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
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