Krystle Silva
Lowell,MA
Summary
Detail-oriented Billing Analyst prioritizes tasks and works against strict deadlines. Exemplary analytical skills, eye for detail and service-driven persona. Proficient in Microsoft Office and over 20 years of administrative and customer service expertise.
Overview
20
20
years of professional experience
Work History
Third Party Billing Analyst
Boston IVF
Waltham, MA
02.2012 - Current
- Developed procedures to ensure compliance with billing regulations.
- Researched and resolved billing issues with customers.
- Assisted in the preparation of monthly financial statements.
- Identified areas where efficiency could be improved within the billing department.
- Responded promptly to inquiries from customers regarding their bills or payment status.
- Reviewed and validated insurance claims for accuracy, completeness, and compliance with established policies and procedures.
- Called insurance companies to follow-up on unpaid or rejected claims.
- Maintained accurate records of claim status information in the database system.
- Identified and resolved discrepancies between submitted claims and insurance carriers' responses.
- Researched patient accounts to ensure proper billing codes were used.
- Processed appeals when necessary by gathering additional supporting documentation from providers.
- Assisted in training new staff members on insurance follow up and verification processes.
- Communicated with clients regarding their account balances and payment arrangements.
- Participated in regular meetings with management teams in order to discuss current challenges and strategies for improvement.
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Collected patient demographic information, verified insurance coverage, and updated records as necessary.
Lead Scheduling Coordinator
Merrimack Valley Hospital
Haverhill, MA
09.2004 - 10.2017
- Greeted patients upon arrival and provided them with necessary paperwork.
- Assisted in scheduling, rescheduling, and canceling appointments for patients.
- Answered incoming calls from potential new patients and existing patient inquiries.
- Verified insurance information prior to appointment booking.
- Coordinated with other departments within the practice to ensure timely patient care.
- Resolved customer complaints in a professional manner.
- Ensured compliance with HIPAA regulations when handling confidential information.
Education
Associate of Science - Business Administration And Management
Middlesex Community College - Bedford
Bedford, MA05-2010
Skills
- Proficient in Microsoft office, Winmed, Availity, Optum RPA
- Multi Tasking
- Ability to handle high volume calls & emails
- Telephone Etiquette
- Claims review
- Medical billing and collections
- Billing dispute resolution
- Customer Service
- Teamwork and Collaboration
Timeline
Third Party Billing Analyst
Boston IVF
02.2012 - Current
Lead Scheduling Coordinator
Merrimack Valley Hospital
09.2004 - 10.2017
Associate of Science - Business Administration And Management
Middlesex Community College - Bedford
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