Dynamic Billing Specialist with a proven track record at Medicine for Business, excelling in claim submission and billing reconciliation. Adept at ensuring HIPAA compliance while delivering exceptional customer service. Skilled in accounts receivable management, I effectively resolved billing disputes, contributing to improved cash flow and client satisfaction.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Billing Specialist / AR Collections
Medicine for Business(MBI)
Phoenix, AZ
06.2024 - 04.2025
Submitted appeals for denied claims in accordance with insurance criteria.
Reviewed patient records to ensure accuracy and completeness for billing.
Maintained comprehensive records of billing activities, including denials and payments.
Ensured HIPAA compliance by safeguarding patient confidentiality.
Generated monthly patient invoices per established fee schedules.
Verified claim data accuracy prior to submission to insurance carriers.
Collaborated with clinical staff to uphold accurate coding practices.
Updated knowledge of CPT and ICD-10 coding principles and regulatory requirements.
Oversaw monthly aging reports for account management.
Utilized various electronic data interchange (EDI) systems for efficient data handling.
Accounting / Collections
Resnick & Louis, PC
Scottsdale, AZ
05.2023 - 06.2024
Analyzed accounting data to identify trends and irregularities.
Analyzed accounting data for trends or irregularities.
Reviewed collections and accounts receivable reports to assess outstanding invoices over 90 days.
Maintained and updated an Excel spreadsheet with client and matter information.
Collaborated with departments to resolve issues related to unpaid invoices.
Contacted clients and insurance adjusters via email or phone to facilitate account resolution.
Researched and coordinated approval processes for write-offs and refunds.
Reported accounts receivable and financial data to management as required.
Patient Financial Services Lead
Ic Systems
Saint Paul, MN
09.2016 - 03.2023
Ensured accurate and timely payment of all accounts payable.
Identified and resolved discrepancies between invoices and payments with clients and staff.
Processed credit card payments securely via telephone using encryption technology.
Utilized software including Excel, Word, and Outlook for effective recordkeeping.
Maintained compliance with federal and state laws regarding collections practices.
Followed up on unpaid claims promptly while adhering to HIPAA regulations.
Conducted collection activities on delinquent accounts through calls and correspondence.
Participated in team meetings and training sessions focused on collections procedures.
Education
Some College (No Degree) - Health Information Management
Bryan University
Phoenix, AZ
Skills
Claim submission and billing reconciliation
HIPAA compliance
ICD-10 and CPT coding
Accounts receivable management
Data analysis and research
Customer service excellence
Billing dispute resolution
Payment posting and collections
Month-end closing procedures
Billing software proficiency
Certification
Medical billing and coding certificate.
Timeline
Billing Specialist / AR Collections
Medicine for Business(MBI)
06.2024 - 04.2025
Accounting / Collections
Resnick & Louis, PC
05.2023 - 06.2024
Patient Financial Services Lead
Ic Systems
09.2016 - 03.2023
Some College (No Degree) - Health Information Management
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