Maria Hinmon-Sims
Virginia Beach,VA
Summary
Ambitious Health Care Billing Professional with more than 10 years of experience in debt collection and collections processing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment. Customer Service Representative bringing top-notch skills in oral and written communication, active listening and analytical problem-solving skills.
Overview
26
26
years of professional experience
Work History
Billing Specialist
Beach Eye Care
06.2021 - Current
- Assumed responsibility of receiving and sorting incoming payments with attention to credibility
- Managed status of accounts and balances and identify inconsistencies
- Issue and post bills, receipts, and detailed ledgers
- Update accounts receivable database with new accounts or missed payments
- Ensure all clients remain informed on their outstanding debts and deadlines
- Review patient accounts to identify billing errors
- Investigate and resolve discrepancies with both patients and insurance claims
- Stay updated on medical billing regulations and compliance related to refunds
- Responsible for electronic and paper billing of client charges in accordance with policies
- Keep management informed of all write-offs/adjustments due to problems with obtaining timely claims and pre-authorizations as needed
- Identifies and resolves client billing complaints
- Prepares, reviews, and sends client statements
- Performs various collection actions including contacting clients by phone, correcting and resubmitting claims to third party payers
- Follow up on insurance denials, resubmit claims and appeal when necessary
- Maintains strict confidentiality and adheres to all HIPAA guidelines and regulations.
Medical Records Specialist/Administrative Assistant
Kindred At Home
04.2016 - 05.2021
- Reviewed charts and flagged incomplete or inaccurate information
- Sorted materials and filed according to guidelines
- Maintained patient charts and accurately recorded new information
- Maintained relationships with medical providers, suppliers and reporters
- Kept accurate log of all requests for medical information and records
- Reviewed recordkeeping procedures for patients and doctors
- Utilized HCHB to manage and confirm patient data, such as insurance, demographic and medical history information
- Communicated effectively with staff, patients and insurance companies by email and telephone
- Processed patient admission and discharge documentation
- Oversaw insurance cost reporting
- Supported logistics for programs, meetings and events, including room reservations, agenda preparation and calendar maintenance
- Handled client correspondence and tracked records to foster office efficiency
- Uploaded physician progress notes, history, and physicals into electronic medical records.
- Processed medical records requests from outside providers according to facility, state, and federal law.
Bookkeeper
Virginia Beach Healthcare & Rehab
06.2008 - 06.2016
- Reviewed and filed financial documents, coded accounting entries for data processing and posted daily receipts and payments in accordance with all corporate protocols
- Analyzed figures, postings and documents to maintain accounting program accuracy
- Organized and carried out efficient month-end, quarterly and year-end processes
- Maintained and processed invoices, deposits and money logs
- Supported operations by communicating with customers, filing documents and managing data
- Maintained account accuracy by reviewing and reconciling checks monthly
- Verified accurate recordkeeping processes, effectively reducing financial inconsistencies
- Managed and updated financial accounts and permanent records for more than 230 clients
- Diminished financial discrepancies and managed monetary transactions, including deposits and credit card transactions
- Eliminated discrepancies in finances by expertly documenting expenses, monitoring income, handling bank deposits and managing statements
- Monitored, verified and approved invoices and reviewed balances using financial software to assess balance sheet for variances
- Verified postings to ledgers to confirm accurate entry and account balances.
- Reviewed and filed financial documents, coded accounting entries for data processing, and posted daily receipts and payments in accordance with all corporate protocols
- Maintained and processed invoices, deposits, and money logs
Customer Service Associate
Walmart
05.2008 - 06.2009
- Preserved revenue streams by utilizing strong communication and negotiation skills, offering refunds as last resort to maintain customer satisfaction
- Developed and actualized customer service initiatives to decrease wait times
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns
- Collected customer feedback and made process changes to exceed customer satisfaction goals
- Evaluated account and service histories to identify trends, using data to mitigate future issues
- Improved customer satisfaction ratings 100% by addressing issues and fostering timely resolution
- Energized and motivated in performing sales floor activities including merchandising and selling.
