Detail-oriented insurance and billing professional with experience in insurance verification, claims processing, patient billing, payment posting, account follow-up, and resolving billing discrepancies. Lots of experience with insurance policies, eligibility, authorizations. I greatly enjoy communicating with our patients and going above and beyond to help them to understand everything accurately. I love to provide greatly customer service. I am wonderful at multitasking and ensuring that everything is completed on time.
Work History
Patient Account Representative
1 Year 3 Months
HME Home Medical | 05.2025 - Current
Managed patient account inquiries and resolved billing discrepancies effectively.
Processed insurance claims, ensuring compliance with industry regulations and company policies.
Posted payments and processed refunds.
Reviewed insurance eligibility and verified coverage details to minimize claim denials and delays in payment.
Worked with my coworkers to ensure to go above and beyond for our patients.
Helped patients to understand how the invoices were processing.
Ensured compliance with healthcare regulations while processing claims and managing patient accounts.
Electronically submitted bills according to compliance guidelines.
Enhanced patient satisfaction by promptly addressing inquiries and resolving account issues.
Provided callbacks to patients when necessary to ensure they were getting any questions answered promptly.
Machine Operator
7 Months
ProAmpac | 10.2024 - 05.2025
Operated high-speed packaging machinery to ensure efficient production flow.
Monitored equipment performance and performed routine maintenance to minimize downtime.
Implemented process improvements that enhanced product quality and reduced waste.
Trained new operators on safety protocols and equipment operation procedures.
Followed detailed instructions to operate machines with accuracy and produce quality products.
Set up and adjusted equipment and properly configured machines for daily operation.
Demonstrated adaptability by quickly learning how to operate new machinery and implementing newly introduced processes within the production environment.
Operated various types of machinery, contributing to the successful completion of diverse projects.
Monitored machines during operation to detect sounds of malfunction or excessive vibration and adjusted machines to eliminate problems.
Adhered to strict quality control measures, guaranteeing consistent product output that met or exceeded customer expectations.
Reduced downtime by conducting regular equipment inspections and identifying necessary repairs.
Machine Operator
1 Year 2 Months
Menasha Packaging | 07.2023 - 09.2024
Operated and maintained production machinery to ensure optimal performance and product quality.
Conducted routine inspections and preventative maintenance on machinery to minimize downtime.
Set up and ran machinery to produce exceptional products for industrial needs.
Organized and cleaned work area to meet standards, keep tidy and prevent injuries.
Complied with company and OSHA safety rules and regulations.
Operated machining equipment safely with team of operators.
Operated multiple machines simultaneously, maximizing output while maintaining high-quality standards.
Maintained quality of product by checking labels, packaging and other factors.
Documented production activity in logs and job tickets.
Improved product quality with thorough inspections and adjustments to machine settings as needed.
Completed parts lubrication and other minor maintenance tasks to keep equipment running.
Collaborated with team members for seamless transitions between shifts and increased productivity overall.
Helped with change-overs and set up to assist with job preparation and production functions.
Reduced downtime by monitoring machine performance and addressing any concerns promptly.
Identified malfunctions or failures by routinely monitoring and analyzing equipment operations.
Material Handler
1 Year
Georgia Pacific | 05.2022 - 05.2023
Count finished products to verify completeness of product orders.
Transfer finished products, raw materials, tools, or equipment between storage and work areas of plants and warehouses, by hand or using hand trucks or powered lift trucks.
Count finished products to determine if product orders are complete.
Place products in equipment or on work surfaces for further processing, inspecting, or wrapping.
Transfer finished products, raw materials, tools, or equipment between storage and work areas using hand trucks or powered lift trucks to ensure efficient workflow.
Cleaned work areas, machines, and equipment to maintain hygiene standards.
Bundle products for further processing or shipment according to prescribed procedures.
Billing Supervisor
10 Months
New Dermatology Group | 07.2021 - 05.2022
Manage the department or supervise clerical workers, directing or controlling activities of personnel in the medical records department.
Post medical insurance billings.
Compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts.
Prepare statistical reports, narrative reports, or graphic presentations of information, such as tumor registry data for use by hospital staff, researchers, or other users.
Review records for completeness, accuracy, and compliance with regulations.
Protect the security of medical records to ensure that confidentiality is maintained.
Processed and recorded medical insurance billings to ensure accurate reimbursement.
Identify, compile, abstract, and code patient data, using standard classification systems.
Plan, develop, maintain, or operate a variety of health record indexes or storage and retrieval systems to collect, classify, store, or analyze information.
Retrieve patient medical records for physicians, technicians, or other medical personnel.
Process patient admission or discharge documents.
Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures, or treatment into computer.
Release information to persons or agencies according to regulations.
Resolve 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.
Claims Adjuster
9 Years
United Healthcare | 05.2010 - 05.2019
Adjust claims for the providers to ensure the providers were properly paid on the claims. Correct provider and adjuster errors to ensure first claim resolution.
Verified changes to resolve customer problems, ensuring timely and effective resolutions.
Check to ensure that appropriate changes were made to resolve customers' problems.
Confer with customers by telephone or in person to provide information about products or services, take or enter orders, cancel accounts, or obtain details of complaints.
Reached out to customers to address their inquiries and provide support. to respond to inquiries or to notify them of claim investigation results or any planned adjustments.
Determine charges for services requested, collect deposits or payments, or arrange for billing.
Recorded customer interactions and transactions, documenting inquiries and complaints along with responses.
Refer unresolved customer grievances to designated departments for further investigation.