- Gardening
- Participating in local clean-up initiatives
- Avid Reader
- Exploring famous landmarks, historical sites, and cultural attractions in a new destination
- Community Cleanup
- Outdoor Recreation
- I participate in low-impact exercises to strengthen core muscles
- I like working with my hands and fixing things
- DIY and Home Improvement
- Animal Welfare Advocacy
- Historical Exploration
Natalie Baker
Norfolk,CT
Summary
Dynamic Insurance Collection Specialist with proven success at Connecticut Gi, adept at developing compliance-driven collection strategies and enhancing recovery rates. Skilled in claim processing and analytical problem-solving, I excel in managing delinquent accounts while fostering strong customer relationships. Committed to continuous improvement and delivering high-quality results in fast-paced environments.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Insurance Collection Specialist/Medical Coder
Connecticut Gi
05.2019 - Current
- Provided updates for all insurance carriers regarding claims processing, guidelines and prior authorization.
- Worked across multiple departments and teams of 100 employees to ensure uniform information is provided to all members of staff.
- Handled all projects related to insurance issues and resolved in a timely manner
- Track and report issues with reimbursement and/or policy issues
- Work closely with management and providers to ensure accuracy
- Schedule meetings with provider representatives at insurance carriers to discuss and resolve payor issues.
- Developed and documented collection procedures and policies to comply with government regulations.
- Located customers with overdue accounts and solicited payment in compliance with fair debt collection practices.
- Analyzed customer financial records to determine appropriate payment plan.
- Processed debtor payments and updated accounts to reflect new balance.
- Entered client details and notes into system for interdepartmental access and review.
- Monitored customer accounts for payment delinquency and initiated collection efforts.
- Prevented impending loss and increased profitability by enforcing scheduled collection campaigns, consistently achieving targeted recovery rate.
- Responded to customer inquiries and provided detailed account information.
- Researched billing errors and discrepancies to initiate corrective action.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Verified signatures and checked medical charts for accuracy and completion.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Generated reports to identify coding trends and discrepancies.
- Communicated with insurance companies to research and resolved coding discrepancies.
- Monitored changes in coding regulations to provide recommendations for compliance.
- Trained and mentored junior coders to support growth and development and apply high-quality coding practices.
- Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
- Followed exact procedures for handling transfers and other releases of medical records.
- Maintained accuracy, completeness, and security for medical records and health information.
- Used classification manuals to gain additional knowledge of disease and diagnoses processes.
- Tracked and monitored requests for medical records release.
- Researched and resolved medical record discrepancies.
- Assisted in preparation of medical reports for external parties.
- Verified accuracy of patient information in medical records.
- Processed and tracked requests for medical records from external organizations.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Followed up with medical staff regarding missing information in patient records.
Patient Accounts Supervisor
Cardiology Associates of Greater Waterbury
06.2018 - 05.2019
- Supervised a small 4-person team of coders and billers, along with 6 front desk staff, 4 prior authorization staff and 2 medical records staff
- Utilized computer programs to create invoices, letters, and other documents.
- Prepared reports detailing billing actions, flags, and other key information.
- Reconciled statements with patient records.
- Worked with outside entities to resolve issues with billing, claims, and payments.
- Monitored flags and resolved urgent items with accuracy and efficiency.
- Contacted patients after insurance was calculated to obtain payments.
- Posted payments and processed refunds.
- Electronically submitted bills according to compliance guidelines.
- Responded to patient, family, and external payer inquiries.
- Improved customer satisfaction scores through application of superior conflict resolution and problem-solving skills.
- Organized meetings for executives and coordinated availability of conference rooms for participants.
- Oversaw appointment scheduling and itinerary coordination for both clients and personnel.
- Kept high average of performance evaluations.
- Monitored front areas so that questions could be promptly addressed.
- Managed supervisor itinerary and appointments and streamlined scheduling procedures.
- Interceded between employees during arguments and diffused tense situations.
