Nadia Sidiki
Richmond,TX
Summary
In my previous role at C2C Innovative Solutions, I successfully reviewed and verified case files, ensuring compliance with dispute resolution guidelines and supported reconsideration professionals and physician reviewers in second-level dispute cases. This experience has equipped me with excellent organizational and detail-oriented skills, which I believe will be highly beneficial for this position. In my previous jobs as a medical biller, I had to assist clients navigate their provider portals for various billing systems.
Overview
15
15
years of professional experience
Work History
DISPUTE RESOLUTION ANALYST
C2C INNOVATIVE SOLUTIONS
05.2024 - Current
- Reviewed and verified case files, ensuring compliance with dispute resolution guidelines.
- Supported reconsideration professionals and physician reviewers in second-level dispute cases.
- Demonstrated strong organizational and time management skills while managing multiple projects.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
MEDICAL BILLER/ASSISTANT OFFICE MANAGER
TOP BLOOD LABORATORY
08.2023 - 03.2024
- Processed billing claims, resolved insurance discrepancies, and coordinated with patients to ensure smooth revenue operations.
- Coordinated meetings between lab owners and the billing team, addressing claims issues and suggesting ways to resolve them.
- Trained new staff on how to use the medical billing software.
SUBSTITUTE TEACHER
Fort Bend Independent School District
08.2020 - 03.2023
- Provided tailored academic support to students with diverse needs, collaborating with teachers to enhance learning outcomes.
- Adapted curriculum and teaching methods for special education students, fostering an inclusive classroom environment.
- Collaborated with special education teachers and multidisciplinary teams to evaluate and adjust student support plans as needed.
- Partnered with special education teachers to devise and execute individualized education plans (IEPs), ensuring customized support strategies that encourage student success.
- Conducted one on one and small group sessions to reinforce learning objectives, using adaptive teaching methods to meet unique student needs.
MEDICAL BILLER
Elite Diagnostics
08.2010 - 03.2020
- Delivered timely and accurate charge submissions.
- Filed and updated patient information and medical records.
- Liaised between patients, insurance companies, and billing office.
- Adhered to established standards to safeguard patients' health information.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Posted payments and collections on regular basis.
- Communicated with insurance providers to resolve denied claims and resubmitted.
MEDICAL BILLING SPECIALIST
Labtest Diagnostics
08.2010 - 01.2013
- Led the credentialing process for clients with key insurance providers, including Medicare and Medicaid, to comply with all regulatory standards and procedures.
- Processed and submitted insurance claims with a deep understanding of insurance and health care billing codes, maximizing claim acceptance rates.
- Managed accounts receivable, actively pursuing outstanding claims to decrease the balance of aging accounts.
- Introduced billing strategies and procedures that improved the billing department's efficiency and accuracy.
Education
Bachelor of Science -
Lindenwood University
Saint Charles, MO05.2006
Skills
- Account resolution
- Critical thinking
- Teamwork and collaboration
- Microsoft Excel
- Data entry and management
- Microsoft office
- Teamwork
- Written communication
- Attention to detail
- Interpersonal skills
- Customer Service
Timeline
DISPUTE RESOLUTION ANALYST
C2C INNOVATIVE SOLUTIONS
05.2024 - Current
MEDICAL BILLER/ASSISTANT OFFICE MANAGER
TOP BLOOD LABORATORY
08.2023 - 03.2024
SUBSTITUTE TEACHER
Fort Bend Independent School District
08.2020 - 03.2023
MEDICAL BILLER
Elite Diagnostics
08.2010 - 03.2020
MEDICAL BILLING SPECIALIST
Labtest Diagnostics
08.2010 - 01.2013
Bachelor of Science -
Lindenwood University
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