Reliable Medical Biller with coding and medical terminology knowledge. Polished and hardworking performer with background overseeing accounts and handling records management tasks. Team-oriented person with great decision-making skills.
Overview
10
10
years of professional experience
Work History
Medical Billing Specialist
Duvasawko
10.2020 - 05.2022
Communicated with insurance providers to resolve denied claims and resubmitted.
Located errors and promptly refiled rejected claims.
Identified and resolved patient billing and payment issues.
Collected payments and applied to patient accounts.
Posted and adjusted payments from insurance companies.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Workers Comp Coordinator
Orthopedic Clinic of Daytona Beach
01.2022 - Current
Workers comp intake both via phone, e-mail & fax.
Maintaining referrals, keeping authorizations current, patient and adjuster questions.
Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
Generated, posted and attached information to claim files.
A/R such as; billing claims, following up on denied or unpaid claims.
Researched and resolved billing discrepancies to enable accurate billing.
Medical Records Specialist
Ciox Healthcare
01.2020 - 01.2021
Processed medical records requests from outside providers according to facility, state, and federal law.
Uploaded physician progress notes, history, and physicals into electronic medical records.
Communicated effectively with staff, patients, and insurance companies by email and telephone.
Maintained patient records in compliance with security regulations.
Mentored new hires, resulting in stronger staff development and increased productivity.
Financial Customer Service Representative
Halifax Medical Center
01.2017 - 01.2020
Identified and resolved patient billing and payment issues.
Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
Located errors and promptly refiled rejected claims.
Collected payments and applied to patient accounts.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Prepared billing correspondence and maintained database to organize billing information.
Liaised between patients, insurance companies, and billing office.
Medical Customer Service Representative
Florida Healthcare System
01.2014 - 01.2017
Checked patient insurance, demographic, and health history to keep information current.
Coordinated patient scheduling, check-in, check-out and payments for billing.
Collected payments and applied to patient accounts.
Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.