Open To Work
Nakeya Blash
Roebuck
Summary
Professional with extensive experience in patient billing and account management within healthcare settings. Demonstrated ability to research and resolve discrepancies in patient accounts while ensuring compliance with HIPAA regulations.
Overview
7
7
years of professional experience
5
5
years of post-secondary education
Work History
Patient Account Representative
Conifer Health Solutions LLC
Bedford
11.2022 - Current
- Provided patient support regarding medical billing inquiries, insurance claims, and account balances, ensuring accurate account resolution and high customer satisfaction
- Investigated billing discrepancies, insurance claim denials, and payment issues to determine appropriate account resolution
- Reviewed CPT codes, diagnosis codes, and claim submissions to ensure billing accuracy and reduce claim denials.
- Interacted with other departments within the organization such as finance, accounting, IT, and Human Resources when necessary.
- Initiated collection activities on delinquent accounts while adhering to HIPAA guidelines and regulations.
- Updated existing patient files with relevant information such as changes in address or contact information.
- Ensured compliance with company policies concerning the privacy of confidential health information.
- Reviewed EOBs statements submitted by insurance companies for accuracy against provider's charges.
- Communicated frequently with healthcare providers regarding payment status updates on their claims submitted.
- Collaborated with relevant parties to resolve billing issues, insurance claims and patient payments.
- Recorded information about status of collection efforts.
Billing Specialist
RGL Associates
Brunswick
10.2021 - 08.2022
- Reviewed medical records to ensure accuracy of billing information and patient data.
- Verified insurance coverage and identified third-party payers for billing purposes.
- Sent medical records/claims/consent forms by fax or email when needed.
- Sent claims for adjustment when insurance responded.
- Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Monitored past due accounts and pursued collections on outstanding invoices.
- Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
- Reaching out to other coworkers to resolve trending denials.
- Sending coding request when claim denies invalid procedure or modifiers.
Billing Specialist
Paradigm Labs
St Simons Island
07.2019 - 08.2021
- Entering in correct diagnosis codes to match demos.
- Weighed envelopes containing statements to determine correct postage and affix postage.
- Adhering to HIPAA guidelines in regards to patient's info.
- Correctly placing samples with discrepancies on hold for the lab to look into.
- Detailed checks on statements ensuring address, name, and insurance is correct.
- Fill in other positions (answering phones) as needed.
- Verified insurance coverage and identified third-party payers for billing purposes.
- Performed data import, scanning or manual keying processes to verify invoice accuracy.
- Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
- Performed data entry to update customer accounts with payment details.
- Adhered to all applicable laws, regulations, and standards pertaining to billing practices.
- Monitored customer accounts regularly for potential problems or discrepancies.
- Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.
Education
Associate of Science - Health Science
Ultimate Medical Academy
Tampa, FL 09.2017 - 03.2019
High school diploma -
Brunswick High School
Brunswick, GA 08.2003 - 05.2007
Skills
Core Skills
- Medical Billing & Revenue Cycle
- CPT Knowledge
- Claims Processing
- Denial Management
- Billing & Collection Procedures
- Insurance Verification
- Medicaid & Medicare Knowledge
Administrative & Technical
- Electronic Health Record (EHR) Software
- Word Processing
- Files & Records Management
- Account Reconciliation
- Accounts Payable
Professional Strengths
- Multitasking & Organization
- Quality-Oriented Team Player
- Strong Communication Skills
- Time Management
Certifications & Professional Training
- HIPAA Compliance Certification
- Bloodborne Pathogens Training
- Controlled Substance Management & Diversion Awareness
- Workplace Violence Prevention
- Emergency Procedures Training
- Responsible Use of Technology
- Hand Hygiene / Infection Control
Work Preference
Job Search Status
Open to workWork Type
Full TimeLocation Preference
On-SiteRemoteSalary Range
$25/hr - $35/hrTimeline
Patient Account Representative
Conifer Health Solutions LLC
11.2022 - Current
Billing Specialist
RGL Associates
10.2021 - 08.2022
Billing Specialist
Paradigm Labs
07.2019 - 08.2021
Associate of Science - Health Science
Ultimate Medical Academy
09.2017 - 03.2019
High school diploma -
Brunswick High School
08.2003 - 05.2007