Summary
Overview
Work History
Education
Skills
Affiliations
Timeline
Generic

Lori Howerton

Reidsville,NC

Summary

Experienced Medical Billing Clerk with expertise in claims processing and insurance verification at Belmont Medical Associates. Proven track record in enhancing coding accuracy and managing patient accounts while delivering exceptional customer service. Adept at training new employees and ensuring compliance with HIPAA regulations, contributing to a streamlined billing process.

Overview

22
22
years of professional experience

Work History

Medical Billing Clerk

Belmont Medical Associates
Reidsville , NC
01.2010 - Current
  • Verified accuracy of charges prior to submitting them for payment processing.
  • Processed electronic and paper claims to insurance companies in a timely manner.
  • Reviewed patient accounts for accuracy and completeness, ensuring that all required fields have been entered correctly.
  • Submitted corrections when necessary due to inaccurate coding or incorrect information provided by healthcare providers.
  • Worked closely with other departments within the organization to ensure proper coding of services rendered.
  • Followed up on unpaid claims with insurance companies as needed.
  • Prepared documentation for appeals when necessary due to denied claims or incorrect payments received from insurers.
  • Provided customer service support to patients regarding their bills.
  • Answered telephone calls from customers inquiring about their bills.
  • Responded promptly to inquiries from patients, staff, and insurance representatives related to billing issues.
  • Reviewed account information to confirm patient and insurance information is accurate and complete.
  • Reviewed claims for coding accuracy.
  • Contacted insurance providers to verify insurance information and obtain billing authorization.
  • Applied HIPAA privacy and security regulations while handling patient information.
  • Monitored past due accounts and pursued collections on outstanding invoices.
  • Trained new team members on company policies and accounting systems to keep team operations productive and efficient.
  • Submitted claims to insurance companies.
  • Collected, posted and managed patient account payments.
  • Participated in workshops, seminars, and training classes to gain stronger education in industry updates and federal regulations.
  • Performed insurance verification, pre-certification and pre-authorization.
  • Answered customer questions to maintain high satisfaction levels.
  • Maintained monthly reports for TransactRx and No Show.
  • Worked with Lab Corp in Patient and Account Billing.
  • Billed out Home Health charges.

Receptionist and Medical Record Officer

Brown Summit Family Medicine
Brown Summit , NC
09.2003 - 12.2009
  • Provided excellent customer service at all times while interacting with both internal and external customers.
  • Provided administrative support to staff members including typing letters, filing documents, and scanning and copying documents when necessary.
  • Greeted visitors and provided them with assistance.
  • Maintained an organized filing system of confidential client information in accordance with company policy.
  • Processed customer payments using cash registers or point-of-sale terminals according to company policies and procedures.
  • Maintained a neat reception area by organizing materials and tidying up furniture.
  • Answered incoming calls, took messages, and transferred calls to appropriate departments or personnel.
  • Managed all incoming mail distribution, courier services, faxes, and photocopying documents as requested.
  • Updated and recorded customer or client information to maintain accounts.
  • Processed payments and updated accounts to reflect balance changes.
  • Scheduled and confirmed appointments.
  • Performed clerical duties such as filing, photocopying, transcribing, and faxing.
  • Handled mail distribution, including sorting and forwarding incoming mail and preparing outgoing mail.
  • Operated telephone switchboard to answer, screen and forward calls to appropriate personnel.
  • Protected clients' rights by maintaining confidentiality of personal and financial information.

Education

Job Resource And Training Center
Rockingham Community College, Madison NC
01-2002

High School Diploma -

Reidsville Senior High
Reidsville, NC
06-1989

Skills

  • Claims processing
  • Insurance verification
  • Coding accuracy
  • Patient account management
  • Billing software
  • Customer service
  • Training new employees
  • Problem solving
  • HIPAA compliance
  • ICD-10 proficiency
  • CPT knowledge
  • Medical coding expertise
  • Medical terminology
  • Payment posting
  • Multitasking and organization
  • Medical record security
  • Medicare and medicaid process
  • Covering Referrals and Receptionist area when necessary

Affiliations

  • Church Activities, Antique shopping, and Crafting

Timeline

Medical Billing Clerk

Belmont Medical Associates
01.2010 - Current

Receptionist and Medical Record Officer

Brown Summit Family Medicine
09.2003 - 12.2009

Job Resource And Training Center

High School Diploma -

Reidsville Senior High

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