- Delegated tasks to administrative support staff to organize and improve office efficiency.
- Implemented project management techniques to overcome obstacles and increase team productivity.
- Developed internal requirements and standards to minimize regulatory risks and liability across programs.
- Coordinated individual duties after careful evaluation of each employee's skill level and knowledge.
- Resolved issues through active listening and open-ended questioning, escalating major problems to manager.
- Optimized organizational systems for payment collections, AP/AR, deposits, and recordkeeping.
- Built highly-efficient administrative team through ongoing coaching and professional development opportunities.
- Provided backup to front desk to step in to assist with various tasks whenever employee was absent or at lunch.
Medical Biller and Coder
Active Orthapaedics
06.2015 - 06.2018
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Reviewed medical records for completeness and filed records in alphabetic and numeric order.
- Input data into computer programs and filing systems.
- Sorted and distributed incoming and outgoing medical records.
- Transcribed and entered patient medical information into electronic medical records systems.
- Identified new methods to optimize medical records management.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Scanned and uploaded medical records into electronic medical records system.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
- Obtained client medical history, medication information, symptoms, and allergies.
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Performed medical records management, including filing, organizing and scanning documents.
- Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Explained procedures to patients to reduce anxieties and increase patient cooperation.
- Collected and documented patient medical information such as blood pressure and weight.
- Helped improve patient outcomes by educating and advising on relevant treatments and care.
- Taught patients about medications, procedures, and care plan instructions.
- Collected pertinent data and calculations to aid physician in interpreting results.
- Obtained and documented patient medical history, vital signs and current complaints at intake.
- Supported duties for diagnostic and technical treatment procedures, such as setting up and operating special medical equipment and apparatus.
- Assisted with routine checks and diagnostic testing by collecting and processing specimens.
- Collaborated with medical and administrative personnel to maintain patient-focused, engaging, and compassionate environment.
- Implemented care and efficiency improvements to support and enhance office operations.
- Liaised with patients and addressed inquiries, appointment requests and billing questions.
- Oriented and trained new staff on proper procedures and policies.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Verified signatures and checked medical charts for accuracy and completion.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Communicated with insurance companies to research and resolved coding discrepancies.
- Monitored changes in coding regulations to provide recommendations for compliance.
- Followed exact procedures for handling transfers and other releases of medical records.
- Maintained accuracy, completeness, and security for medical records and health information.
- Verified accuracy of patient information in medical records.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Followed up with medical staff regarding missing information in patient records.
Education
No Degree - Healthcare Administration
Branford Hall
Southington, CT06.2015
High School Diploma -
The Norton School
Norton On Tees, England06.1990
Skills
- Microsoft office
- Claim processing
- Policy interpretation
- Investigative research
- Adjustment posting
- Aging reports analysis
- Task prioritization
- Communication skills
- Process payments
- Team building
- Problem-solving aptitude
- Analytical and critical thinking
- Codes reviewing
- Billing procedures
- Documentation skills
- Teamwork and collaboration
- Creative problem solving
- Payment processing
- Customer relationship management
- Quality standards compliance
- Multitasking Abilities
- Billing dispute resolution
- Billing documentation
- Correspondence writing
- Work Planning and Prioritization
- Analytical skills
- Updating customer accounts
- Dispute resolution
- Bill processing
- Account monitoring
Certification
- CPC - Certified Professional Coder
- CPB Training - End of 2026
- CEMC Training - 2026
- AI in medical coding Training - 2026
- CGIC Training - 2026
Interests
Timeline
Insurance Collection Specialist/Medical Coder
Connecticut Gi
05.2019 - Current
Patient Accounts Supervisor
Cardiology Associates of Greater Waterbury
06.2018 - 05.2019
Medical Biller and Coder
Active Orthapaedics
06.2015 - 06.2018
No Degree - Healthcare Administration
Branford Hall
High School Diploma -
The Norton School