Mia Woods
Des Moines,IA
Summary
Organized Medical Insurance claim professional boasts 24 year career performing difficult multitasking and claims processing tasks. Works quickly with insurance companies to resolve problematic disputes and handle patient inquiries. Brings can-do attitude to collaborating with medical professionals, insurance companies, and clients to handle insurance claim billing and follow up processes within high traffic office environment, to ensure full payment is received.
Overview
24
24
years of professional experience
Work History
Billing Specialist
Associates In Kidney Care, PLC.
02.2016 - Current
- Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
- Processed vendor and supplier payments on weekly basis.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
- Continuously updated knowledge of industry regulations and compliance requirements, ensuring adherence to all applicable standards.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Identified and resolved patient billing and payment issues.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
Follow Up Lead
Mercy Physician Billing Office
07.2000 - 02.2016
- Lead a large team of Insurance Follow Up representatives in ensuring timely resolution of denied claims resulting in claim payment for large healthcare corporation.
- Monitored changes in payer requirements, adjusting billing practices accordingly to minimize disruptions in the revenue cycle.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Participated in departmental meetings, sharing insights and ideas for improving overall medical billing efficiency and revenue generation.
Education
High School Diploma -
Lincoln High School
Des Moines, IASkills
- Medical Billing Expertise
- Insurance claims processing
- Multitasking and Organization
- Claims review
- Insurance Billing
- Medicaid and Medicare Knowledge
- HIPAA Compliance
Timeline
Billing Specialist
Associates In Kidney Care, PLC.
02.2016 - Current
Follow Up Lead
Mercy Physician Billing Office
07.2000 - 02.2016
High School Diploma -
Lincoln High School
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