Loresa McCullough
Weatherford
Summary
Results-driven Charge Review Specialist at Signature Medical Billing with expertise in medical billing and health record management. Proven ability to resolve discrepancies efficiently while maintaining dependable teamwork. Adept at navigating complex claims processes, ensuring timely and accurate billing, and enhancing customer service experiences. Committed to excellence in the healthcare billing sector.
Overview
13
13
years of professional experience
Work History
Charge Review Specialist
Signature Medical Billing
Remote
10.2024 - Current
- Ensure accurate and timely billing, by verifying charges, identifying errors, and working with various departments to resolve discrepancies.
Medical Claims Analyst
Centene Corporation
Remote
03.2015 - 09.2024
- Process Medicaid/Medicare claims per work processes and also coordinate benefits.
- Investigated appeals from providers regarding denied or underpaid claims.
- Maintained current knowledge on Medicare and Medicaid guidelines as well as private insurance plans.
- Managed workflow tasks according to established timelines and departmental standards.
Customer Service Rep
Redbox
06.2012 - 03.2015
- Answering inbound calls, assist in billing inquiry, payment, refund, report fraud, assist in finding locations.
Education
Medical Assistant -
Necole’s Learning Academy
Jacksonville, TX07.2024
hs diploma -
Jacksonville high school
Jacksonville05.2012
Skills
- Dependable
- Teamwork
- Timely
- Health record management
- Customer service
- Time management
- Medical billing
Timeline
Charge Review Specialist
Signature Medical Billing
10.2024 - Current
Medical Claims Analyst
Centene Corporation
03.2015 - 09.2024
Customer Service Rep
Redbox
06.2012 - 03.2015
Medical Assistant -
Necole’s Learning Academy
hs diploma -
Jacksonville high school
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