to the appropriate area.
Provided customer service by answering patient questions and addressing concerns.
Verified insurance information, collected payments, and scheduled appointments.
Maintained a clean and organized reception area.
Answered incoming calls in a professional manner.
Ensured all necessary paperwork was completed prior to patient visits
Data entry
Skills
Leadership
Software Expertise (Microsoft Office, Allscripts, EHR