MICHELLE MANSFIELD
Phoenix,AZ
Summary
Dynamic Medical Biller with extensive experience at Addison Group, adept at reducing claim denials through meticulous insurance verification and coding practices. Proven track record in enhancing revenue collections and managing appeals, while demonstrating exceptional customer service and teamwork. Proficient in CMS-1500 billing forms and HIPAA compliance, ensuring accurate and timely claims processing.
Overview
4
4
years of professional experience
Work History
Medical Biller
Addison Group
03.2025 - Current
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
- Delivered timely and accurate charge submissions.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Resolved discrepancies in accounts receivable reports, contributing to improved cash flow management.
- Trained new team members in medical billing software, increasing efficiency within the department.
Medical Biller
Valle Del Sol
08.2024 - 03.2025
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Filed and updated patient information and medical records.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Collected payments and applied to patient accounts.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
- Implemented quality control measures to identify potential errors before submitting claims, reducing rejections significantly.
- Liaised between patients, insurance companies, and billing office.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Delivered timely and accurate charge submissions.
- Collaborated with healthcare providers, ensuring accurate documentation for seamless billing operations.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Resolved discrepancies in accounts receivable reports, contributing to improved cash flow management.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Negotiated with insurance providers to resolve payment disputes, ensuring fair compensation for services rendered.
- Maintained up-to-date knowledge of billing software and healthcare regulations, contributing to department's compliance and efficiency.
- Enhanced team productivity by organizing regular training on best practices in medical billing and coding.
- Reduced instances of denied claims, carefully reviewing and rectifying coding errors before submission.
- Responded to customer concerns and questions on daily basis.
- Used data entry skills to accurately document and input statements.
- Audited and corrected billing and posting documents for accuracy.
- Handled account payments and provided information regarding outstanding balances.
Med Tech/Caregiver
High Gate Senior Living
05.2024 - 09.2024
- Handled sensitive patient information with confidentiality while upholding HIPAA regulations at all times.
- Measured patient vital signs such as blood pressure, pulse rate, and temperature to record information on patients' charts.
- Assisted physicians and nurses in performing diagnostic tests and procedures to identify accurate treatment for patients.
- Performed patient service duties by communicating directly with patients, answering questions, and assisting with concerns.
- Administered medications and performed basic and advanced patient assessments.
- Monitored inventory levels of supplies, equipment, and reagents used and placed orders for replacements.
- Interacted with patients and families while demonstrating high standards of performance, teamwork, and compassion.
- Collected and processed laboratory specimens to obtain samples for analysis.
- Updated patient records accurately and efficiently, ensuring proper documentation and communication between healthcare professionals.
- Maintained a sterile work environment, adhering to strict safety guidelines for optimal patient care.
- Followed appropriate disinfecting procedures to sterilize medical equipment.
- Maintained patient records and reports to enable tracking history and provide accurate and up-to-date information for physicians and other medical staff.
- Prepared solutions, stains and reagents in accordance with standards.
- Assisted physicians with diagnosing illnesses by promptly delivering detailed lab reports.
- Kept supplies organized and well-stocked, requesting more supplies and avoiding unnecessary testing delays.
- Enhanced patient comfort by providing compassionate and attentive care, addressing individual needs and preferences.
- Assisted patients with self-administered medications.
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
- Provided safe mobility support to help patients move around personal and public spaces.
- Contributed to a positive atmosphere for patients by using effective communication and active listening skills.
- Administered medications as prescribed, ensuring accurate dosage and timely administration for maximum efficacy.
- Provided emotional support to patients and their families during challenging times, fostering trust and strong relationships.
- Supported clients with mental support and physical activities to accomplish quality of life and sustain needs.
- Transported individuals to events and activities, medical appointments, and shopping trips.
- Turned and positioned bedbound patients to prevent bedsores and maintain comfort levels.
- Changed dressings, bandages, and binders to maintain proper healing and sanitary measures.
