Efficient Medical Biller with proven success at Five Star Physician Services, adept at enhancing revenue through effective claims processing and exceptional customer service. Skilled in accounts reconciliation and data analysis, I excel in resolving billing discrepancies while maintaining HIPAA compliance, ensuring optimal patient account management and timely reimbursements.
Overview
12
12
years of professional experience
Work History
Medical Biller, Accounts Receivable
Five Star Physician Services, LLC
08.2016 - Current
Enhanced revenue by identifying and resolving billing discrepancies in patient accounts.
Established effective relationships with insurance company representatives to expedite claim processing times and increase reimbursement rates.
Provided exceptional customer service while addressing patient inquiries regarding billing issues or concerns.
Maintained confidentiality of patient information by adhering to strict HIPAA regulations throughout the billing process.
Updated and maintained patient accounts within the billing system, ensuring accurate records for future invoicing and reimbursement processes.
Communicated with insurance providers to resolve denied claims and resubmitted.
Verified insurance of patients to determine eligibility.
Customer Service Representative
Solo Cup /Dart Container
06.2013 - 07.2016
Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
Investigated and resolved customer inquiries and complaints quickly.
Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
Responded to customer requests for products, services, and company information.
Maintained ordering status thru min/max program.
Education
No Degree - Medical Coding & Medical Assistant
Chesapeake College
Wye Mills, MD
2015
Skills
Healthcare Billing
Claims processing
Insurance verification
Customer service
Problem solving
Effective communication
Attention to detail
CMS-1500 billing forms
Accounts receivable
Medicare and medicaid process
Payment posting
Multitasking Abilities
Reliability
Timeline
Medical Biller, Accounts Receivable
Five Star Physician Services, LLC
08.2016 - Current
Customer Service Representative
Solo Cup /Dart Container
06.2013 - 07.2016
No Degree - Medical Coding & Medical Assistant
Chesapeake College
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