Payment Posting Specialist
Scripps Clinic
03.2003 - 10.2007
- Identified, researched and resolved billing variances to maintain system accuracy and currency
- Generated and submitted invoices based upon established accounts receivable schedules and terms
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments
- Managed efficient cash flow reporting, posted cash receipts and analyzed chargebacks, independently addressing and resolving issues
- Utilized talents and expertise to complete on-time and accurate monthly closing processes, journal entries and accruals
- Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft
- Kept vendor files accurate and up-to-date to expedite payment processing
- Identified overpayments and processed refunds for insurance carriers and patients
- Applied proper codes to invoices, files and receipts to keep records organized and easily searchable
- Tracked invoices, receipts and deposit slips to generate monthly fiscal statements
- Resolved issues and inquiries from plan participants regarding health and welfare benefits and deductions through telephone, email and in-person interactions
- Explained benefits to plan participants in easy to understand terms in order to educate each on available options
- Delivered targeted advise on issues such as applicable employment regulations, compensation strategies and internal systems to help companies update antiquated or ineffective approaches.
Customer Service Associate/Cashier
Walmart
02.2003 - 12.2004
- Operated register system to process new purchases, item returns and merchandise exchanges
- Checked prices for customers and processed items sold by scanning barcodes
- Reconciled cash drawer at start and end of each shift, accounting for errors and resolving discrepancies
- Processed POS transactions, including checks, cash and credit purchases or refunds
- Trained team members on cash register operation and cash handling
- Processed credit card, EBT, and gift certificate payments with electronic computer system
- Processed exchanges and returns by processing them in company database.
Customer Service Representative
Abacus
01.2001 - 01.2003
- Provided primary customer support to internal and external customers in fast-paced environment
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns
- Entered customer interaction details in to track requests, document problems and record solutions offered
- Liaised with customers, management and sales team to better understand customer needs and recommend appropriate solutions
- Educated customers on promotions to enhance sales
- Evaluated account and service histories to identify trends, using data to mitigate future issues
- Responded to customer requests for products, services and company information
- Used company troubleshooting resolution tree to evaluate technical problems while leveraging personal expertise to find appropriate solutions
- Cultivated customer loyalty, promoted repeat customers and improved sales
- Provided information to customers regarding charge accounts and loyalty program and helped to open and activate new accounts.
Patient Care Assistant
Elder Home Care
02.1999 - 01.2001
- Attended to patient and family's immediate needs and concerns by acknowledging and providing required attention
- Recognized and reported abnormalities and/or changes in patients' health status to case manager
- Gathered dietary information, assisted with feeding and monitored intake to help patients achieve nutritional objectives and support wellness goals
- Shopped for groceries regularly in order to keep house stocked with necessities
- Met with patients and families to discuss care and plan of action for future
- Maintained confidentiality of patient data and condition at all times to safeguard health information
- Scheduled and accompanied clients to medical appointments
- Recorded vital signs, such as temperature, blood pressure, pulse, or respiration rate, noting changes from prior measurements.
Education
Certified Medical Assistant, Medical Terminology, Phlebotomy, CPR Certified, Medical Billing and Coding -
Tidewater Tech
Norfolk, VA06.2000
Skills
Medical Records Management
- HIPAA Compliance
- Payment Collection
- Office Administration
- Medical record security
- Medical information release
- Insurance Verification
- Medical billing and coding
- Medical Terminology
- Telephone Etiquette
- Account Management
- Health Information Systems
Personal Information
Title: Health Administration Medical Records/Billing Coordinator
Timeline
Billing Specialist
Beach Eye Care
06.2021 - Current
Medical Records Specialist/Administrative Assistant
Kindred At Home
04.2016 - 05.2021
Bookkeeper
Virginia Beach Healthcare & Rehab
06.2008 - 06.2016
Customer Service Associate
Walmart
05.2008 - 06.2009
Payment Posting Specialist
Scripps Clinic
03.2003 - 10.2007
Customer Service Associate/Cashier
Walmart
02.2003 - 12.2004
Customer Service Representative
Abacus
01.2001 - 01.2003
Patient Care Assistant
Elder Home Care
02.1999 - 01.2001
Certified Medical Assistant, Medical Terminology, Phlebotomy, CPR Certified, Medical Billing and Coding -
Tidewater Tech
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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