Michelle Anderson
New Hope,AL
Summary
Dynamic Billing Specialist with proven expertise at Valley Vascular Consultants, adept in medical billing and insurance verification. Enhanced cash flow through optimized payment collections and improved accuracy in claims processing. Strong analytical thinker and effective communicator, committed to fostering client relationships and ensuring compliance with industry regulations.
Overview
32
32
years of professional experience
Work History
Billing Specialist
Valley Vascular Consultants
Huntsville, AL
08.2022 - Current
- Processed patient billing inquiries efficiently, ensuring accurate and timely resolution.
- Reviewed and verified insurance claims, maintaining compliance with industry regulations.
- Implemented electronic billing systems, improving processing speed and reducing errors.
- Collaborated with healthcare providers to streamline billing processes and enhance service delivery.
- Trained new staff on billing procedures and software applications to ensure operational consistency.
- Analyzed billing data to identify discrepancies and recommend corrective actions for improved accuracy.
- Led initiatives to optimize payment collections, enhancing cash flow for the organization.
- Worked with multiple departments to check proper billing information.
- Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
- Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
- Collaborated with the collections team to recover overdue payments from clients, maintaining cash flow and minimizing writeoffs.
- Maintained detailed records of each account''s payment history, providing easy access to information for audit and analysis purposes.
- Ensured compliance with industry regulations by staying up-to-date on changes in billing rules and guidelines.
- Strengthened client relationships through effective communication regarding billing issues and concerns.
- Assisted in transition to electronic billing, reducing paper waste and improving operational efficiency.
Insurance Verification Specialist
Valley Vascular Consultants
Huntsville, AL
08.2022 - Current
- Verified insurance eligibility and benefits for patients efficiently.
- Collaborated with healthcare providers to resolve discrepancies in patient information.
- Maintained up-to-date knowledge of insurance policies and regulations for compliance.
- Trained new staff on verification processes and best practices for accuracy.
- Analyzed trends in claims denials to develop strategies for reducing future occurrences.
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Updated patient records with accurate, current insurance policy information.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Improved communication between medical staff and patients by explaining insurance benefits and financial responsibilities.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Collaborated with team members to resolve discrepancies in insurance verification, ensuring proper billing practices.
- Increased patient satisfaction by promptly addressing concerns regarding insurance coverage or billing issues.
- Assisted patients with understanding personalized insurance coverage and benefits.
- Demonstrated a high level of professionalism and attention to detail in all aspects of insurance verification specialist role, consistently exceeding performance expectations.
- Reduced errors in billing by accurately maintaining patient records with updated insurance information.
- Optimized productivity within the department by prioritizing tasks according to urgency and importance levels.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Trained new staff on current, correct insurance verification procedures.
- Supported timely claims processing by submitting accurate and complete documentation to insurance companies.
- Posted payments to accounts and maintained records.
- Generated reports to track insurance verifications and claim progress.
- Negotiated payment plans on behalf of clients facing financial hardship, helping them access necessary healthcare services without undue burden.
- Contributed to patient education by explaining complex insurance terms and procedures in understandable manner.
- Increased accuracy of insurance verification, ensuring compliance with both provider and insurer requirements.
- Enhanced patient trust by ensuring personal and sensitive information was handled with confidentiality during verification process.
- Facilitated successful introduction of new electronic verification system, improving data accuracy.
- Streamlined insurance verification process, reducing wait times for patients and medical staff.
- Supported patient access to care by efficiently resolving insurance-related issues and inquiries.
- Assisted in negotiating with insurance companies to secure better coverage options for patients.
- Collaborated with healthcare providers to ensure that insurance coverage met needs of patient treatments.
- Ensured accuracy in patient insurance information by meticulously verifying details, leading to reduction in claim denials.
- Facilitated smoother billing operations by accurately entering patient insurance information into system.
- Enhanced patient satisfaction by providing clear explanations of insurance benefits and coverage.
- Obtained payments from patients and scanned identification and insurance cards.
