Malory Baker
Fairfield,PA
Summary
I am looking to find a job where I can continue to grow with potential to move within a company if the opportunity presents itself. Authorized to work in the US for any employer
Overview
19
19
years of professional experience
Work History
Medical Billing Specialist
Integrated Physician Billing
02.2025 - Current
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Located errors and promptly refiled rejected claims.
- Identified and resolved patient billing and payment issues.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
Insurance Follow Specialist
Omega Healthcare Management Services
07.2023 - 02.2025
- Under limited supervision, review and manage the billing and collections for hospitals and physicians
- Assist in filing insurance claims, determining correct reimbursements/adjustments/write-off, and denial management
- Analyze plans to determine which benefits are covered, submit secondary insurance claims, generate patient statements, and follow up on those submissions
- Contact insurance companies either by phone or on their portals
- Correct undistributed payments or improperly posted payments
- Review claims making sure correct and appropriate modifiers and diagnosis codes are on the claim
Radiology Medical Billing Specialist
Chambersburg Imaging Associates
04.2016 - 07.2023
- Answer incoming phone calls, add, remove, change insurance information, post payments both personal and insurance, post electronic payments using 835 system, balance amounts, reconcile any discrepancies with payments and denials, call insurances, submit electronic and paper claims, file appeals, being familiar with icd9 and icd10 coding
Family Practice Office Manager
Fairway Medical
01.2012 - 04.2016
- Answer incoming phone calls, add/remove/change insurance information, post payments both personal and insurance, post electronic payments using 835 system, balance amounts, reconcile any discrepancies with payments and denials, call insurances, submit electronic and paper claims, clean the office, hire staff
Radiology Medical Billing Specialist
Radiology Associates of Frederick
01.2007 - 01.2012
- Answer incoming phone calls, add/remove/change insurance information, post payments both personal and insurance, post electronic payments using 835 system, balance amounts, reconcile any discrepancies with payments and denials, call insurances, submit electronic and paper claims
Education
Catoctin High School
Thurmont, MD06.2003
Skills
- Cash Handling
- Answering phones
- Medical Billing
- Medical Receptionist
- Insurance Verification
- Accounts Receivable
- Medical Records
- EMR Systems
- Medical Terminology
- Medical Office Experience
- Data collection
- Medical Scheduling
Timeline
Medical Billing Specialist
Integrated Physician Billing
02.2025 - Current
Insurance Follow Specialist
Omega Healthcare Management Services
07.2023 - 02.2025
Radiology Medical Billing Specialist
Chambersburg Imaging Associates
04.2016 - 07.2023
Family Practice Office Manager
Fairway Medical
01.2012 - 04.2016
Radiology Medical Billing Specialist
Radiology Associates of Frederick
01.2007 - 01.2012
Catoctin High School
Personal Information
Authorized To Work: US
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