Medical billing professional with extensive experience in healthcare revenue cycle management and team leadership. Known for optimizing billing operations and implementing process improvements. Collaborative and results-oriented, consistently adaptable to evolving needs and challenges. Proficient in medical coding, billing software, and regulatory compliance.
Work History
Medical Billing & Front Desk Supervisor
1 Year 2 Months
Alcohol & Drug Services | 06.2025 - Current
Managed team of 4 medical billing specialists, ensuring accurate and timely submission of claims through guidance and support
Developed relationships with insurance companies to resolve billing issues and expedite payment processing, enhancing cash flow
Oversaw reconciliation of accounts receivable, identifying discrepancies and implementing resolutions to maintain financial accuracy
Collaborated with physicians and healthcare providers to address any documentation or coding errors that impacted reimbursement rates
Led regular team meetings to discuss updates on industry regulations, changes in coding practices, and best practices for efficient billing processes
Performed audits on medical records to ensure compliance with coding guidelines set forth by regulatory bodies such as CMS
Facility enrollment & contract negotiation
Night Auditor/Front Desk Clerk
1 Year 10 Months
Hampton Inn & Suites by Hilton / Home2 by Hilton | 10.2024 - Current
Managed front desk operations during overnight shift, facilitating seamless check-in/check-out for guests
Executed night audit duties, reconciling daily transactions and generating financial reports to ensure accuracy
Responded to guest inquiries and resolved issues promptly and professionally, maintaining high levels of customer satisfaction
Maintained detailed records of guest interactions, requests, complaints, and resolutions in hotel's database system to enhance service quality
Accounting Technician III
9 Months
NC Dept of Health & Human Services | 09.2024 - 06.2025
Administered financial transaction processes for accounts payable and receivable to maintain compliance with state regulations and departmental standards.
Developed and analyzed revenue reports to ensure accurate financial tracking and facilitate account auditing, including division write-offs.
Reconciled accounts to maintain accurate financial records and support budgeting initiatives.
Senior Medical Billing Specialist
1 Year 5 Months
Alcohol & Drug Services of Guilford | 03.2023 - 08.2024
Processed electronic and paper claims for Medicaid and commercial payors, achieving accurate and timely reimbursement.
Posting payments (835 files)
Audited patient records prior to claim submission, improving billing accuracy and operational efficiency.
Investigated discrepancies between expected reimbursements and actual payments, resolving issues to maximize revenue recovery.
Generated monthly financial reports detailing revenue cycle statistics, including collections, denials, and adjustments, to inform strategic decision-making.
Medical Billing Specialist
1 Year 3 Months
Old Vineyard Behavioral Health | 12.2021 - 03.2023
Managed electronic billing systems to ensure timely claims submission and maintained accurate payment records, enhancing overall billing efficiency.
Resolved discrepancies by researching and correcting denied claims, ensuring compliance with insurance policies and improving claim acceptance rates.
Assisted in accounts receivable by following up on unpaid claims, addressing patient and insurance inquiries, and executing monthly re-billing to improve cash flow.
Revenue Cycle Specialist
3 Years 9 Months
Cone Health | 03.2018 - 12.2021
Trained new employees in medical billing practices, enhancing their understanding of insurance verification and payment posting.
Managed patient accounts by overseeing billing, collections, and resolving inquiries related to billing statements and payment options.
Analyzed data to identify trends in denials and underpayments, facilitating timely submission of appeals and reducing future occurrences.
Billing & Claims Specialist
1 Year 6 Months
Blue Cross Blue Shield | 09.2016 - 03.2018
Provided customer service by addressing inquiries regarding insurance benefits, claims status, and billing concerns, enhancing client satisfaction.
Conducted precise insurance verification and eligibility checks for both medical and pharmacy benefits for State members.
Identified claim denials and routed them to appropriate department for timely resolution, streamlining claims process.
Education
High School Diploma
North Forsyth High School | Winston-Salem, NC | 06-2010
Skills
Patient account management training
Revenue cycle management
Claims reconciliation
Billing issue inquiries
Computer literacy
Analysis skills
Organizational skills
Customer service account management
Patient care
Behavioral health experience
Claims reconciliation
Accomplishments
Implemented a new billing structure introducing facility & professional billing to a Substance Abuse clinic.
Collaborated with a team of 6 in the development of reconfiguring our billing system & process.