Natalia Harrison
Lodi,CA
Summary
Organized Medical Biller thoroughly versed in medical coding and HIPAA requirements. Personable professional with several years of hands-on experience claiming refunds, reviewing claims, and maintaining billing reports. Accommodating and helpful team player proficient in job-related billing software.
Analytical medical biller successful at resolving disputes and billing inquiries. Detail-oriented individual with several years of experience performing intricate billing procedures with undeniable level of detail. Familiar with private and commercial insurance carriers.
Organized medical biller boasts several-year career performing difficult multitasking and claims-processing tasks. Works quickly with insurance companies to resolve problematic disputes and handle patient inquiries. Brings can-do attitude to collaborating with medical professionals, insurance providers and clients to handle invoicing within high-traffic office environment.
Logical Medical Biller proudly offers many years of experience reviewing accounts and maintaining patient records. Driven professional with background in medical terminology and coding. Recognized task prioritization expertise in fast-paced environments.
Overview
16
16
years of professional experience
Work History
Senior Medical Billing Specialist
Stockton Hematology Oncology Cancer Center
Stockton , CA
12.2019 - Current
- Analyzed patient accounts for accuracy and completeness of documentation and billing information.
- Developed and implemented processes to ensure accurate coding of diagnoses and procedures.
- Monitored changes in insurance regulations, policies, and guidelines to ensure compliance with all federal, state, and local laws.
- Performed data entry into electronic health records system for billing purposes.
- Resolved discrepancies between charges billed and payments received from insurance companies or other third-party payers.
- Reviewed claims rejections and denials to determine appropriate action needed for resolution.
- Processed appeals on denied claims as necessary.
- Responded to inquiries from providers regarding claim status, reimbursement rates.
- Prepared monthly reports summarizing billing activities.
- Maintained accurate accounting records related to medical billings.
- Reconciled accounts receivable balances with third party payers on a regular basis.
- Provided training and support to staff members on medical billing processes.
- Reviewed payment plans with patients according to established protocols.
- Identified trends in denials that can be addressed through improved education or process improvement initiatives.
- Participated in meetings with healthcare providers concerning billing issues.
- Updated patient accounts as needed based on changes in insurance coverage or financial responsibility.
CCS Coordinator
Health Plan of San Joaquin
French Camp, California
04.2012 - 12.2019
- Assisted in the development and implementation of a CCMS system for tracking and managing client information.
- Provided technical support to users on the utilization of the CCMS program, including training as needed.
- Prepared reports on data related to CCMS usage, such as number of clients served and services provided.
- Maintained documentation on configurations and maintenance using component labeling and technical diagrams.
Medical Billing Specialist
Pacific Heart and Vascular Medical Group
Stockton, California
08.2008 - 04.2012
- Initiated collection efforts on unpaid accounts by contacting insurance companies or patients directly via phone or mail.
- Provided customer service support to patients who had questions about their bills or payments due.
- Researched complex billing issues involving multiple providers or services rendered over a period of time.
- Assisted with the reconciliation of accounts receivable ledgers at month-end close process.
- Generated monthly invoices for patients based on services provided according to established fee schedules.
- Submitted appeals for denied claims when appropriate according to the insurance company's criteria.
- Updated patient accounts with information obtained from internal departments or external sources.
- Processed credit card payments from patients in accordance with office policy.
- Monitored aging accounts receivable balances ensuring timely resolution of outstanding balances.
- Worked closely with clinical staff to ensure accurate coding practices were followed.
- Ensured HIPAA compliance by maintaining confidentiality of all patient information.
- Developed strategies for improving collections performance while reducing bad debt write-offs.
- Performed quality assurance audits on submitted claims ensuring that they met industry standards.
- Reviewed patient records for accuracy and completeness of information in medical billing system.
Education
Associate of Arts -
San Joaquin Delta College
Stockton, CASkills
- Chart Auditing
- Claims Processing
- Medical Transcription
- Claims review
- Multitasking and Organization
- Clerical Support
- HIPAA Compliance Certification
- Billing and Collection Procedures
- Teamwork and Collaboration
- Records Management
- Claim review
- Insurance Claims
- Payment posting
- Database systems
- Payer Contracts
- [Number] WPM
- Information inputting
- Work Prioritization
- Customer Service
- Data security procedures
- Verbal and Written Communication
- Critical Thinking
- ICD-10 Coding
- Operations Support
- Reimbursements
- Submission of medical claims
- Worker's Compensation Knowledge
- Medical record security
- Electronic Claims
- Patient Collections
- Medical Billing
- CPT code modifiers
- Medicaid and Medicare Knowledge
Timeline
Senior Medical Billing Specialist
Stockton Hematology Oncology Cancer Center
12.2019 - Current
CCS Coordinator
Health Plan of San Joaquin
04.2012 - 12.2019
Medical Billing Specialist
Pacific Heart and Vascular Medical Group
08.2008 - 04.2012
Associate of Arts -
San Joaquin Delta College
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