Lata Yalamanchili
Tomball,TX
Summary
Accomplished Medical Billing Specialist with a proven track record at Cardiovascular Specialists of Willowbrook, adept in insurance verification and claims processing. Leveraged expertise in HIPAA compliance and medical coding to enhance billing accuracy and patient satisfaction. Demonstrated exceptional teamwork and critical thinking skills, significantly improving claim resolution efficiency and customer service quality.
Overview
2
2
years of professional experience
Work History
Medical Billing Specialist
Cardiovascular Specialists of Willowbrook
08.2023 - Current
- Collected payments and applied to patient accounts.
- Liaised between patients, insurance companies, and billing office.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Filed and updated patient information and medical records.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Posted and adjusted payments from insurance companies.
Insurance Verification Specialist
Cardiovascular Specialists of Willowbrook
02.2023 - 08.2023
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Posted payments to accounts and maintained records.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Assisted patients with understanding personalized insurance coverage and benefits.
- Generated reports to track insurance verifications and claim progress.
- Trained new staff on current, correct insurance verification procedures.
- Achieved insurance pre-authorizations to enable timely patient procedures.
- Updated patient records with accurate, current insurance policy information.
- Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
- Obtained payments from patients and scanned identification and insurance cards.
- Processed medical insurance claims and payments.
- Conducted patient intake interviews, recording and documenting relevant information.
- Placed new supply orders, managed inventory and restocked clerical spaces.
- Managed office bookkeeping with insurance billing and patient payments.
- Managed office logistics by scheduling appointments, maintaining files and collecting payments.
- Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
- Assisted with medical coding and billing tasks.
- Completed administrative patient intakes with case histories, insurance information and mandated forms.
- Received and routed laboratory results to correct clinical staff members.
- Performed various administrative tasks by filing, copying and faxing documents.
- Organized and maintained patient chart filing system to promote quick data finding for staff.
- Greeted visitors and initiated triage processes for clients to streamline patient flow.
- Registered and verified patient records before triage with most up-to-date information.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Prepared and processed patient referrals and transfer requests.
Front Desk Agent
Cardiovascular Specialists of Willowbrook
01.2023 - 02.2023
- Oversaw fast-paced front desk operations and guests' needs at busy facility.
- Collected room deposits, fees, and payments.
- Welcomed each new arrival pleasantly and confirmed reservations and identification.
- Answered customer telephone calls promptly and appropriately handled needs.
- Greeted visitors and customers upon arrival, offered assistance, and answered questions to build rapport and retention.
- Took reservations over phone, in person, and via computer for guests and provided confirmation information.
- Answered multi-line phone system and enthusiastically greeted callers.
- Maintained clean and organized front desk areas to uphold polished company image.
- Enforced policies and procedures to increase efficiency.
- Kept accounts in balance and ran daily reports to verify totals.
- Promoted hotel brand's loyalty program via social media, email and direct mail.
- Prepared reports on guest satisfaction levels and other metrics.
- Monitored hotel's budget and financial records.
- Monitored staff performance and provided feedback and guidance.
- Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.
- Trained new staff members in customer service techniques and hotel operations.
- Implemented marketing and promotional initiatives to increase occupancy.
- Liaised with housekeeping staff to verify service and maintenance of hotel standards.
- Developed and maintained positive relationships with guests for satisfaction.
- Used quick response and dynamic service skills to build relationships with patrons and improve customer retention rate.
- Reported facility and room maintenance problems to appropriate personnel for immediate remediation.
Education
No Degree - Medical Coding & Billing Certificate
Lone Star College
Houston, TX08-2023
Master of Science - Physical Anthropology & Pre Historic Archaeology
Sri Venkateswara University of Arts & Science
Tirupathi, India06-1989
Skills
- Files and records management
- Bill payment
- Quality-oriented team player
- [Type] software applications proficiency
- Patient billing
- Collections management
- Accounts payable
- Insurance verification
- Claim submission
- Disability claims process
- Payment posting
- Medicare and medicaid process
- Generally accepted accounting principles (GAAP)
- HIPAA compliance
- Balance reconciliation
- Information requests
- Claims review
- CPT code modifiers
- Accounts receivable
- Critical thinking
- Insurance claims
- Commercial and private insurance
- ICD-10
- Encrypted data management
- Multitasking and organization
- Regulatory compliance
- Patient collections
- Medical coding
- Teamwork and collaboration
- ICD-10 coding
- Medical claims submission
- Insurance billing
- Payer contracts
- Proficiency in [software]
- [Software] use
- Billing codes
- Database systems
- Knowledgeable in [software]
- Procedure coding
- Electronic claims
- Patient account analysis
- Data analysis
- Invoice processing
- Claims processing
- Account management
- Electronic health record software
- Information inputting
- Data security procedures
- Accounts receivable management
- Customer service
- Submission of medical claims
- Medical billing
- Operations support
- Insurance collections
- Account follow-up
- Verbal and written communication
- CMS-1500 billing forms
- HIPAA compliance certification
- Records maintenance
- Data entry
- Claim review
- Reimbursements
- Insurance claims processing
- Work prioritization
- Medical billing technology
- Account reconciliation
- Medical record security
- Invoice coding
- Medical terminology expert
- Collection calls
- Clerical support
- Medical terminology
- Chart auditing
- Billing security
- Records management
Timeline
Medical Billing Specialist
Cardiovascular Specialists of Willowbrook
08.2023 - Current
Insurance Verification Specialist
Cardiovascular Specialists of Willowbrook
02.2023 - 08.2023
Front Desk Agent
Cardiovascular Specialists of Willowbrook
01.2023 - 02.2023
No Degree - Medical Coding & Billing Certificate
Lone Star College
Master of Science - Physical Anthropology & Pre Historic Archaeology
Sri Venkateswara University of Arts & Science
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