Accomplished billing representative with expertise in ICD-10 and CPT coding. Proven ability to resolve billing discrepancies and manage insurance claims, ensuring compliance with regulations and enhancing operational efficiency.
Overview
31
31
years of professional experience
Work History
Sr. Billing Representative
St. Louis University Student Health
SAINT LOUIS, MO - Missouri
03.2015 - Current
Coordinated with healthcare providers to ensure accuracy of patient billing information.
Managed insurance claims submissions and tracked approval statuses.
Updated billing systems with accurate patient data and payment records.
Maintained compliance with university policies and healthcare regulations.
Reviewed medical bills for compliance with insurance regulations.
Resolved billing discrepancies through effective communication.
Performed insurance verification, pre-certification, and pre-authorization processes efficiently.
Educated healthcare staff on coding standards and guideline updates.
Analyzed patient charts and records to extract relevant coding information.
Medical Referral Specialist
Premiere Orthopedic Specialist
SAINT LOUIS, MO - Missouri
11.2011 - 03.2015
Managed and obtained insurance authorizations for patient referrals from physicians.
Liaised with healthcare facility personnel, insurance representatives, physicians and vendors for smooth communication.
Gathered and verified insurance requirements to meet payer requirements.
Adhered to HIPAA regulations when dealing with confidential patient information.
Assisted patients by answering questions and providing information regarding referrals.
Coordinated patient referrals to appropriate orthopedic specialists and services.
Medical Biller and Coder
Washington University School of Medicine
SAINT LOUIS, MO - Missouri
01.2009 - 01.2011
Processed medical claims accurately using electronic billing systems.
Reviewed patient records for coding accuracy and completeness.
Communicated with healthcare providers to clarify billing discrepancies.
Maintained up-to-date knowledge of insurance policies and regulations.
Medical Office Coordinator
Albanna Neurosurgical Consultants
SAINT LOUIS, MO - Missouri
11.1994 - 01.2009
Managed administrative tasks, ensuring accuracy of patient records to support healthcare providers.
Facilitated patient communication related to insurance verification and billing inquiries.
Provided assistance with coding of diagnoses as requested by physician staff.
Monitored office policies and regulatory requirements for accurate client record maintenance.
Vice President, Sales & Marketing at University of Health Sciences and Pharmacy in St. LouisVice President, Sales & Marketing at University of Health Sciences and Pharmacy in St. Louis