Loomis Henry
Phoenix,AZ
Summary
Reliable and competent Medical Billing professional with exceptional data entry and customer service skills.
Overview
18
18
years of professional experience
Work History
Medical Billing Specialist
Logic M.D.
10.2017 - Current
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Located errors and promptly refiled rejected claims.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Identified and resolved patient billing and payment issues.
- Posted and adjusted payments from insurance companies.
- Collected payments and applied to patient accounts.
Senior Medical Biller
P.S. Medical Group
03.2012 - 08.2017
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
- Collected payments and applied to patient accounts.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Liaised between patients, insurance companies, and billing office.
- Prepared billing statements for patients and verified correct diagnostic coding.
Medical Billing Supervisor
Pain Management Clinic
11.2005 - 02.2012
- Maintained current accounts through aged revenue reporting.
- Researched and followed up on denied insurance claims.
- Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
- Coordinated individual duties after careful evaluation of each employee's skill level and knowledge.
- Delegated tasks to administrative support staff to organize and improve office efficiency.
- Implemented project management techniques to overcome obstacles and increase team productivity.
Education
Associate of Arts - Journalism
DeAnza Jr. College
Cupertino, CASkills
- Claims Review
- Billing and Collection Procedures
- Account Reconciliation
- Patient Collections
- Electronic Health Record Software
- ICD-10
- Medicaid and Medicare Knowledge
- Payment Posting
- Patient Account Analysis
- HIPAA Compliance
Timeline
Medical Billing Specialist
Logic M.D.
10.2017 - Current
Senior Medical Biller
P.S. Medical Group
03.2012 - 08.2017
Medical Billing Supervisor
Pain Management Clinic
11.2005 - 02.2012
Associate of Arts - Journalism
DeAnza Jr. College