Meredith Freeman

I managed a high volume inventory of complex auto injury claims for the states of MO, NY, WA, and MS, handling both represented and unrepresented bodily injury and property damage claims, in compliance with all statutes.

• Developed strong relationships with policyholders by educating them on applicable coverages, keeping them informed, and providing timely updates.
• Provided outstanding customer service to claimants with empathetic, professional communication.
• Performed extensive administrative duties of maintaining customer database, verifying documentation, researching facts and contacting other parties involved to determine liability percentages and minimize potential losses.
• Identified and escalated liability disputes, potential fraud or trends, for mgmt review.
• Hired defense counsel to protect the Insureds and company’s best interests in the instance of a lawsuit.
• Collaborated with medical professionals, attorneys, and other experts to ensure best outcomes.
• Maintained private health information in strict compliance with HIPAA privacy laws.
• Possess strong knowledge of medical terminology, diagnoses, and procedures.
• Achieved successful claim resolutions by thorough investigation of evidence, injury evaluation, and negotiation of fair settlement, minimizing or eliminating risk of lawsuit in most cases.
• Escalated files with significant indemnity exposure to supervisor for further review.
• Continuously improved performance by attending regular training sessions and seeking feedback.
• Provided support to colleagues by answering inquiries and assisting with volume on a daily basis.
• Heavily multitasked, operating out of several software applications and websites simultaneously, as well as handling high volumes of calls via multi-line phone system.

Within the Department of Finance, Revenue Cycle, I was part of a small team of hospital billing specialists and of all inpatient and outpatient claims for Vanderbilt University Medical Center hospitals and clinics, institution-wide.

• I managed eight high volume claims work-queues, conducting daily claim audits within each, including detailed analyses of EPIC and SSI system edits.
• Thoroughly researched edits and made any necessary claim corrections, regularly working cross-departmentally, to ensure clean claim submissions the first time.
• Regularly reached and/or exceeded individual and team productivity goals, consistently earning accuracy and QA scores of 98%-100%, quarterly. Our team contributed to increased revenue yearly from 2017-2022, breaking organizational records in the years 2020-2022.
• I am experienced with government payers like Medicare and Medicaid, Medicare Advantage, BCBS, other commercial insurances, third-party liability payers, and their claims adjudication system requirements.
• Fully trained, proficient user of EPIC and SSI revenue cycle software systems.
• Maintained and updated patient account demographic information, and performed insurance verifications daily.
• Researched provider credentials, verified and updated NPI numbers and taxonomies in the provider database daily.
• I have trained successfully on several types of claims management software spanning 13+ years, and am highly experienced in working from many open applications simultaneously.

Home Health Billing for Private Duty Nursing Agencies Across Tennessee.

• I specialized in the billing of skilled nursing services claims to Medicare, Medicare Advantage, Medicaid, Tricare, and other insurance payers.
• Worked within a large database of home health patients served across the state of Tennessee.
• Heavily multitasked, operating out of several applications simultaneously, online provider portals, and clearing houses.
• Provided departmental coverage and assistance to colleagues by assuming additional workloads on a regular basis.
• Adjusted priorities daily to fulfill business needs.

Conducted insurance follow-up and collections of aged/outstanding outpatient claims, specializing in commercial insurance payers, for a nationwide customer base of Ambulatory Surgical Centers and providers, in a remote business office setting.

• Corrected claim errors for resubmission whenever possible, or re-routed to appropriate departments for review and correction.
• Worked denied claims and made appeals with supporting documentation.
• Proficient user of NextGen and SSI systems, online provider portals, and clearing houses such as Availity.

I performed Insurance follow-up and medical collections for a large customer base of Ambulatory Surgical Centers and providers, from a remote business office.

• Managed a high volume work queue of outpatient claims, specialized in aged/outstanding Blue Cross Blue Shield payer claims, as well as other commercial insurance payers.
• Reviewed and maintained extensive patient medical records and documentation.
• Evaluated and analyzed claim denials, making corrections and appeals with supporting documentation, resolving 45 to 90-day aged claims with outstanding payments.
• Proficient in NexGen, Availity, and several online provider portals.

