Versatile and results-driven professional with extensive experience at Memorial Healthcare System, adept in medical records management and customer service. Demonstrates exceptional organizational skills and a commitment to improving patient financial services. Proven track record in enhancing billing processes and teamwork, contributing to increased efficiency and patient satisfaction.
Overview
14
14
years of professional experience
Work History
Remote Accounts Receivable
Memorial Healthcare System - MSS
04.2022 - Current
Review, evaluate, and forward manual paper claims to payers that do not accept electronic claims or require special handling
Document billing activities on patient accounts and ensure compliance with all applicable billing regulations
Review claims for accuracy and coordinate with ancillary departments for information for audits and record reviews
Make appropriate corrections based on electronic payers’ error reports to optimize the electronic claims submission process
Pursue prompt follow-up efforts on aged accounts and assist in formulating written appeals
Accurately document all follow-up activities on patient accounts
Monitor claim rejections for trends and report findings to the lead biller and departmental leaders
Practice excellent customer service by addressing patient and third-party billing concerns professionally
Assist in reviewing and resolving credit balances and participate in special assignments and training
Ensure timely and accurate entry of demographic, billing, and clinical information
Communicate with physicians, nursing unit staff, and other personnel to exchange necessary information
Verify insurance benefits and obtain pre-certification/authorization as necessary
Determine and accept required payments, including co-pays and deductibles
Remote Customer Service Billing PFSR Rep III
Memorial Healthcare System - MSS
04.2019 - 04.2022
Receive payments and allowances from payers and perform data entry of payments, allowances, and account adjustments
Review and process insurance explanation of benefits statements for accuracy
Respond to customer inquiries to resolve patient hospital account billing issues and counsel regarding payment plans and billing/collection errors
Investigate and resolve patient account issues by reviewing patient account history and contacting appropriate resources
Document and note patient accounts regarding identified issues and actions taken
Patient Financial Service Representative Team Lead
Memorial Healthcare System - Memorial Primary Care
03.2018 - 04.2022
Manage front desk functions and maintain knowledge of registration, appointment scheduling, insurance verification, payment collection, daily cash reconciliation, and bank deposits
Ensure tasks are completed in accordance with standard business practices
Oversee scheduling of patients and improve access for patients and the practice
Assist Practice Manager with daily office needs for smooth operations
Ensure timely and accurate entry of demographic, billing, and clinical information
Communicate with physicians, nursing staff, and other personnel to exchange necessary information
Verify insurance benefits and obtain pre-certification/authorization as necessary
Expedite patient referrals to specialty offices and communicate with specialist offices for timely patient care
Referral Coordinator/Medical Assistant
AssociatesMD
02.2017 - 01.2018
Expedite patient referrals to specialty offices, fax medical records, answer patient and specialty office calls, and complete referral requests
Work independently with a superior work ethic
Obtain benefits and pre-certifications from insurance companies for patients
Establish working relationships with diagnostic imaging centers for urgent scheduling of MRI and CT scans for high-risk patients
Enter referrals online to Clarity Health Referral System
Medical Assistant
01.2011 - 01.2017
Show patients to examination rooms, prepare them for the physician, and record medical history, medications, allergies, and vital statistics
Assist physicians during simple and complex surgical procedures and collect laboratory specimens
Help physicians examine and treat patients, perform tasks such as giving injections and removing sutures, and authorize drug refills under provider direction
Discuss and sell cosmetic products and procedures, prepare patients for cosmetic procedures, and perform chemical peels and laser hair removal
Education
Bachelor of Applied Science - Supervision and Management
Broward College
01.2025
LEAN Six Sigma Yellow Belt -
02.2022
Talkdesk Agent Certification -
12.2021
Associate in Science - Medical Office Management & Administration