Michelle Bunce
Custer
Summary
Detail-oriented medical billing specialist with expertise in insurance claims processing and HIPAA compliance. Proven track record in resolving billing issues and managing patient interactions efficiently. Strong problem-solving skills enhance operational effectiveness and ensure compliance with industry standards.
Overview
34
34
years of professional experience
Work History
Medical Billing Specialist
Hendricks Family Chiropractic, LLC
Ludington
06.2009 - Current
- Prepared and submitted insurance claims ensuring timely processing.
- Verify patient insurance eligibility and coverage details.
- Process medical claims using billing software and coding guidelines.
- Communicated with insurance companies to resolve billing issues promptly.
- Review accounts for discrepancies and initiate corrections promptly.
- Assisted patients with billing inquiries and provided clear payment options.
- Posted charges, payments and adjustments.
- Applied payments, adjustments, and denials into medical manager system.
- Maintained detailed records of all billing activities including denials, adjustments, and payments received.
- Submitted appeals for denied claims when appropriate according to the insurance company's criteria.
- Provided customer service support to patients who had questions about their bills or payments due.
- Adhered to HIPAA regulations when handling confidential patient information.
- Ensured HIPAA compliance by maintaining confidentiality of all patient information.
Billing Clerk
Squires Family Chiropractic
Scottville
05.2007 - 06.2009
- Processed patient billing and insurance claims, ensuring accurate and timely submissions.
- Assisted patients with scheduling appointments and managing front desk operations to enhance patient experience.
- Prepared treatment rooms by sanitizing equipment and ensuring supplies were stocked.
- Collected forms, copied insurance cards, and coordinated patient information to streamline billing and insurance processing.
- Scheduled appointments for patients both in person and over the phone.
Office Manager
Dr.Dougherty
Ludington
08.2004 - 05.2007
- Managed office operations to ensure smooth daily functioning.
- Coordinated schedules and appointments to optimize time management for staff and patients.
- Oversaw inventory management and supply ordering to maintain adequate stock levels.
- Implemented efficient filing systems to enhance accessibility of patient records and documents.
- Trained new staff on office procedures and software usage.
- Maintained compliance with health regulations and office policies.
Office Manager/ Billing
Drs O'Callaghan's office
Ludington
01.1992 - 05.2004
- Managed patient scheduling and appointment coordination efficiently.
- Processed patient information and maintained accurate medical records.
- Facilitated accurate billing and coding for insurance claims submissions to support revenue cycle.
- Coordinated specialist referrals and ensured timely follow-up appointments for patients.
- Performed basic clerical duties such as filing documents, entering data into the computer system, photocopying forms and documents.
- Followed HIPAA guidelines to ensure confidentiality of patient information.
- Streamlined front office operations by managing customer service, appointment scheduling, billing, and administrative tasks.
- Scheduled tests, lab work or x-rays for patients based on physician orders.
- Prepared reports, invoices, letters, or medical records using word processing, spreadsheet, or other software applications.
Education
High School Diploma -
Newaygo High School
Newaygo, MI05-1986
Timeline
Medical Billing Specialist
Hendricks Family Chiropractic, LLC
06.2009 - Current
Billing Clerk
Squires Family Chiropractic
05.2007 - 06.2009
Office Manager
Dr.Dougherty
08.2004 - 05.2007
Office Manager/ Billing
Drs O'Callaghan's office
01.1992 - 05.2004
High School Diploma -
Newaygo High School