Marieliz Popoutsis
Lawton
Summary
Accomplished Medical Billing Specialist with expertise in claim submission and insurance verification at Mindoula. Enhanced revenue collection by resolving denied claims and refiling promptly. Demonstrated exceptional communication and problem-solving skills, fostering strong relationships with healthcare providers. Proficient in HIPAA compliance and medical terminology, ensuring accurate documentation and efficient billing processes.
Overview
6
6
years of professional experience
Work History
Medical Billing Specialist
Mindoula
10.2024 - Current
- 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.
- Located errors and promptly refiled rejected claims.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- 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.
- Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Balance Specialist
Gruber Law Offices LLC
04.2024 - 10.2024
- Followed all company policies and procedures to deliver quality work.
- Improved customer satisfaction rates through proactive problem-solving and efficient complaint resolution.
- Collaborated with cross-functional teams to achieve project goals on time and within budget.
- Implemented new training programs for staff, leading to higher employee retention rates and better overall performance.
- Championed the adoption of new software tools that streamlined workflows across multiple departments.
Medical Billing Specialist
AssuranceSD
07.2023 - 03.2024
- 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.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Collected payments and applied to patient accounts.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Precisely evaluated and verified benefits and eligibility.
- Provided exceptional customer service to both patients and insurance representatives, resolving inquiries quickly and professionally.
- Filed and updated patient information and medical records.
- Coordinated with other departments to address any discrepancies or concerns related to charge capture or data entry accuracy.
- Served as a subject matter expert on medical billing matters, providing guidance to colleagues on complex cases or unique situations.
- Participated in departmental meetings, sharing insights and ideas for improving overall medical billing efficiency and revenue generation.
Medical Billing Specialist
Lutheran Social Services Of Wisconsin And Upper Michigan
09.2019 - 07.2023
- 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.
- 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.
- 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.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Provided exceptional customer service to both patients and insurance representatives, resolving inquiries quickly and professionally.
Education
Certificate of Technical Studies - Medical Billing
Allied Business School
Las Vegas, NVAssociate of Science - Health Information Technology
Colorado Technical University
Colorado Springs, CO06.2010
General Studies
James Madison High
Atlanta, GA06.2006
Skills
- HIPAA compliance
- Payment posting
- Claim submission
- Insurance verification
- Patient billing
- Problem solving
- Phone etiquette
- Documentation
- Communication
- Computer literacy
- Medical Terminology
- Attention to detail
Timeline
Medical Billing Specialist
Mindoula
10.2024 - Current
Balance Specialist
Gruber Law Offices LLC
04.2024 - 10.2024
Medical Billing Specialist
AssuranceSD
07.2023 - 03.2024
Medical Billing Specialist
Lutheran Social Services Of Wisconsin And Upper Michigan
09.2019 - 07.2023
Certificate of Technical Studies - Medical Billing
Allied Business School
Associate of Science - Health Information Technology
Colorado Technical University
General Studies
James Madison High
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