Summary
Overview
Work History
Education
Skills
Timeline
Interests
Generic

Linda Winton

Baxter,USA

Summary

I am seeking a challenging position to utilize my experience in insurance and billing coordination to contribute to the success of this healthcare organization.

Overview

40
40
years of professional experience

Work History

RCM Specialist

Ni2 Health
08.2025 - Current
  • Analyze denied claims such as incorrect payers
  • Adding additional insurance if needed
  • Requesting rebills and
  • Requesting contact with patient for COB information, insurance expired or not insured at all
  • Requesting medical records and completing required letters to send with medical records with pertinent information
  • Being aware of timely filing date limits of various insurance plans for initial filing and appeals
  • Other tasks assigned by supervisors
  • Followed up on denials, late payments, extensions and other special circumstances.
  • Communicated effectively with members of operations, finance, and clinical departments.

AR Specialist

HCA
05.2025 - 08.2025
  • Analyze denied claims such as incorrect payers
  • Adding additional insurance if needed
  • Requesting rebills and
  • Requesting contact with patient for COB information, insurance expired or not insured at all
  • Requesting medical records and completing required letters to send with medical records with pertinent information
  • Being aware of timely filing date limits of various insurance plans for initial filing and appeals
  • Other tasks assigned by supervisors
  • Followed up on denials, late payments, extensions and other special circumstances.
  • Communicated effectively with members of operations, finance, and clinical departments.

Insurance Specialist III

Xtend Healthcare
10.2021 - 04.2025
  • Analyze denied claims such as incorrect payers
  • Adding additional insurance if needed
  • Requesting rebills and
  • Requesting contact with patient for COB information, insurance expired or not insured at all
  • Requesting medical records and completing required letters to send with medical records with pertinent information
  • Being aware of timely filing date limits of various insurance plans for initial filing and appeals
  • Other tasks assigned by supervisors
  • Followed up on denials, late payments, extensions and other special circumstances.
  • Communicated effectively with members of operations, finance, and clinical departments.

Sales Representative

HSNi (Home Shopping Network)
10.2015 - 10.2021
  • Take incoming sales calls, update address information, update email addresses, add/update credit card information, swap processed items, add protection plans, reopen orders, tack orders, enter concerns for callers, address some account blocks.
  • Always maintain pleasant communication skills

Paralegal/Legal Assistant/Investigator

John Philip Parsons
10.2002 - 10.2015
  • Responsible for maintaining all aspects of client files, phone calls and attorney schedule.
  • Clear communication with various courts and other attorneys' offices

Insurance and Customer Billing Coordinator

Quality Medical Center
02.2000 - 02.2001
  • Billed and followed up third party insurance claims for two physicians in a walk-in clinic.

Insurance and Billing Coordinator

Albert Hensel
02.1996 - 06.1997
  • Billed and followed up third party insurance claims for allergy practice physician.

Billing Coordinator/Transcription

John Clough
05.1987 - 10.1995
  • Billed and followed up third party insurance for primary care physician.
  • Did transcription (SOAP notes, etc.)

ER/Outpatient Billing Clerk

Livingston Regional Hospital
07.1985 - 05.1987
  • Registered patient into ER
  • Obtained current insurance information
  • Billed outpatient visits

Education

Bachelor of Science - Criminal Justice

Everest College
Tempe, AZ

Associates of Applied Arts - Criminal Investigation

Everest College
Tempe, AZ

High School Diploma -

Livingston Academy
Livingston, TN
05.1975

Skills

  • 16 years of experience in insurance billing and follow up
  • Able to identify ICD-10, CPT and HCPCS systems with basic knowledge of coding
  • Able to identify various insurance rules, regulations and claim submission requirements
  • Proficient in several billing software applications and payer portals
  • Excellent verbal and written communication skills
  • Analytical thinking
  • Documentation management
  • Expert problem solving

Timeline

RCM Specialist

Ni2 Health
08.2025 - Current

AR Specialist

HCA
05.2025 - 08.2025

Insurance Specialist III

Xtend Healthcare
10.2021 - 04.2025

Sales Representative

HSNi (Home Shopping Network)
10.2015 - 10.2021

Paralegal/Legal Assistant/Investigator

John Philip Parsons
10.2002 - 10.2015

Insurance and Customer Billing Coordinator

Quality Medical Center
02.2000 - 02.2001

Insurance and Billing Coordinator

Albert Hensel
02.1996 - 06.1997

Billing Coordinator/Transcription

John Clough
05.1987 - 10.1995

ER/Outpatient Billing Clerk

Livingston Regional Hospital
07.1985 - 05.1987

Bachelor of Science - Criminal Justice

Everest College

Associates of Applied Arts - Criminal Investigation

Everest College

High School Diploma -

Livingston Academy

Interests

Avid reader, proficient in computer applications
Linda Winton