Mary Scinto
Bethany,CT
Summary
Skilled in ICD-10 coding and demonstrating exceptional problem-solving abilities, I significantly enhanced revenue and patient satisfaction at Orthopaedic Surgeons. My expertise in medical billing software and commitment to continuous learning drove improvements in accounts receivable management, reducing claim rejections by over 30%.
Overview
11
11
years of professional experience
Work History
Medical Biller, Accounts Receivable
Orthopaedic Surgeons
02.2014 - Current
- Improved cash flow by negotiating payment plans with patients experiencing financial difficulties.
- 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.
- Resolved complex billing issues involving multiple parties by effectively coordinating communication among healthcare providers, insurers, and patients.
- Enhanced revenue by identifying and resolving billing discrepancies in patient accounts.
- Ensured accurate coding and billing practices, resulting in reduced claim rejections and faster reimbursements.
- Facilitated clear communication between medical providers, insurance companies, and patients for smooth billing operations.
- Updated and maintained patient accounts within the billing system, ensuring accurate records for future invoicing and reimbursement processes.
- Reduced account receivables aging through diligent follow-up on outstanding claims and prompt resolution of denials.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
- Posted payments and collections on regular basis.
- Collected payments and applied to patient accounts.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Filed and updated patient information and medical records.
- Responded to customer concerns and questions on daily basis.
- Used data entry skills to accurately document and input statements.
- Handled account payments and provided information regarding outstanding balances.
- Audited and corrected billing and posting documents for accuracy.
- Collaborated with customers to resolve disputes.
- Monitored outstanding invoices and performed collections duties.
- Maintained accurate records of customer payments.
- Generated monthly billing and posting reports for management review.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
- Adhered to established standards to safeguard patients' health information.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Liaised between patients, insurance companies, and billing office.
- Participated in ongoing training sessions to stay current on industry best practices for medical billing and coding procedures.
- Organized and filed all necessary documentation related to medical billing procedures, maintaining a streamlined office environment conducive to efficient operations.
- Implemented quality assurance measures to minimize errors in data entry, leading to increased claim approval rates from insurers.
- Established effective relationships with insurance company representatives to expedite claim processing times and increase reimbursement rates.
Surgical Coordinator
Orthopaedic Surgeons
02.2014 - Current
- Enhanced surgical team communication by maintaining accurate schedules and promptly addressing any changes or concerns.
- Improved patient experience by efficiently coordinating pre-operative preparations and post-operative follow-up care.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Served as a liaison between patients, families, clinicians, and hospital staff throughout the entire surgical process.
- Provided comprehensive education materials for patients regarding their upcoming surgery, answering questions and alleviating concerns related to the procedure itself or recovery expectations afterward.
- Served as a trusted resource for patients and families during emotionally challenging times, providing compassionate support and guidance throughout the surgical journey.
- Coordinated with facilities to set up surgeries for [Number] [Surgeon type].
- Collaborated with insurance providers to verify coverage and obtain necessary authorizations for surgical procedures.
- Verified insurance coverage and obtained pre-authorizations.
- Resolved scheduling conflicts to maintain high-quality patient services.
- Arranged pre-operative and post-operative appointments for surgical patients.
- Obtained pre-authorizations and pre-certifications ahead of scheduled surgeries.
- Took pre-operative orders from surgeons and anesthesiologists for smooth operation planning.
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
- Answered phone calls and messages for [Number]-physician [Type] medical facility, scheduling appointments, and handling patient inquiries.
- Assisted with medical coding and billing tasks.
- Prepared and processed patient referrals and transfer requests.
- Received and routed laboratory results to correct clinical staff members.
- Obtained payments from patients and scanned identification and insurance cards.
- Registered and verified patient records before triage with most up-to-date information.
- Completed administrative patient intakes with case histories, insurance information and mandated forms.
- Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
- Updated daily operating room calendars with accurate appointment schedules.
- Updated patient records to reflect upcoming surgeries and medical histories.
Skills
- ICD-10 proficiency
- Critical thinking
- HIPAA compliance
- Claim submission
- Collections experience
- Continuous learning mindset
- Patient account management
- Insurance verification
- Medical terminology
- Denial management
- Accounts receivable management
- Healthcare industry
- Medical coding expertise
- CPT coding
- Medical billing software
- Payment posting
- Customer service
- Teamwork and collaboration
- Electronic claims
- Billing and collection procedures
- Multitasking and organization
- Claims review
- Insurance claims processing
- CMS-1500 billing forms
- Medical claims submission
- Verbal and written communication
- ICD-10 coding
- Accounts receivable
- Data entry
- Work prioritization
- Invoice processing
- Insurance billing
- Patient collections
- Account reconciliation
- Patient billing
- Medicare and medicaid process
- Medical terminology expert
- Commercial and private insurance
- Insurance claims
- Medical billing
- Clerical support
- Medical record security
- Invoice coding
- Collection calls
- Regulatory compliance
- Chart auditing
- Collections management
- Disability claims process
- Medical coding
- ICD-10
- Account follow-up
- Medical billing technology
- Balance reconciliation
- Billing codes
- Information requests
- CPT code modifiers
- Submission of medical claims
- Insurance collections
- Claim review
- Teamwork
- Problem-solving abilities
- Multitasking
- Multitasking Abilities
- Reliability
- Excellent communication
- Organizational skills
- Attention to detail
- Time management
- Problem-solving
- Encrypted data management
Languages
English
Full Professional
Interests
- Cooking
- Music
- Avid Reader
- Enjoying the art of baking and pastry-making, experimenting with recipes
- Enjoy participating in [activity] for overall physical and mental well-being
- Baking
- Enjoy hobbies that combine physical activity with outdoor exploration
- I participate in a variety of outdoor recreational activities
- Reading
- Dancing
- Historical Exploration
- Yoga
- I like trying new recipes and food trends
- Dance
- Creative Writing
Timeline
Medical Biller, Accounts Receivable
Orthopaedic Surgeons
02.2014 - Current
Surgical Coordinator
Orthopaedic Surgeons
02.2014 - Current
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