Michele Gilbert
Seneca,SC
Summary
Organized and driven account specialist with 12+ years of administrative experience. My goal is to provide the utmost discretion, confidentiality, and compassion during all patient interactions. Dynamic account specialist with extensive experience in customer service. Highly organized professional establishes relationships with customers. Stays calm under pressure.
Overview
14
14
years of professional experience
Work History
Account Specialist
Equipped For Life
06.2021 - Current
- Customer Service-Handles incoming calls to the department. Provides information to callers/visitors pertaining to the services of the department.
- Patient Registration-Registers patients in an accurate and timely manner. Verifies payer source.
- Performs insurance pre-authorization process, enters validates, and reconciles visit activity and supplies to ensure accurate billing.
- Post payments every day and reconcile deposits.
Referral Specialist
Prisma Health System
01.2017 - 06.2021
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
- Called insurance companies to get precertification and other benefits information on behalf of patients.
- Partnered with other departments to provide top-notch service to clients.
Medical Biller and Coder
Prisma Health System
05.2010 - 01.2017
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Education
Medical Billing/Claims Program -
Ashworth College
Norcross, GA08.2010
Certificate - Medical Business Program
Tri County Technical College
Pendleton, SC11.1994
Associate of Science - Business
Spartanburg Methodist College
Spartanburg, SC06.1987
High School Diploma -
D. W. Daniel High School
Central, SC05.1985
Skills
Data Entry
Customer Service
Health insurance and Billing
Written Communication
Multi-tasking
Organization
Medical Terminology
Timeline
Account Specialist
Equipped For Life
06.2021 - Current
Referral Specialist
Prisma Health System
01.2017 - 06.2021
Medical Biller and Coder
Prisma Health System
05.2010 - 01.2017
Medical Billing/Claims Program -
Ashworth College
Certificate - Medical Business Program
Tri County Technical College
Associate of Science - Business
Spartanburg Methodist College
High School Diploma -
D. W. Daniel High School
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