Conducted insurance follow-up and collections of aged/outstanding outpatient claim payments, specializing in Blue Cross Blue Shield and other commercial insurance payers, for the Baptist Health System hospitals and clinics.

• Corrected claim errors for resubmission whenever possible, or re-routed to the appropriate departments for review and correction.
• Worked denied claims and made appeals with supporting documentation.
• Trained and worked proficiently in EPIC claim management system, and regularly used online provider portals and clearing houses, such as Availity.

As the office manager and billing manager, I implemented EHR and rolled out the electronic billing system for two doctors of Chiropractic and one Physical Therapist.

• I handled back end to front end billing and revenue cycle processes, including:
• Maintaining and updating all provider credentialing and enrollments.
• Verification and explanation of insurance benefit coverage to patients, as well as drafting and establishing payment plan agreements for cash patients.
• Received and sent timely referrals for additional radiology, pain management specialists, orthopedists, and neurologists.
• Directed and ensured accuracy and completion of patient intake, HIPAA, and uploading of patient forms.
• Performed pre-authorizations and pre-certifications for insurance plans.
• Ensured accurate claims billing of treatment to personal injury auto insurance, workers compensation insurers, Medicare, Medicaid, Tricare, and commercial insurance payers.
• I performed insurance follow-up and collections efforts of aged and outstanding claims payments, as well as courteous communications regarding cash patient accounts with outstanding balances.
• Hand-delivered daily cash deposits to the business bank account.
• I was the point of contact for all patient, payer, and vendor inquiries via mail, phone, fax, email.
• Handled purchasing, cost control, and maintenance of office and medical supply inventory.
• Provided friendly, efficient front desk coverage and scheduling, when needed.
• Provided daily assistance to the doctors, physical therapist, and massage therapist staff to support patient care.
• Prepped and sanitized all treatment spaces.
• Proficient user of ChiroTouch patient database and claim management software system. Intermediate user of Quickbooks.

Internet marketing company specializing in website design and search engine optimized content.

• Received weekly content assignments of 50-100 pages.
• Conducted thorough research of a wide variety of legal representation specialties, including topics within Family Law, Criminal Law, Immigration Law, Branding, and Intellectual Property.
• I wrote and completed informative, reader-friendly, high quality SEO content projects for individual attorneys’ and law firm clients’ websites.
• Adhered to high standards of QA, accuracy, and strict client deadlines.

I was one of two Inside Sales Coordinators for the Nashville division of a successful produce distribution company. Our customer base was comprised of fine dining restaurants, hotels, institutional dining, specialty stores, catering companies, and special event companies throughout the state of Tennessee.

• I acted as the nucleus of communications, internally and externally for customers, vendors, and inter-departmentally, collaborating closely with the outside sales director, procurement team, operations manager, and customer service manager.
• Initiated logistics solutions, coordinating with warehouse management and freight dispatch to ensure accurate, quality product and timely delivery solutions. At times, this meant physically locating and buying product from an outside source and/or hand-delivering product in my own personal vehicle, to ensure client success.
• I specialized in maintaining high-end client relations, providing solutions to Nashville’s finest dining establishments, and shared a special relationship with The Gaylord Opryland Hotel and their many restaurants.
• Engaged clients through effective communication and interpersonal skills, which helped to develop lasting relationships.
• Followed up with customers by phone and email to resolve issues quickly and answer questions.
• Processed customer orders and resolved questions and concerns regarding products, pricing and availability.
• Managed the processing of sales orders, ensuring accuracy and timeliness from placement to delivery.
• Researched customer issues and implemented solutions that proved to be efficient and effective.
• Acted as a trusted point of contact for clients throughout the sales cycle, from initial inquiry to after-sales support, consistently exceeding their expectations.
• Contributed to increased sales revenue by identifying upselling opportunities during client interactions.
• Visited customer locations to evaluate requirements, demonstrate product offerings, and propose strategic solutions for diverse needs.
• Used CRM software to maintain detailed contact logs and account records. I was a highly proficient user of the AS400 distribution management software system, which housed our customer and product databases.
• Collaborated regularly with our outside sales representatives to ensure smooth transactions and coordination of efforts.
• Answered an average of 50 incoming customer calls daily.