Michelle Bowen
Hoquiam,WA
Summary
Senior Medical Billing Specialist with 20+ years of experience in radiology and laboratory billing. Known for precision, efficiency, and leadership in remote billing environments. Adept at reconciling accounts, improving workflows, and ensuring compliance across Medicare, Medicaid, and commercial payers.
Overview
21
21
years of professional experience
Work History
Lead Medical Billing Specialist
Nightingale Medical Billing
05.2025 - 08.2025
- Oversee day-to-day billing operations, ensuring timely and accurate submission of claims to commercial and government payers
- Serve as the primary point of contact for escalated billing issues and complex claim denials
- Reconcile insurance payments, post EOBs, and ensure accurate account adjustments
- Send patient invoices and monitor patient balances, initiating follow-up on outstanding payments
- Run and review patient account balances to support accurate revenue reporting
- Monitor A/R aging reports and implement strategies to reduce days in A/R
- Maintain compliance with HIPAA, payer policies, and industry billing standards
Senior Billing Specialist
Dexios Corporation
08.2013 - 05.2025
- Conducted comprehensive audits of client accounts to identify and resolve discrepancies, ensuring timely and accurate billing.
- Mentored junior billing specialists by sharing best practices, providing training, and fostering a collaborative and high-performing team environment.
- Contributed to process improvements by actively participating in brainstorming sessions, offering innovative suggestions, and implementing approved changes.
- Demonstrated exceptional attention to detail by identifying and correcting errors before they escalated, maintaining high accuracy rates.
- Participated in ongoing training sessions to stay updated on the latest industry trends, tools, and best practices, continuously enhancing job performance.
- Collaborated effectively with insurance providers to resolve billing disputes and streamline payment processes.
- Completed annual Compliance training to uphold the highest standards of confidentiality for clients and patients, in full compliance with HIPAA and federal regulations.
Medical Billing Specialist
Medical Billing Service
09.2004 - 04.2013
- Improved company cash flow by promptly resolving outstanding invoices and accounts receivable issues.
- Communicated with insurance providers to resolve denied claims and ensure successful resubmissions.
- Accurately posted and adjusted insurance payments, maintaining meticulous financial records.
- Ensured timely and accurate submission of claims to multiple insurance carriers, leading to faster payments.
- Assisted patients in understanding their medical bills and clarified complex insurance issues, enhancing customer satisfaction.
- Processed patient refunds and adjustments, ensuring compliance with company policies and accuracy in transactions.
- Conducted regular audits of patient accounts to identify and resolve underpayments, overpayments, and billing discrepancies.
- Identified account discrepancies through detailed audits of client records and resolved issues efficiently.
- Mentored junior billing specialists, promoting best practices and fostering a collaborative work environment.
Education
High School Diploma -
Yelm High School
Yelm, WA06-2004
Skills
- HIPAA compliance
- Audited work of junior team members to ensure accuracy and compliance with policies
- Extensive Medicare/MCO experience
- Extensive Medicaid/HMO experience in multiple states
- Extensive Commercial, MVA and Worker's Comp payer experience
- Credit balance resolution
- Accounts receivable management
- Payment posting (electronic and manual)
- Billing dispute resolution
- Clearinghouse rejections
- Accurate data entry
- Excellent written and verbal communication
- 10 years remote experience
Accomplishments
- Promoted to AR Team Lead 2012
- Promoted to AR Team Supervisor 2013
- Developed SOPs and training guides that improved onboarding efficiency
- Assisted in the onboarding of the international team
- Obtained extensive knowledge over a 20 year career in laboratory and radiology billing
- Recognized with President’s and VP Awards at Dexios for exceptional accuracy and teamwork
Timeline
Lead Medical Billing Specialist
Nightingale Medical Billing
05.2025 - 08.2025
Senior Billing Specialist
Dexios Corporation
08.2013 - 05.2025
Medical Billing Specialist
Medical Billing Service
09.2004 - 04.2013
High School Diploma -
Yelm High School