Milikia Hayes
Atlanta,GA
Summary
Proven Medical Billing Supervisor with a track record of enhancing payment efficiencies and reducing claim denials for Affiliated Computer Services. Skilled in ICD-10 and HIPAA compliance, with a knack for developing strong insurer relationships and improving patient account management through dynamic interpersonal skills. Achieved significant improvements in billing accuracy and patient satisfaction. Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment.
Overview
11
11
years of professional experience
Work History
Medical Biller and Coder
Impact Therapy Associates
04.2023 - Current
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
- Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Contributed to team efficiency by maintaining organized records of patient accounts, billing statements, and payment statuses.
Payment Specialist
Myeyedoctor
08.2019 - 03.2023
- Managed large volumes of data efficiently and with great care on daily basis.
- Communicated effectively with others through active listening and dynamic interpersonal skills.
- Stayed informed of industry changes and updates by participating in relevant training sessions, utilizing new knowledge to enhance job performance.
- Supported audits by providing detailed records of all posted payments and adjustments upon request.
- Collaborated with billing team to resolve outstanding invoices and improve cash flow.
- Assisted in the development of training materials for new Payment Poster hires, improving onboarding success rates.
- Performed various administrative tasks related to payments, including generating reports, updating records, and maintaining accurate documentation.
- Enhanced payment processing efficiency by streamlining procedures and implementing automation tools.
Medical Billing Supervisor
Affiliated Computer Services
05.2013 - 06.2020
- Reviewed billing problems, researched issues, and resolved concerns.
- Worked with customers to develop payment plans and bring accounts current.
- Increased patient satisfaction by addressing billing inquiries promptly and professionally.
- Reduced denied claims through diligent review, correction, and resubmission of errors.
- Developed strong relationships with insurance companies through effective communication and negotiation skills, enhancing payment turnaround times.
- Submitted electronic and paper claims to insurance companies, Medicare and Medicaid to collect medical payments.
- Analyzed medical records to satisfy insurance company mandates.
- Reduced claim denials by maintaining up-to-date knowledge of insurance policies and regulations.
Education
Medical Insurance Billing
Everest College - Chesapeake
Chesapeake, VA05.2009
Medical Insurance Coding
Everest College - Chesapeake
Chesapeake, VA05.2009
Skills
- HIPAA Compliance
- Payment posting
- Insurance Verification
- ICD-10 Proficiency
- CMS-1500 Form Completion
- Patient account management
- Medicare and Medicaid Billing
- Claim submission
- Medical Coding Expertise
Timeline
Medical Biller and Coder
Impact Therapy Associates
04.2023 - Current
Payment Specialist
Myeyedoctor
08.2019 - 03.2023
Medical Billing Supervisor
Affiliated Computer Services
05.2013 - 06.2020
Medical Insurance Billing
Everest College - Chesapeake
Medical Insurance Coding
Everest College - Chesapeake
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