- Completed administrative patient intakes with case histories, insurance information and mandated forms.
- Performed various administrative tasks by filing, copying and faxing documents.
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
- Processed medical insurance claims and payments.
- Answered phone calls and messages for [Number]-physician [Type] medical facility, scheduling appointments, and handling patient inquiries.
- Managed office logistics by scheduling appointments, maintaining files and collecting payments.
- Organized and maintained patient chart filing system to promote quick data finding for staff.
Hairstylist
Fantastic Sams
Huntsville, AL
01.1994 - 10.2021
- Executed a variety of hair cutting techniques, ensuring client satisfaction and repeat business.
- Advised clients on suitable hairstyles based on face shapes and personal preferences.
- Managed appointment scheduling and client consultations to optimize salon workflow.
- Trained junior stylists in advanced cutting and coloring techniques to enhance service quality.
- Developed and implemented new styling trends, enhancing salon's reputation in the community.
- Ensured compliance with health and safety regulations, maintaining a clean and organized work environment.
- Established strong client relationships through exceptional customer service and personalized care.
Office Manager
FedEx
Priceville, AL
09.2020 - 07.2021
- Managed office operations, ensuring efficiency and organization in daily workflows.
- Developed and implemented process improvements to enhance team productivity and service delivery.
- Coordinated scheduling and logistics for meetings, events, and travel arrangements for executives.
- Maintained office supplies inventory, negotiating with vendors for cost-effective procurement solutions.
- Handled sensitive information with discretion, maintaining confidentiality of company documents and personnel records.
- Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence.
- Streamlined office operations by implementing efficient filing systems and organizational strategies.
- Assisted in the recruitment process, conducting interviews and onboarding new employees to promote a seamless integration into the team dynamic.
Substitute Teacher
Madison County Board Of Education
Huntsville, AL
05.2002 - 12.2020
- Facilitated classroom learning by implementing lesson plans and adapting materials for diverse student needs.
- Established a positive learning environment, promoting student engagement and participation in various subjects.
- Collaborated with teachers to support curriculum delivery and maintain academic standards across multiple grade levels.
- Managed classroom behavior effectively, applying conflict resolution strategies to foster respectful interactions among students.
- Provided individualized support to students, addressing learning challenges and enhancing overall academic performance.
Education
High School Diploma -
New Hope
New Hope, AL05-1995
Skills
- Billing systems and software
- Insurance verification
- Invoice processing
- Customer service
- Claims processing
- Data entry proficiency
- Decision-making
- HIPAA compliance
- Account reconciliation
- Claim submission
- Denial management
- Payment posting
- Customer engagement
- Medical billing expertise
- Patient account management
- Relationship building
- Team collaboration
- Research and due diligence
- Collections
- Contract preparation
- Accounts receivable management
- Records organization and review
- Verbal and written communication
- Analytical thinking
- Data research
- Insurance claim processing
- Billing software proficiency
- Insurance confirmation
- Billing dispute resolution
- Medical billing and collections
- Cash posting
- Billing and invoicing
- Microsoft office
- Payment collection
- Account updating
- Customer service support
- Payment processing
- Paperwork and documentation
- Deadline adherence
Accomplishments
- Documented and resolved billing issues issues which led to patient's understanding, payments and a good patient relationship..
- Documented and resolved insurance issues due to denied claims, incorrect info in database, any type of issues which led to payments.
- I gathered all and any information needed to resolve a denied claim.
- I have written reconsiderations and appeals for denied claims.
- I have built a good patient relation in reference to patient balances. I have set them up on payment plans, taken payments in house and over the phone.
Languages
English
Professional Working
Timeline
Billing Specialist
Valley Vascular Consultants
08.2022 - Current
Insurance Verification Specialist
Valley Vascular Consultants
08.2022 - Current
Office Manager
FedEx
09.2020 - 07.2021
Substitute Teacher
Madison County Board Of Education
05.2002 - 12.2020
Hairstylist
Fantastic Sams
01.1994 - 10.2021
High School Diploma -
New Hope