Diligent Medical Biller and Payment Poster with extensive knowledge in medical billing processes and healthcare administration. Proven track record of ensuring accurate claim submissions and timely reimbursement. Known for effective communication and problem-solving skills, consistently meeting needs of healthcare providers.
Overview
17
17
years of professional experience
Work History
Medical Biller/Business Office Payment Poster
Thriveworks Counseling
03.2021 - Current
Maintained HIPAA compliance throughout the office.
Used thorough knowledge of coding systems to assign appropriate CPT, HCPCS, ICD-9-CM, ICD-10-CM, and DRG codes to ensure accurate billing procedures.
Interpreting EOBs and working with payer-specific billing guidelines.
Strong knowledge of Medicare, Medicaid, Tricare, and commercial insurance billing practices.
Posted insurance payments both manually and through the ERA center.
Processed and posted patient payments and collections on a regular basis.
Processed insurance claims using AdvancedMD software, ensuring compliance with industry standards.
Collaborated with healthcare providers to verify patient eligibility and coverage details for services rendered.
Managed patient billing inquiries, providing accurate information and resolving discrepancies efficiently.
Analyzed billing trends to identify areas for improvement and enhance revenue cycle management strategies.
Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
Developed streamlined processes for claim submissions, reducing turnaround time for reimbursements.
Developed training materials for new hires to ensure consistent service delivery.
Accounting Lead
Muldoon Associates
06.2019 - 03.2021
Reducing delinquency to 5% or less of total managed units.
Rent collection, posting 10-day demands for rent, and filing eviction.
Managed all accounts receivable and payables.
Financial controls, financial reporting, and auditing financial information.
Compiling and presenting reports, budgets, business plans, commentaries, and financial statements.
Controlling income and expenditure.
Monitor and complete goals set for properties.
Data retention and operate territory at 95% or better economic vacancy.
Customer Service Consultant
Progressive Insurance
05.2017 - 06.2019
Handled multiple lines of products, including autos, motorcycles, watercraft, RVs, and travel trailers.
Verify insurance for government officials, run, review, and dispute motor vehicle and CLUE reports.
Navigate through 50,000 pages of state-specific guidelines before completing any endorsements.
Completed a wide range of forms, such as the Certificate of Insurance, Statement of No Loss, claims history, and letters of experience.
Provide accurate resolutions to internal and external callers, explain procedures to consultants in a variety of ways, address complex problems, and offer creative solutions.
De-escalate customers while expressing compassion and empathy, adapt to new procedures and customers' communication styles, and focus on customer retention by providing a memorable customer experience.
Reduce the cost per policy by ensuring procedures are followed and resolving customer needs immediately.
Office Manager
Alpine Heating and Cooling
09.2008 - 05.2017
Managed and maintained office operations and procedures, ensuring efficiency and compliance with established policies and regulations.
Oversaw the management of staff, including recruitment, training, scheduling, and performance reviews.
Handled and coordinated administrative duties, such as ordering supplies, maintaining records, and organizing office events.
Assisted with financial management tasks, including accounts payable/receivable, and payroll.
Develop and maintain budgets for office supplies and equipment, Reducing expenditures by 15% through strategic vendor negotiations.
Education
Qualified Coder And Biller For Medical Behavioral Health Coder - Behavioral Health
QPRO
Online
01.2023
High School Diploma -
Mountain View
Tucson, AZ
01.2007
Skills
Proficient in Microsoft Office Suite
Proficient in Google Sheets
Electronic Health Record (EHR)and coding software: Epic and Cerner
CPT, HPCS, ICD-9-CM, ICD-10-CM, and DRG coding
Therapy Notes
AMD
Adobe
QuickBooks
Timeline
Medical Biller/Business Office Payment Poster
Thriveworks Counseling
03.2021 - Current
Accounting Lead
Muldoon Associates
06.2019 - 03.2021
Customer Service Consultant
Progressive Insurance
05.2017 - 06.2019
Office Manager
Alpine Heating and Cooling
09.2008 - 05.2017
Qualified Coder And Biller For Medical Behavioral Health Coder - Behavioral Health
Customer Service Enrollment Specialist at Thriveworks Counseling And CoachingCustomer Service Enrollment Specialist at Thriveworks Counseling And Coaching