Summary
Overview
Work History
Education
Skills
Affiliations
Accomplishments
Certification
Timeline
Generic

Mindi Pendleton

Oakland,CA

Summary

Quality-focused Medical Biller offers strong track record over many years in settling and resolving complex patient billing accounts. Thoroughly experienced in handling medical charges and invoicing. Tech-savvy approach to understanding and resolving difficult areas of dispute.

Overview

4
4
years of professional experience
1
1
Certification

Work History

Medical Billing Specialist

Zymeda
Moreno Valley, CA
02.2023 - Current
  • Initiated collection efforts on unpaid accounts by contacting insurance companies or patients directly via phone or mail.
  • Provided customer service support to patients who had questions about their bills or payments due.
  • Researched complex billing issues involving multiple providers or services rendered over a period of time.
  • Generated monthly invoices for patients based on services provided according to established fee schedules.
  • Assisted with the reconciliation of accounts receivable ledgers at month-end close process.
  • Submitted appeals for denied claims when appropriate according to the insurance company's criteria.
  • Updated patient accounts with information obtained from internal departments or external sources.
  • Processed credit card payments from patients in accordance with office policy.
  • Monitored aging accounts receivable balances ensuring timely resolution of outstanding balances.
  • Worked closely with clinical staff to ensure accurate coding practices were followed.
  • Ensured HIPAA compliance by maintaining confidentiality of all patient information.
  • Developed strategies for improving collections performance while reducing bad debt write-offs.
  • Performed quality assurance audits on submitted claims ensuring that they met industry standards.

Medical Biller

Psychiatric Alternatives
San Francisco, CA
01.2021 - Current
  • Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
  • Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
  • Compiled and processed data for billing purposes utilizing billing software programs.
  • Maintained up-to-date knowledge of government regulations related to healthcare reimbursement policies and procedures.
  • Generated reports in order to track payments due from insurance companies or other third party payers.
  • Submitted electronic claims to various insurance carriers.
  • Answered incoming calls regarding billing inquiries from patients and and or providers in a professional manner.
  • Performed daily reconciliation of accounts receivable with payment postings on the computer system.
  • Researched discrepancies between billed charges and payments received from insurance companies or other third party payers.
  • Performed follow up activities on unpaid claims with insurance companies or other third party payers by phone or written correspondence.
  • Created monthly aging reports to identify delinquent accounts for review by management team.
  • Assisted with collection efforts as needed including contacting patients via phone, mail or email for collection of past due balances due to insurance denials or patient responsibility amounts owed.
  • Collaborated with managers to develop strategies for improving revenue cycle processes.
  • Maintained accurate records of all billing activity in accordance with departmental standards.
  • Ensured compliance with HIPAA guidelines when handling confidential patient information.
  • Provided training and support to new staff members regarding billing processes.
  • Processed refunds requests timely and accurately according to established protocols.
  • Assisted in auditing process by verifying accuracy of submitted claim forms against documentation provided by physicians' offices.
  • Prepared detailed financial reports as requested by management team.

Customer Service Representative

Western Growers family of companies
Irvine
07.2024 - 10.2024
  • Answered customer inquiries and provided accurate information regarding products and services.
  • Provided excellent customer service to resolve customer complaints in a timely manner.
  • Gathered customer feedback through surveys and used the data to improve customer service.
  • Assisted customers with product selection, ordering, billing, returns, exchanges and technical support.
  • Maintained detailed records of customer interactions, transactions and comments for future reference.
  • Performed administrative tasks such as filing paperwork, updating databases and generating reports.
  • Resolved complex problems by working with other departments to provide solutions that meet customer needs.
  • Identified areas of improvement in customer service processes and suggested changes accordingly.
  • Developed strong relationships with customers by providing personalized assistance and support.
  • Tracked orders from start to finish to ensure timely delivery of goods or services.
  • Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
  • Answered incoming calls and emails, providing frontline customer support or assistance with product and service transactions.
  • Remained calm and professional in stressful circumstances and effectively diffused tense situations.
  • Answered inbound calls, chats and emails to facilitate customer service.
  • Developed strong customer relationships to encourage repeat business.
  • De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
  • Asked probing questions to determine service needs and accurately input information into electronic systems.
  • Informed customers about billing procedures, processed payments, and provided payment option setup assistance.
  • Used approved scripts to de-escalate angry customers during telephone interactions.
  • Engaged in conversation with customers to understand needs, resolve issues and answer product questions.

Agency Support Representative

Brown & Brown Of California
Oakland, CA
02.2022 - 07.2024
  • Provided customer service and technical support to clients in a call center environment.
  • Responded to inquiries from customers regarding products, services and account information.
  • Managed customer accounts by creating new accounts, updating existing accounts, and resolving billing issues.
  • Assisted customers with product selection and ordering processes.
  • Ensured customer satisfaction through timely resolution of inquiries and complaints.
  • Processed payments for orders received over the phone or online.
  • Maintained accurate records of all customer interactions using designated software applications.
  • Performed data entry into multiple databases for tracking purposes.

Education

Associate in Psychology - Psychology

Merritt College
Oakland, CA

Skills

software applications proficiency

  • Medicare and Medicaid process
  • Quality-oriented team player
  • Files and records management
  • Bill payment
  • Generally Accepted Accounting Principles (GAAP)
  • HIPAA Compliance
  • Payment posting
  • Disability claims process
  • Accounts Payable
  • Claim submission
  • Collections Management
  • Patient Billing
  • Insurance Verification
  • Billing and Collection Procedures
  • HIPAA Compliance Certification
  • Balance reconciliation
  • Claims Processing
  • Records Management
  • Chart Auditing
  • Teamwork and Collaboration
  • Information requests
  • Account Reconciliation
  • Multitasking and Organization
  • Clerical Support
  • Medical Transcription
  • Commercial and Private Insurance
  • Claims review
  • Account follow-up
  • CPT code modifiers
  • Medical terminology expert
  • Information inputting
  • Database systems
  • Records Maintenance
  • Account Management
  • Encrypted data management
  • NueMD
  • ICD-9
  • [Software] use
  • Medical Terminology
  • ICD-10 Coding
  • Regulatory Compliance
  • Payer Contracts
  • Insurance Billing
  • Electronic Claims
  • Medical record security
  • Collection calls
  • Billing security

Affiliations

  • Herbalist
  • Freelance projects
  • online tutor

Accomplishments

  • employee of the month
  • outstanding performance
  • Deans list
  • Customer service excellence award

Certification

  • microsoft certified

Timeline

Customer Service Representative

Western Growers family of companies
07.2024 - 10.2024

Medical Billing Specialist

Zymeda
02.2023 - Current

Agency Support Representative

Brown & Brown Of California
02.2022 - 07.2024

Medical Biller

Psychiatric Alternatives
01.2021 - Current

Associate in Psychology - Psychology

Merritt College

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Mindi Pendleton