Maura Powell
Yakima,WA
Summary
Billing Specialist adept at collecting, posting, and managing account payments. Independently handles client requests, billing needs, and administrative functions—reviews contracts and other documents to issue accurate invoices.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Clinic Coordinator 1
Emperion (Genex/OMAC)
06.2024 - Current
- Responsible for providing quality customer service
- Oversee IME (Independent Medical Evaluation) process
- Scheduling appointments
- Scanning
- Copying
- Mailing and emailing of reports/letters and other IME documents
- Checking claimants in/out of their exams
- Chaperoning IMEs
- Assisting IME providers with various administrative support
Caregiver/Individual Provider
Consumer Direct Care Network (CDWA)
09.2023 - Current
- Help with activities of daily living, such as walking, bathing, grooming, dressing, eating, and toileting
- Transport Clients to and from appointments, errands, and activities
- Assist with light housekeeping
- Remind Clients to take their medication
- Monitor and report changes in health, behavior, and needs
- Address Client needs with respect and attention to safety
- Other authorized duties as assigned
Insurance Coordinator
Cascade Eye Center
Yakima, WA
03.2023 - 05.2024
- Scheduling appointments and coordinating clinician schedules
- Entering and maintaining accurate client records and other documentation in our electronic health record system
- Assisting clients with insurance benefit questions
- Collecting payment at point-of-service, recording and reconciling receipts
- Communicating effectively and professionally with clients, primary care providers, service providers, and staff
- Review insurance benefits as pertain to scheduled appointments
- Maintaining client confidentiality per HIPAA guidelines
Billing Specialist
Vancouver Eye Care, PS
Vancouver, WA
10.2021 - 09.2022
- Data entry
- Creating invoices and entering charges
- Knowledge of insurance billing needs
- Submit claims to Medicaid third parties
- Check benefits and verify their eligibility
- Submit corrected claims
- Speak with insurance company to correct errors with billings
- Collect and distribute EOB's(Explanation of Benefits)
- Analyze and evaluate patient accounts (Refund verification)
- Process and submit refund requests
- Scan necessary documents into an electronic file cabinet
- Sort and distribute correspondence
- Post payment information to patient accounts
- Consult insurance companies regarding patient coverage
- Run payment summaries, analyze and report in Excel spreadsheet
- Review and post payments to patient accounts
- Other duties as assigned
Insurance Verification Specialist III/Specialist Billing and Collection
AllianceRx Walgreens Prime Specialty Pharmacy
Beaverton, OR
10.2018 - 09.2021
- Work with Medical Insurance
- Verify IPA (California) eligibility
- Process prescriptions through the system
- Research and enter insurance information
- Contact with patients and doctors’ offices
- Work with insurance companies to get paid claims
- Correct claim submission problems
- Request prior authorizations
- Verify medical benefits for medications administered in a doctor’s office
- Notate system to provide accurate copay/coinsurance quotes
- Request modification to Prior Authorization through doctor’s office staff
- Processed collections transactions for Medical accounts and entered them into the system
- Follows processes and performs transactions with a high degree of accuracy
- Handles a large volume of basic transactions
Assistant Billing Specialist
Washington Vision Therapy Clinic
Yakima, WA
05.2018 - 09.2018
- Data entry
- Creating invoices and entering charges
- Knowledge of insurance billing needs
- Submit claims to Medicaid third parties
- Check benefits and verify their eligibility
- Submit corrected claims
- Speak with insurance companies to correct errors with billings
Customer Service Representative
Arvato
Yakima, WA
01.2018 - 05.2018
- Answer customer calls with care and empathy
- Provide information regarding customer accounts after authentication
- Assist customers with their day-to-day financial situations
- Observe and report any suspicious activity
- Submit fraud claims for customers
- Open and close accounts
Chiropractic Billing Specialist
Alaska Data Services
Anchorage, AK
12.2016 - 08.2017
- Data entry
- Posting payments
- Creating billings and entering charges
- Requesting patient demographics
- Knowledge of insurance billing needs
- Experience billing auto insurance
