Natalie Pierce
Gainesville,GA
Summary
I am an experienced medical specialist with over 30 years of healthcare billing knowledge looking for my perfect fit. My abilities involve simple and complex billing ensuring accurate and timely claims processing and claims submission for high volume practices and providers.
I utilize my in-depth knowledge of medical coding and insurance guidelines to bill and resolve any billing issues efficiently. I am skilled in medical coding, claims processing, and revenue cycle management. My talents include accuracy, efficiency, and strong communication abilities within myself and my providers and team leads.
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Overview
16
16
years of professional experience
Work History
Medical Biller
Alliance Ortho/Health Systems
02.2024 - 04.2025
- Medical Biller for 11 Chiropractic providers involving Electronic and paper Claims
- Meet daily, monthly and quarterly billing metrics
- Billed all insurance types, PIP, Work comp, government policies, self pay as well as in and out of network.
- Reviewed claims for error's the next day from previous submissions, correct these and resubmit
- Scan and Release Medicare claims for Alliance providers that have met deductible's
- Worked within Salesforce for authorization process
Billing Specialist
Chirotouch CTProbill
01.2023 - 02.2024
- Daily Billing of Clinics including scrubbing claims for any errors, if errors notify the clinic or add to a shared file or correct, depending on the contract with the provider
- Proficient with all in and out of network insurance payer's as well as WC, PIP, attorney and government policies
- Send and Faxed Medical Records and other documentation to payors as requested
- Followed Daily Billing Updates with all payers
- Meet daily, monthly and quarterly billing metrics
- Verification of Prior authorizations and demographics prior to claim submission
- Work along side of the A/R team
- Direct contact with practices
- Hybrid work atmosphere
Billing & Care Manager
Athens Heart Center
05.2017 - 08.2022
- Billing for Cardiology, Pain management & Primary Care involving 5 providers including claim submission to EHR as well as paper claims.
- All Billing duties within the department
- Worked A/R, rejections, claims pending for further documentation and appeals
- Post payments received from all payors and patients
- Send Medical Records and other documentation to payors as requested
- Care Manager with Health Wealth with Dr
- Agrawal's patients
- Called patients to check on them in between appointments, monitored and answered any patient needs
- Assessing patients needs involving device instructions with their at home prescribed device
- Developed personalized care plans for the patients
Senior Medical Secretary to Multiple Surgeons
Emory Hospital Clinic Midtown Campus; Atlanta, Ga
06.2009 - 08.2012
- Supported and assisted 2 of plastic surgeons and 1 surgical oncologist in a high traffic environment
- Managed all referrals and consults involving all specialties for each patient's needs prior to surgery
- Served as main contact with sales reps on orders for implantable devices with outside distributors
- Recognized for administrative and patient satisfaction by Department of Surgery Administrative Professionals Symposium, April 2011
- Assisted with orientation for students, interns, and residents; assisting in tracking vacations, conferences, and symposiums for all plastic surgeons and ensured coverage on plastic surgery call schedule
- Performed as primary contact for Winship Cancer Institute and Radiation and Medical Oncology Departments involving our practice for cancer treatment consultations
- Received Certificate of Appreciation for Exceeding Patient Expectations twice from Emory patient relations and physician and numerous Press Ganey accolades
Education
Diploma - High School
Duluth High School
Duluth, Georgia05-1991
Georgia Perimeter College
Dunwoody, GeorgiaSkills
- Excellent Communication Skills
- HCFA 1500, UB04 experience
- Billing/ Coding/ Physician Reimbursements Ambulatory Surgery Centers/ ICD10, CPT, HCPCS specialist
- Computer Skills: Microsoft Word, Excel, EMR, Care tracker, SRS, Nextech, Medical Manager, IDX, Insight, Chirotouch, Trizeto, Waystar, Ring Central, Teams, Carecloud, Salesforce, Google programs
- Process authorization requests
- Worked all types of claims: state, federal , WC, Auto, In-network and out of network healthcare claims
- Knowledge of Medical Terminology and ICD-10
- Experience with handling denials
- Familiarity with Medicare and Medicare billing procedures
- Maintain billing records and ensure timely submission of invoices to clients
- Ability to work independently and remotely
- Experience with electronic health records (EHR) and other programs
- Submit Electronic Claims in a timely manner
- Research, resolve and resubmit any rejected claims in a timely manner
- Post payments received from payors
- Send Medical Records and other documentation to payors as requested
- Meet daily, monthly and quarterly billing metrics
- HIPAA compliance
- Insurance billing
- Patient billing
- Medical terminology expert
- CPT code modifiers
Timeline
Medical Biller
Alliance Ortho/Health Systems
02.2024 - 04.2025
Billing Specialist
Chirotouch CTProbill
01.2023 - 02.2024
Billing & Care Manager
Athens Heart Center
05.2017 - 08.2022
Senior Medical Secretary to Multiple Surgeons
Emory Hospital Clinic Midtown Campus; Atlanta, Ga
06.2009 - 08.2012
Diploma - High School
Duluth High School
Georgia Perimeter College
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