Nadine Byrd-Snow
Toledo
Summary
Dynamic Senior Insurance Follow-up Specialist with extensive experience at University of Toledo Physicians. Expert in medical billing and collections, proficient in EPIC and Athena systems. Strong communicator with a proven track record of resolving claims efficiently. Skilled in ICD-10 coding and adept at building relationships with clients and insurance providers.
Overview
24
24
years of professional experience
Work History
Senior Insurance Follow-up Specialist
University of Toledo Physicians
Toledo
10.2021 - Current
- Athena and EPIC billing system.
- Utilize Avality portal, Paramount and Anthem portal to check claim status and verify patient eligibility.
- Submit dispute and correspondence and utilize insurance chat as needed.
- Complied data for billing personnel.
- Expedited communication between upper-level management and Supervisors.
- Paramount, Commercial insurance and Anthem Commercial claims.
- Call and verify on accounts that needs appealed or to get resolution.
- Fax appeals and medical records as needed for the payer.
Ohio Audiology Patient Care Specialist
Mobile Care Group
Sylvania
01.2020 - 03.2020
- Follow all company policies.
- Ordering hearing aids.
- Proficient with hearing aid needs.
- Full knowledge of insurance websites.
- Communicating well with customers and employees.
- Following and scheduling patient’s appointments.
- Able to prioritize and managed time.
- Prepared and maintaining reports for management review.
- Maintaining good communication with billers and collection coordinator.
AR MI Optical Medical Billing/ Collection
Mobile Care Group
Sylvania
07.2013 - 01.2020
- Followed all company policies.
- Proficient with Advanced billing system.
- Full knowledge of insurance websites.
- Communicates well with customers and employees.
- Follow HIPPA guidelines.
- Prioritized and managed time.
- Prepared and maintain reports for management review.
- Reviewed and recognized denial issues or incorrect patient or insurance information on accounts.
- Maintained good communication with biller and collection coordinator.
- Submitted HCFA 1500 claims to MI Medicare, MI Medicaid and MI Commercial Insurances.
- Resubmitted claims or submits the necessary appeals or medical documentation to correct the denied claim.
- Take patient s calls to resolve billing issues along with contacting insurance companies for denial.
- Able to bill in the necessary portals for claim payments through Advanced Billing System.
- Willing to take on additional responsibilities.
AR Transportation Collection Specialist
Accountemps Services
Maumee
03.2011 - 08.2011
- Pull daily spreadsheets for payment status, bill out carriers / customer’s invoices.
- Report possible credit holds for accounts 90 and above past due.
- Build relationships with customers for service.
- Daily follow- up & mailed invoices, pull POD (Purchase of delivery), re bills (resubmit) as needed.
- Called and emailed customer regarding past due accounts.
Medical General Clerk
Heartland Care Partners
Toledo
07.2003 - 07.2007
- Document records and follow up with clinicians of missing information in a timely manner.
- Pulled face sheets and medical records as requested.
- Batched incoming commercial payments.
Medicare Payment Poster
Pathology Laboratories
Toledo
04.2001 - 07.2003
- Misys billing system.
- Medicare electronic posting.
- Evaluating EOB (Explanation of benefits).
- Submitted remaining balance to secondary, third-party insurance and patients.
- Enter information into the system to record customers outstanding balances.
Education
Associate of Applied Science - Health Information Technology
Kaplan University
Davenport, IA11.2011
Vocational diploma - Medical Insurance Specialist
Professional Skills Institute
Toledo, OH03.2001
Skills
- Microsoft Office Applications
- Outlook
- PowerPoint
- Excel
- Data Base Programs
- Office Equipment
- Fax Machines
- Postage Machines
- Filing
- Scanner
- Photocopies
- Switchboards
- Medical Billing
- Collection
- Pharmacy
- Ambulance
- Ohio Medicare
- Michigan Medicare
- Ohio Medicaid
- Michigan Medicaid
- Commercial Insurance
- ICD-10
- CPT Coding
References
REFERENCES and EMPLOYMENT GAPS AVAILABLE UPON REQUEST
Timeline
Senior Insurance Follow-up Specialist
University of Toledo Physicians
10.2021 - Current
Ohio Audiology Patient Care Specialist
Mobile Care Group
01.2020 - 03.2020
AR MI Optical Medical Billing/ Collection
Mobile Care Group
07.2013 - 01.2020
AR Transportation Collection Specialist
Accountemps Services
03.2011 - 08.2011
Medical General Clerk
Heartland Care Partners
07.2003 - 07.2007
Medicare Payment Poster
Pathology Laboratories
04.2001 - 07.2003
Associate of Applied Science - Health Information Technology
Kaplan University
Vocational diploma - Medical Insurance Specialist
Professional Skills Institute
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