Malory Baker
Fairfield,PA
Summary
Personable and detail-focused individual with adept problem-solving abilities and positive, upbeat tone. Possesses strong organizational skills and thorough understanding of medical billing processes, with proficiency in managing patient accounts and insurance claims. Dedicated to achieving timely resolutions and enhancing efficiency of billing operations.
Overview
18
18
years of professional experience
Work History
Insurance Follow-Up Representative
Omega Healthcare Management Services Private
07.2023 - Current
- Under limited supervision, review and manage the billing and collections for hospitals and physicians
- Assist in filing insurance claims, determining correct reimbursement/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 payment or improperly posted payments
- Review claims making sure correct and appropriate modifiers and diagnosis codes are on the claim
- Train incoming new employees
Medical Billing Specialist
Chambersburg Imaging Associates
04.2016 - 06.2023
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Verified insurance of patients to determine eligibility.
- Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
- Posted payments and collections on regular basis.
- Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
- Responded to customer concerns and questions on daily basis.
- Collected payments and applied to patient accounts.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Efficiently processed refunds or adjustments for patients when necessary, ensuring accuracy and compliance with company policies.
- Encoded and canceled checks using bank machines.
Office Manager
Fairway Medical
01.2012 - 04.2016
- Maintained accurate financial records by reconciling accounts payable/receivable transactions regularly to ensure balanced budgets.
- Assisted in the recruitment process, conducting interviews and onboarding new employees to promote a seamless integration into the team dynamic.
- Managed vendor relationships, negotiating contracts for cost savings while maintaining high-quality services.
- Conducted regular reviews of office procedures, identifying and implementing improvements for operational excellence.
- Handled sensitive employee and client information with utmost confidentiality, maintaining trust and integrity.
- Assessed processes and procedures, complying with OSHA, and HIPAA regulations.
- Managed daily administrative tasks to ensure smooth operations within the medical office environment.
- Created and managed electronic patient records, encompassing data entry and administrative functions related to insurance, billing, and accounts receivable.
- Maintained up-to-date knowledge of healthcare regulations and policies, ensuring the practice remained in compliance at all times.
- Increased revenue by optimizing billing processes and ensuring timely collection of payments from both patients and insurance companies.
Medical Billing Specialist
Radiology Associates of Frederick
01.2007 - 01.2012
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Located errors and promptly refiled rejected claims.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
- Collected payments and applied to patient accounts.
- Provided exceptional customer service to both patients and insurance representatives, resolving inquiries quickly and professionally.
- Verified insurance of patients to determine eligibility.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Posted payments and collections on regular basis.
Education
High School Diploma -
Catoctin High School
Thurmont, MD06-2003
Skills
- Insurance verification
- Follow-up procedures
- Attention to detail
- Payment posting
- Claim submission
- Insurance billing
- EMR Systems
- Billing and collection procedures
- Data entry
- Medical terminology
- Electronic claims
Timeline
Insurance Follow-Up Representative
Omega Healthcare Management Services Private
07.2023 - Current
Medical Billing Specialist
Chambersburg Imaging Associates
04.2016 - 06.2023
Office Manager
Fairway Medical
01.2012 - 04.2016
Medical Billing Specialist
Radiology Associates of Frederick
01.2007 - 01.2012
High School Diploma -
Catoctin High School
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