Med Tech
Belmont Village Senior Living
09.2022 - 03.2024
- Handled sensitive patient information with confidentiality while upholding HIPAA regulations at all times.
- Measured patient vital signs such as blood pressure, pulse rate, and temperature to record information on patients' charts.
- Assisted physicians and nurses in performing diagnostic tests and procedures to identify accurate treatment for patients.
- Performed patient service duties by communicating directly with patients, answering questions, and assisting with concerns.
- Administered medications and performed basic and advanced patient assessments.
- Interacted with patients and families while demonstrating high standards of performance, teamwork, and compassion.
- Monitored inventory levels of supplies, equipment, and reagents used and placed orders for replacements.
- Collected and processed laboratory specimens to obtain samples for analysis.
- Maintained a sterile work environment, adhering to strict safety guidelines for optimal patient care.
- Updated patient records accurately and efficiently, ensuring proper documentation and communication between healthcare professionals.
- Followed appropriate disinfecting procedures to sterilize medical equipment.
- Trained new staff members in laboratory procedures, contributing to overall team success and cohesion.
- Prepared solutions, stains and reagents in accordance with standards.
- Prepared and inspected medical equipment and instruments to manage wear and tear.
- Kept supplies organized and well-stocked, requesting more supplies and avoiding unnecessary testing delays.
- Conducted peer reviews of lab results, fostering culture of accuracy and diligence within team.
Medical Biller
Preferred Homecare
02.2021 - 08.2022
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Filed and updated patient information and medical records.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Collected payments and applied to patient accounts.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
- Implemented quality control measures to identify potential errors before submitting claims, reducing rejections significantly.
- Liaised between patients, insurance companies, and billing office.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Maintained compliance with industry regulations by staying updated on changes to medical billing codes and requirements.
- Delivered timely and accurate charge submissions.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Resolved discrepancies in accounts receivable reports, contributing to improved cash flow management.
- Improved patient satisfaction levels with clear explanations of their financial responsibilities and available payment options.
- Organized filing system for patient records, expediting access to essential documents when needed.
- Trained new team members in medical billing software, increasing efficiency within the department.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Negotiated with insurance providers to resolve payment disputes, ensuring fair compensation for services rendered.
- Responded to customer concerns and questions on daily basis.
- Enhanced accuracy of insurance claims with meticulous verification and updating of patient records.
- Monitored outstanding invoices and performed collections duties.
- Audited and corrected billing and posting documents for accuracy.
- Handled account payments and provided information regarding outstanding balances.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
Education
High School Diploma -
Brookshire Academy
Phoenix, AZ01-2021
No Degree - Medical Billing And Coding
UEI College
Phoenix, AZ01-2021
Skills
- Insurance claims
- Insurance billing
- Medical billing
- Electronic claims
- HIPAA compliance
- Insurance verification
- CPT knowledge
- Customer service
- Patient billing
- Billing and collection procedures
- Accounts receivable
- Insurance claims processing
- Claim submission
- Data entry
- Medicare and medicaid process
- Denial management
- CMS-1500 billing forms
- Claims processing
- ICD-10
- Electronic health record software
- ICD-10 proficiency
- Claims review
- Patient account analysis
- Medical claims submission
- Multitasking and organization
- Accounts receivable management
- Data analysis
- TIMS, NextGen, Waystar, Availity use
- Critical thinking
- Teamwork and collaboration
- Collection calls
- ICD-10 coding
- Patient collections
- Payer contracts
- HIPAA compliance certification
- Reimbursements
- Claim review
- Billing codes
- Account follow-up
- CPT code modifiers
Timeline
Medical Biller
Addison Group
03.2025 - Current
Medical Biller
Valle Del Sol
08.2024 - 03.2025
Med Tech/Caregiver
High Gate Senior Living
05.2024 - 09.2024
Med Tech
Belmont Village Senior Living
09.2022 - 03.2024
Medical Biller
Preferred Homecare
02.2021 - 08.2022
High School Diploma -
Brookshire Academy
No Degree - Medical Billing And Coding
UEI College
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