Highly motivated professional seeking growth and new opportunities. Known for dependability, kindness, and a passion for learning. Demonstrates exceptional adaptability and thrives in challenging environments. Committed to efficiently overcoming obstacles and achieving success.
Overview
17
17
years of professional experience
Work History
Medical Billing Specialist
TruBridge
12.2022 - Current
Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
Prepared billing correspondence and maintained database to organize billing information.
Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
Coordinated with other departments to address any discrepancies or concerns related to charge capture or data entry accuracy.
Attach eobs, update payment after insurance pays
Follow up with denials, rebills to payee if needed
Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
Communicated with insurance providers to resolve denied claims and resubmitted.
Posted and adjusted payments from insurance companies.
Communicated effectively and extensively with other departments to resolve claims issues.
Located errors and promptly refiled rejected claims.
Lifesource Claims Processor
Cigna Insurance Companies
01.2015 - 12.2022
Processing high dollar claims, adjusting claims, stop loss, transplant cases, contracts, Lpi claims as well as Medicare and other insurance
Verifying copays, deductibles and coinsurance
Researching coverage of patient, patient care benefits and different types of payment
Authorizations and patient notes access, facility contracts, ub and hcfa trained
Understand corrected claims and duplicates
Proclaiming to the right provider segment along with the correct provider code
Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.
Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
Reviewed applications and supporting documents to verify claims eligibility and accuracy.
Managed workload and priorities to meet claims processing meet deadlines.
Recruiter
Angels of Care Pediatric Home Health
01.2012 - 01.2015
Raises for nurses, scheduling work hours for attendees and nurses, pay and Interviews for the patients who need care
Enhanced recruitment process for faster hiring by utilizing various sourcing tools such as job boards, social media, and networking events.
Studied job descriptions and qualifications to determine applicant requirements.
Operated and maintained applicant tracking and candidate management systems.
Conducted phone interviews to assess applicants relevant knowledge, skills, experience and aptitudes.
Conducted reference checks, background screening and other pre-employment checks to verify information on applicant's resume.
Coordinated schedules to arrange management interviews with applicants.
Managed high-volume requisitions in a timely manner to meet client staffing needs efficiently.
Receptionist
Dr. Maniets
01.2008 - 01.2012
Scheduling patients for appointments, filing, calling patients for reminders, taking payments, calling patients back, and taking all information on patients and putting it in the system
Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
Confirmed appointments, communicated with clients, and updated client records.
Answered phone promptly and directed incoming calls to correct offices.
Kept reception area clean and neat to give visitors positive first impression.
Streamlined front desk operations for increased efficiency by effectively managing phone calls, emails, and walk-in clients.
Supported office efficiency by performing clerical tasks such as data entry, photocopying, scanning, and faxing documents.