Mindy Drake
Succasunna,NJ
Summary
Dynamic Medical Biller with extensive expertise in accounts receivable management, denial resolution, and insurance verification. Proven ability to enhance billing accuracy and payment processes while fostering positive patient engagement through strong decision-making, organizational, and communication skills. Seeking an REMOTE, medical billing environment, ensuring workflow continuity. I am familiar with Adept at coordinating with front office staff to ensure updated demographics/insurance in claims processing and ensure a clean claim.
Overview
26
26
years of professional experience
Work History
Father
Family Caregiver
03.2024 - 07.2025
- I made the decision to resign from Tri-County Orthopedic to take care of my terminally ill Father, who was on hospice.
- This experience, while personally demanding, has strengthened my resilience, time management, and organizational skills. It also underscored the importance of compassion, empathy, and dedication in every aspect of life.
- After completing all the aspects as Executor of the Estate, I am eager to re-enter the work force.
A/R Collection/Senior Billing Specialist
Tri-County Orthopedic and Sports Medicine
05.2023 - 03.2024
- Analyze, research, and resolve billing issues while working A/R report
- Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
- Worked with multiple departments to check proper billing information.
- Maximized revenue potential by identifying and resolving under-billed accounts.
- Maintained up-to-date knowledge of billing regulations and compliance requirements, ensuring adherence to legal standards.
- Knowledgeable in Greenway Health
- Verified accuracy of accounts payable payments, resulting in reduction of payment errors and check reissues.
Patient Access Representative
Atlantic Health System
11.2021 - 05.2023
- Obtained essential health insurance/financial information for accuracy of billing claims and other under fast paced and often stressful situations.
- Managed approximately 25 incoming calls, emails and faxes per day from staff or patients.
- Verify Insurance such as eligibility, benefit coverage and patient financial responsibility.
- Collected copays/Deductibles. Provide Good Faith Estimates to uninsured patients if they did not qualify for Presumptive Eligibility.
- Utilized HIPAA guidelines when dealing with the patient's private medical information.
- Prepared and explained Medical Policies and Consents for patients.
- Knowledgeable in EPIC Software.
- Provided excellent customer service through active listening skills, understanding patient needs, and offering tailored solutions where applicable.
Medical Billing Specialist
Eye Centers of America, LLC
10.2020 - 11.2021
- Identified and resolved issues/trends causing payment denials for my assigned 23 Physicians.
- Extensive knowledge to review EOB denials from Medicare, Medicaid and Commercial payers then took appropriate steps to appeal/correct claims accordingly.
- Handled large volume of patient calls regarding their balances while maintaining strong patient satisfaction and understanding.
- Kept up to date of Retina/Optometry billing to ensure maximum reimbursement.
- Utilized medical platforms such as insurance website portals to keep current for CPT medical policies and verified insurance eligibility/medical benefits.
- Extensive knowledge in Athena Health Billing System.
Billing Manager
The Dermatology Specialist
08.2016 - 10.2020
- Received approximately 35 calls per days, once monthly patient statements were sent out.
- Knowledgeable in Dermatology/Pathology billing to insure maximum reimbursement.
- Kept Physicians informed regarding bundled procedures.
- Proficient in Athena Health Billing System.
- Supported front desk and other billers with billing issues/questions in a pleasant manner.
- Worked on insurance A/R report and managed daily flow of claims process in a timely manner.
Billing Manager
Nephrological Associates, PA
01.2011 - 08.2016
- Audit coding to ensure maximum reimbursement.
- Prepared clean claims for electronic submission using Payer Path.
- Posted Medicare and insurance payments and appeal claims as needed.
- Worked insurance pending report/EOB denials for outstanding A/R.
- Helped front office resolve patient billing issues regarding copays and balances.
- Prepare accounts for the collection agency if all attempts have been exhausted.
- Credentialed Physicians with insurance companies and kept documents updated.
Practice and Billing Manager
Chester I. Stone, M.D., P.A.
01.2000 - 01.2011
- Resolved all calls from patients that required the managers attention.
- Implemented objectives, policies, and protocols for my four direct reports.
- Credentialing of medical staff and maintain Physicians credentials with CAQH.
- Utilized HIPAA guidelines when dealing with the patient's private medical condition.
- Obtained prior authorization/referrals prior to scheduled procedure.
- Notified patients of their financial responsibility such as co-pays, deductibles and coinsurance while ensuring they are treated with care and concern.
- Knowledgeable in Allscripts Misys Excalibur billing software.
- Specializing in Urology
- Maintained up-to-date knowledge of industry regulations, ensuring billing department's compliance and protecting company from potential fines.
Education
High School Diploma -
West Morris High School
Long Valley, NJSkills
- Management of receivables
- Timely payment entry
- Skilled in prioritizing responsibilities
- CPT code modification
- Proficient in Athena, Epic, and Greenway Health
- Efficient account follow-up
- Claims denial resolution
- Patient account management
- Denial resolution expertise
- Verification of insurance details
- Expertise in claims processing
- Oversight of electronic claims processing
- Understanding of HIPAA standards
- Billing processes management
- HIPAA compliance
- Denial management
Timeline
Father
Family Caregiver
03.2024 - 07.2025
A/R Collection/Senior Billing Specialist
Tri-County Orthopedic and Sports Medicine
05.2023 - 03.2024
Patient Access Representative
Atlantic Health System
11.2021 - 05.2023
Medical Billing Specialist
Eye Centers of America, LLC
10.2020 - 11.2021
Billing Manager
The Dermatology Specialist
08.2016 - 10.2020
Billing Manager
Nephrological Associates, PA
01.2011 - 08.2016
Practice and Billing Manager
Chester I. Stone, M.D., P.A.
01.2000 - 01.2011
High School Diploma -
West Morris High School
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