Retail Store Manager
Brown Jug
Anchorage, AK
04.2014 - 07.2017
- Maintain inventory
- Oversee 4-7 employees
- Create purchase orders, collaborate with sales representatives
- Receive product deliveries
- Human Resources – hiring, firing, discipline
- Keep track of current sales
- Work toward reaching financial goals
- Filing of invoices from received orders
- Address customer issues with care and understanding
- Cash-out customers with utmost accuracy to detail
- Observe employees as they interact with customers
- Verify ID per state/city statutes
- Use a security system to verify thefts
- Inventory correction/verification via physical counts
CLAIMS ASSISTANT
Alaska National Insurance Company
05.2013 - 08.2013
- Receive and enter all workers’ compensation claims
- Collect and distribute bills from medical facilities
- Answer phone calls with general claims questions
- Request medical records from medical facilities
- Send out general correspondence
- Collect medical records for independent medical examinations
- Maintain claims system
- Make travel arrangements for claimants
- General office duties: filing, scanning, copying
OFFICE ASSISTANT
Alaska Native Tribal Health Consortium
10.2011 - 02.2013
- Collect and distribute EOB's(Explanation of Benefits)
- Analyze and evaluate patient accounts (Refund verification)
- Process and submit refund requests
- Scan necessary documents into electronic file cabinet
- Sort and distribute correspondence
- Post payment information to patient accounts
- Consult insurance companies regarding patient coverage
- Run payment summaries, analyze and report in Excel spreadsheet
- Other duties as assigned
PROGRAM ASSISTANT
NMS Staffing
Anchorage, AK
06.2011 - 09.2011
- Worked with EHR learning coordinator
- Standardized all training materials for Train the Trainer, Superuser, and End-user Training
- Updated learning system; enrolled and completed enrollment of EHR training participants
- Other duties as assigned
Education
Bachelor of Science - Business Administration: Human Resource Management
WGU – Western Governors University
Remote - Washington State12.2024
Associate of Applied Science - Medical Administration: Medical Coding and Billing
Charter College
Anchorage, AK12.2010
Skills
- File System Maintenance
- Accounts Receivable Processing
- Efficient Payment Processing
- Financial Account Reconciliation
- Customer Engagement Proficiency
- Data entry
- Medical billing
- Medical office experience
- Medical terminology
- EMR systems
- Insurance verification
- Account Analysis
- Customer service
- Accounts Receivable
- Accounting
- Payroll
- Medisoft Computerized Medical Office Program
- Medly Practice Management Program
- Crystal Practice Management Software
- ScriptMed Practice Management Software
- NextGen Practice Management Software
- Cerner Works EHR System
- MaximEyescom is a cloud-based practice management system
- Experienced with Electronic Health Records
- Type 60 WPM
- ICD-10 and CPT proficiency
- 10-key by touch
- Extensive knowledge of Excel, Word, Outlook, and Adobe
- Microsoft Office 2007 Specialist Certified
- Microsoft Office 2010 Specialist Certified
- Skilled in Healthcare Vocabulary
- Familiar with Medicare, Medicaid, private insurance, and workers' compensation
- Managing Multi-Line Phone Systems
Certification
Leadership - October 8, 2024
References
References available upon request.
Timeline
Clinic Coordinator 1
Emperion (Genex/OMAC)
06.2024 - Current
Caregiver/Individual Provider
Consumer Direct Care Network (CDWA)
09.2023 - Current
Insurance Coordinator
Cascade Eye Center
03.2023 - 05.2024
Billing Specialist
Vancouver Eye Care, PS
10.2021 - 09.2022
Insurance Verification Specialist III/Specialist Billing and Collection
AllianceRx Walgreens Prime Specialty Pharmacy
10.2018 - 09.2021
Assistant Billing Specialist
Washington Vision Therapy Clinic
05.2018 - 09.2018
Customer Service Representative
Arvato
01.2018 - 05.2018
Chiropractic Billing Specialist
Alaska Data Services
12.2016 - 08.2017
Retail Store Manager
Brown Jug
04.2014 - 07.2017
CLAIMS ASSISTANT
Alaska National Insurance Company
05.2013 - 08.2013
OFFICE ASSISTANT
Alaska Native Tribal Health Consortium
10.2011 - 02.2013
PROGRAM ASSISTANT
NMS Staffing
06.2011 - 09.2011
Bachelor of Science - Business Administration: Human Resource Management
WGU – Western Governors University
Associate of Applied Science - Medical Administration: Medical Coding and Billing
Charter College
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