Mia Barbera
Los Angeles,CA
Summary
Driven Account Specialist with a proven track record at Entrepreneur Elevation, enhancing revenue growth and customer satisfaction through expert account administration and problem-solving. Excelled in reducing claim denials and streamlining billing processes, leveraging Microsoft Office proficiency and meticulous attention to detail. Achieved significant improvements in coding accuracy and operational efficiency.
Overview
15
15
years of professional experience
Work History
Account Specialist
Entrepreneur Elevation
01.2010 - Current
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
- Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Played a pivotal role in maintaining positive cash flow within the organization by ensuring timely submission of clean claims and diligent follow-ups on outstanding payments.
- Contributed to team efficiency by maintaining organized records of patient accounts, billing statements, and payment statuses.
- Expedited payment processing by promptly addressing any discrepancies or issues raised by insurance carriers.
- Provided support to administrative staff by ensuring proper handling of sensitive patient data according to HIPAA regulations.
- Collaborated with healthcare providers to ensure accurate documentation, leading to timely reimbursements for services rendered.
- Safeguarded practice revenue by diligently following up on outstanding account balances and initiating collection efforts when necessary.
- Increased accuracy in medical claims submissions by conducting thorough reviews of patient records and insurance information.
- Assisted patients with understanding their insurance coverage and financial responsibilities, fostering positive relationships and trust between the practice and its clients.
- Maintained high levels of customer satisfaction through prompt resolution of disputes related to charges on patient accounts or insurance claims.
- Streamlined billing processes by implementing efficient coding practices, resulting in reduced errors and improved revenue generation.
- Communicated with insurance companies to research and resolved coding discrepancies.
- Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
- Monitored changes in coding regulations to provide recommendations for compliance.
- Verified signatures and checked medical charts for accuracy and completion.
- Generated reports to identify coding trends and discrepancies.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Scanned and uploaded medical records into electronic medical records system.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Followed up with medical staff regarding missing information in patient records.
- Maintained accuracy, completeness, and security for medical records and health information.
- Verified accuracy of patient information in medical records.
Education
Associate of Arts - Business Entrepreneurship
05.2025
Math , Speech , Science, English, Communication, History, Sociology, Psychology
Skills
- Account Administration
- Customer relationship development
- Document Management
- Customer Engagement
- Microsoft Office proficiency
- Account updating
- Billing resolutions
- Client Engagement
- Documentation skill
- Recordkeeping abilities
- Revenue Growth
- Cash Handling
- Decision-Making
- Problem-Solving
- Attention to Detail
- Multitasking Abilities
Timeline
Account Specialist - Entrepreneur Elevation
01.2010 - Current
Los Angeles Trade Technical College - Associate of Arts, Business Entrepreneurship
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