Dedicated Patient Account Representative with over 10 years of experience in prior authorization, billing, and coding. Demonstrates a strong work ethic and unwavering motivation. Possesses expertise in analyzing and interpreting medical documentation, along with a comprehensive understanding of major medical insurance providers and commercial insurance products. Proficient in Microsoft Excel, Word, and various software applications, ensuring efficient handling of complex tasks and data management. Committed to delivering exceptional service while effectively navigating the intricacies of the healthcare system to support both patients and providers.
Hi, I’m
LATIA EDWARDS
Temple Hills,MD
Summary
Overview
11
years of professional experience
Work History
Maryland Cardiology Associates
Billing Representative
09.2021 - Current
Job overview
- Coordinate and prepare financial closing report (closed monthly)
- Process receivable transactions, in accordance with deadlines (EFT payment, ACH payment, virtual Credit Card)
- Calculate and post receipts on appropriate general ledger accounts
- Respond appropriately to client inquiries
- Collect outstanding balances by sending invoice reminders and communication with clients via phone, email, fax, or mail.
- Worked with all major health insurance companies
- Working and billing Rpm (Remote patient Monitoring) and CCM (Chronic Care Management)
- Check schedule and do prior Authorization review all records for Supportive Documentation coordinate with insurance to obtain authorization for MCA and Vascular Entity.
- Back up team members who functions as needed if short staff or behind.
- Assist manger with project as needed
- Coordinate with other departments pertaining Vascular as needed
- Take incoming calls from patient to discuss balance and payment inquiries
The Feldman ENT Group
Account Receivable Specialist
04.2014 - 09.2021
Job overview
- Assist and provide information to patients, clinical staff, and insurance companies.
- Identify and resolved patient /physician billing complaints.
- Maintain and review medical billing and claim records also medical insurance.
- Submit claims to various insurance companies.
- Responsible for collections, posting, and management of account payments.
- Ensured bills are submitted with allowable time frame and follow up on A/R report.
- Process receivable transactions, in accordance with deadlines (EFT payment, ACH payment, virtual Credit Card)
- Calculate and post receipts on appropriate general ledger accounts.
- Respond appropriately to patient inquiries.
- Collect outstanding balances by sending invoice reminders and communication with clients via phone, email, fax, or mail.
- Worked with all major health insurance companies.
Education
Prince Georges Community CollegeLargo, MD
College Degree from Nursing Assistant
01.2011
University Overview
Medix School SouthLandover, MD
Associate Degree from Medical Assistant
01.2009
University Overview
Skills
- Driven and highly motivated professional with a strong work ethic and over 10 years of experience in the billing representative field
- Adept in the analytical and interpretation of medical documentation, billing coding, and auditing medical accounts, familiar with all major medical insurance companies as well as commercial products
- Strong problem-solving skills
- Strong attention to detail in administrative functions
- Skilled in various office applications including Excel and Word
- Experienced in medical insurance administration for diverse healthcare settings
- Manage claims submissions efficiently
- Collections and payment posting
- Timely bill submission
- Effective team collaboration
- Facilitating various payment methods
- Authorize surgical procedures
- Accounts payable processing
- Knowledgeable in ICD-10 coding
- Facilitating payment posting and reconciliation
- Proficient in customer support
- Experienced with Allscripts electronic medical records
- Effective verbal communication
- Claim resolution
- Microsoft office
- Customer relations skills
- Collections
- Invoice processing
- Data entry experience
- Collections background
- Account monitoring
- Payment collection
- Insurance claims
- Medical billing and coding
- Electronic medical record management
- Medical office administration
- Account reviews
- Customer service
- Problem-solving
- Multitasking and organization
- Team collaboration
- HIPAA compliance
- Verbal and written communication
- Billing systems and software
- Claim submission/processing
- Patient account management
- Insurance verification
- Payment posting
- Medical coding
- Medical billing and collections
- Monthly billing management
- Teamwork and collaboration
- Problem-solving abilities
- Time management
Timeline
Billing Representative
Maryland Cardiology Associates
09.2021 - Current
Account Receivable Specialist
The Feldman ENT Group
04.2014 - 09.2021
Medix School South
Associate Degree from Medical Assistant
Prince Georges Community College
College Degree from Nursing Assistant