NATALEE HALSTEAD
Milwaukee,WI
Summary
Accountable Insurance Representative with excellent patient management and insurance policies and benefits. Highly effective juggler of multiple competing responsibilities simultaneously. Proven history of exceptional time management and customer service. Reliable employee seeking position. Offering excellent communication and good judgment. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Experienced Insurance adjudication Specialists with over 9 years of experience in medical billing/coding. Excellent reputation for resolving problems and improving customer satisfaction.
Overview
19
19
years of professional experience
Work History
Medical Billing Follow up Rep
Aurora Advanced Healthcare
Milwaukee, WI
03.2023 - Current
- Ensured accurate submission of insurance claims by reviewing and correcting claim edit errors.
- Addressed discrepancies in denied claims to ensure resolution.
- Submitted appeals with supporting medical records to insurance.
- Reviewed and added referrals to patient files.
- Submitted corrected claims.
- contacted the insurance to correct the dates of active referrals to cover the total date span of visits.
- Attended software upgrade presentations to provide feedback, address issues, and notify coworkers of new and updated features.
- Worked closely with the lead on current issues and trends within insurance billing processes.
Insurance Adjudication Specialist
State Collection Service
12.2013 - Current
- Made contact with insurance carriers to discuss policies and individual patient benefits
- Maintained strong knowledge of basic medical terminology to better understand services and procedures
- Observed strict procedures to protect sensitive patient information, medical records and payment data
- Verified client information by analyzing existing evidence on file
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt
- Posted payments to accounts and maintained records
- Reviewed 250 patient cases per week and verified insurance coverage information
- Determined appropriateness of payers to protect organization and minimize risk
- Utilized Epic to document and track customer account details
Insurance Adjudication Specialist
Roeschen's Omnicare Pharmacy
Milwaukee
04.2006 - 08.2013
- Tracked pending authorizations to resolve discrepancies and avoid revenue loss
- Processed eligibility and benefits verification and authorization requests
- Followed up on denials, late payments, extensions and other special circumstances
- Resolved discrepancies in insurance payments by collaborating with carriers
- Maintained high standards of customer service by building relationships with clients
Education
High School -
Bay View High School
Milwaukee, WI05.2000
Skills
- Customer Service
- Healthcare Common Procedure Coding System (HCPCS)
- Financial Needs Assessment
- Insurance Coverage Verification
- Insurance Knowledge
- Microsoft Excel
- Web Browser Software
- Customer Complaint Resolution
- Microsoft Windows
- Benefits Verifications
- Information Updates
- Customer Billing
- Patient Account Reviews
- Critical Thinking
- Medicare Compliance
- Microsoft Office
- Microsoft Outlook
- Training Junior Team Members
- Quality Assurance Requirements
- Documentation Abilities
- Policyholder Communication
- Insurance Terminology
- Medical Billing
- Attention to Detail
- Insurance Plan Verification
- Prior Authorization Processing
- Medical Terminology
- CPT Coding
- Medical Coding
- Patient Health Information Access
- Computer Proficiency
- Reviewing Patient Information
- Regulatory Documentation
- Claim Forms
- Status Updates
- Diagnostic Codes
- Patient Eligibility Requirements
- Maintaining Compliance
- Insurance Practices
- Time Management
- Revenue Cycle Management
- Call Center Customer Service
- Insurance Authorizations
- Reading Comprehension
- Explaining Patient Benefits
- Website Tools
Timeline
Medical Billing Follow up Rep
Aurora Advanced Healthcare
03.2023 - Current
Insurance Adjudication Specialist
State Collection Service
12.2013 - Current
Insurance Adjudication Specialist
Roeschen's Omnicare Pharmacy
04.2006 - 08.2013
High School -
Bay View High School