Skilled team player with strong background in medical office environments. Works well independently to handle assignments and always ready to go beyond basics assignments. Quick learner with good computer abilities and customer service skills. Always willing to learn new things and always wanting to improve skills both in professional and personal life.
Overview
14
14
years of professional experience
Work History
Billing Specialist
Retina Consultants of Idaho
06.2021 - Current
Responsible for making sure all patient information is up to date in the system compared to what the patients insurance has.
Submitted all medical claims via electronically and paper claims.
Posted all insurance and paper payments/EOB's.
Obtained all prior authorizations for surgical procedures as well as in office procedures such an intravitreal injections.
Verified patients eligibility and explained benefits when there were questions.
Processed and reviewed billing statements for accuracy and compliance with insurance regulations.
Resolved discrepancies in patient accounts through thorough investigation and communication with relevant stakeholders.
Implemented streamlined billing procedures to enhance workflow efficiency and reduce processing time.
Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
Maintained detailed records of each account''s payment history, providing easy access to information for audit and analysis purposes.
Insurance and Billing
Family Eyecare Specialists
03.2015 - 05.2021
Verifying patients Medical and Vision insurances and making sure all insurance information is accurate.
Maintaining accurate patient databases. Making sure insurance in the system is correct, address is up to date and making sure patient names are spelled correctly.
Recording fees and making sure that the correct medical and vision diagnosis codes are being used with the correct services, products and testing.
Calling patient insurances to get prior authorizations when needed for medical services.
Answering incoming calls for patient scheduling and also answering billing and outstanding balance questions.
Ensuring that I am providing exceptional service to patients and they have a positive experience in the office.
My biggest accomplishment at this job is the fact that I have been been cross trained in multiple department so I am able to help fill in wherever needed.
I was cross trained in clinic where I was responsible for pretesting the patients and getting them ready to see the doctor.
I was also cross trained in Optical where I was responsible for helping patients pick out their glasses as well as going over their insurance and out of pocket charges.
Insurance and Billing
Demonstrated respect, friendliness, and willingness to help wherever needed.
Assisted with day-to-day operations, working efficiently and productively with all team members.
Sales Associate
Oconik
11.2013 - 02.2015
My main responsibility at this job was to sell both non prescription and prescription eyewear.
I sold normal ophthalmic glasses as well as prescription sunglasses.
I always aimed to provide the best possible customer service to my customers and assure them that they were getting a premium product.
I was responsible for maintaining a clean and appealing storefront by always making sure the glasses and displays were always clean for customers to try on.
A big part of my job was always staying up to date with new products and changes in lens technology by always continuing to do trainings online.
I am very much a self motivator and self taught person so I really took pride in this part of my job.
Sales Manager
Brookestone
06.2012 - 11.2013
I was responsible for selling products to customers by asking them what their needs and wants were.
Making a personal connection with the customer was always my favorite part of the job.
Making sure that products were always fully stocked on the floor.
Having great product knowledge to fully sell the products in store.
Oversaw other employees doing the shift to make sure everyone was providing exceptional customer service.
Education
High School Diploma - General
Timberline High School
Boise, ID
Psychology
College of Western Idaho
Nampa, ID
Skills
Medical and Vision insurance verification and billing