Maria Griffin
Jamaica
Summary
Dynamic medical billing professional with extensive experience at Northwell Health, adept at insurance verification and claims management. Proven track record in reducing claim denials through meticulous attention to detail and effective communication. Strong customer service skills complemented by a commitment to quality control, ensuring timely reimbursements and enhanced patient satisfaction.
Experienced with medical billing processes, including claim submission and follow-up. Utilizes knowledge of insurance guidelines to ensure accurate and timely billing. Track record of effective communication and problem-solving, consistently supporting healthcare providers' financial goals.
Overview
10
10
years of professional experience
Work History
Medical Biller
Northwell Health
06.2022 - Current
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Filed and updated patient information and medical records.
- Implemented quality control measures to identify potential errors before submitting claims, reducing rejections significantly.
Patient Account Representative
Catholic Health Services
12.2020 - 11.2021
- Assisted colleagues during peak periods or absences, showcasing teamwork skills while maintaining personal workload demands efficiently.
- Posted payments and processed refunds.
- Reviewed insurance eligibility and verified coverage details to minimize claim denials and delays in payment.
- Promoted a positive work environment by actively participating in team meetings and contributing ideas for process improvements.
- Streamlined billing processes for increased efficiency in managing patient accounts.
Medical Receptionist
The Ima Group
01.2019 - 07.2019
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Checked patient insurance, demographic, and health history to keep information current.
- Helped patients complete necessary medical forms and documentation.
- Maintained strict confidentiality of patient information, adhering to HIPAA regulations and medical office policies.
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Managed high call volumes, directing calls to appropriate departments while maintaining a polite and professional demeanor.
- Managed multi-line phone system and pleasantly greeted patients.
- Provided compassionate customer service, creating a welcoming atmosphere for patients and their families.
- Maintained current and accurate medical records for patients.
Call Center Representative
Target
10.2015 - 01.2018
- Managed high call volumes while providing exceptional customer support and maintaining professional composure.
- Handled escalated calls professionally, effectively resolving complex issues and ensuring client satisfaction at all times.
- Mastered multiple software systems for seamless navigation during calls, improving efficiency and reducing hold times for customers.
- Enhanced customer satisfaction by efficiently addressing and resolving inquiries in a timely manner.
- Reduced average call handling time, ensuring prompt service to customers while maintaining quality interactions.
- Established trust with clients by accurately addressing their concerns and offering appropriate resolutions based on their needs.
- Maintained detailed records of customer interactions, streamlining communication efforts between various departments.
Education
Associate of Applied Science - Health Sciences
Kingsborough Community College
Brooklyn, NY06-2026
Skills
- Insurance claims
- Medical billing
- Insurance billing
- Electronic claims
- Insurance verification
- Customer service
Timeline
Medical Biller
Northwell Health
06.2022 - Current
Patient Account Representative
Catholic Health Services
12.2020 - 11.2021
Medical Receptionist
The Ima Group
01.2019 - 07.2019
Call Center Representative
Target
10.2015 - 01.2018
Associate of Applied Science - Health Sciences
Kingsborough Community College
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