Results driven Medical Biller with over 25 years of hands-on experience in account management, revenue generation and medical billing and coding. Accomplished in developing strategies to improve workflows and processes and actualizing procedures to enhance revenue generation. Demonstrated leadership skills guide teams towards success, optimize performance and sustain organizational success.
Work History
Medical Team Lead
Christus Health
Beaumont, TX
01/01/14 - 10/30/19
Entered procedure codes, diagnosis codes, and patient information accurately into billing software to generate current invoices.
Researched billing discrepancies and resolved issues with insurance companies and third party payers.
Processed necessary corrections and adjustments to existing claims.
Resolved issues with rejected claims promptly.
Reviewed Explanation of Benefits statements from insurers for accuracy against charges submitted to ensure proper reimbursement was received.
Resolved discrepancies among provider invoices, patient accounts, and insurance reimbursement.
Addressed and resolved escalated customer complaints regarding bills or invoices efficiently.
Recruited, interviewed and selected employees for open positions.
Collaborated with managers to address concerns pertaining to employee performance, office equipment, and work schedules.
Medical Biller
Beaumont Bone and Joint Institute
Beaumont, TX
07/01/07 - 12/31/13
Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
Reviewed and verified patient insurance information to maintain the highest level of accuracy and completeness in claims submission.
Verified medical codes using ICD-10 coding system for diagnoses, treatments, procedures, and supplies.
Conducted follow up on unpaid claims with insurance companies and third party payers via phone and written correspondence.
Submitted appeals for denied claims in a timely manner.
Reconciled codes against the services provided.
Medical Biller, Accounts Receivable
Endocrine Clinic of Southeast Texas
Beaumont, TX
11/01/99 - 07.2007
Efficiently recorded payments for insurance companies like Medicare and Medicaid by inputting accurate data.
Maintained balance in daily cash postings and deposits to guarantee accurate information in the system.
Efficiently recorded payment denials in billing system and provided timely information to account managers.
Entered accurate procedure codes, diagnosis codes, and patient information into billing software for generating current invoices.
Collected, posted and managed payments for patient accounts.