Laura Drew
Clarksville,TN
Summary
Results-driven Medical Billing Specialist recognized for improving revenue cycle efficiency at PBI, INC, and American Exchange. Achieved a 90% success rate on paid denials, showcasing expertise in healthcare revenue cycle management and customer service. Proficient in ICD-10 coding and compliance, contributing to increased profitability through precise claim submissions and thorough insurance verifications. Aiming to leverage these skills to further enhance financial outcomes in a dynamic healthcare environment.
Overview
7
7
years of professional experience
Work History
Medical Billing Specialist and Collector
PBI, INC
01.2022 - Current
- Currently work in collections for radiology billing
- Daily quota met as 45 + claim denials per day
- Resubmit all clearinghouse denials daily and enter in and verify current insurance coverage on claims
- Currently have a 90% success rate on paid denials
- Submit appeals for all commercial and private carriers for various denial reasons
- Review radiology reports and ensure accurate CPT and ICD coding on claims
- Work with the providers in ensuring radiology testing meets medical necessity guidelines on ordering scripts
- Work on collections on old accounts and upon hiring worked an account that was over 2 years behind in claims
- After 9 months of working on account it was then billing at a 90% accuracy
Medical Billing Specialist
American Exchange
Chattanooga, TN
10.2021 - 12.2022
- Worked remotely in insurance revenue department
- Responsibilities included entering all daily charge for 3 primary care offices and AIDS clinics
- Achieved accurate submission goal of 97% accuracy
- Entered in all insurance payments daily and worked on all insurance denials and appeals
- Found crucial billing error for secondary insurances and increased profit on all secondary claims by 75% within first year
- Billed out monthly patient statements and entered all patient payments
Medical Billing Specialist
Clarksville Behavioral Health
Clarksville, TN
06.2018 - 11.2022
- Responsible for billing all daily claims and posting all payments
- Assisted providers in accurate coding for mental health
- Ran insurance verification on all appointments and obtained prior authorizations for psychological testing
- Created a coding chart for patient accounts and setup providers to accurate code all testing and therapy appointments
- Made monthly reports for outstanding patient accounts and setup patient payment plans
- Increased profit for practice upon 6 months after employment
Education
Certified CPC -
AAPC
Skills
- Healthcare Revenue Cycle Management
- Customer Service Portals for Insurance
- Clinical Documentation Expertise
- Compliance Audits
- Knowledgeable in Healthcare Terminology
- Understanding of HIPAA Regulations
- ICD-10 Coding Expertise
- Accurate Payment Posting
- Payment posting
- Insurance verification
- Claim submission
Timeline
Medical Billing Specialist and Collector
PBI, INC
01.2022 - Current
Medical Billing Specialist
American Exchange
10.2021 - 12.2022
Medical Billing Specialist
Clarksville Behavioral Health
06.2018 - 11.2022
Certified CPC -
AAPC
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