Margaret Scherer
Flora,KY
Summary
Dynamic Medical Billing Specialist with extensive experience at Health Prime International, adept at ensuring timely claim submissions and enhancing patient billing clarity. Proficient in insurance verification and claims processing, I excel in resolving discrepancies and fostering strong provider relationships, contributing to improved payment cycles and patient satisfaction.
Overview
16
16
years of professional experience
Work History
Medical Billing Specialist
Health Prime International
09.2019 - Current
- Managed billing processes to ensure timely submission of claims and payment collections.
- Reviewed patient accounts for accuracy, resolving discrepancies to maintain data integrity.
- Processed monthly invoices.
- Insurance follow up
Medical Billing Specialist
Anesthesia Group Practice
06.2016 - 09.2019
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- 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.
- Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
Medical Billing Specialist
Independent Anesthesiologists
10.2009 - 06.2016
- Collaborated with healthcare providers to clarify billing inquiries and enhance communication.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
Education
Associate of Arts - Biological Sciences
St. Petersburg College
Clearwater, FL06-1987
Skills
- HIPAA compliance
- Payment posting
- Claim submission
- Insurance verification
- Patient billing
- Bill payment
- Files and records management
- Insurance billing
- Data entry
- Medical billing
- Insurance claims
- Medical terminology
- Claims review
- Insurance claims processing
- Billing and collection procedures
- Medical claims submission
- HIPAA compliance certification
Timeline
Medical Billing Specialist
Health Prime International
09.2019 - Current
Medical Billing Specialist
Anesthesia Group Practice
06.2016 - 09.2019
Medical Billing Specialist
Independent Anesthesiologists
10.2009 - 06.2016
Associate of Arts - Biological Sciences
St. Petersburg College