Pursuing full-time role that presents professional challenges and leverages interpersonal skills, effective time management, and problem-solving expertise.
Overview
14
14
years of professional experience
Work History
Billing Specialist
Wake Radiology
02.2019 - 07.2026
Streamlined the updating of insurance claims, emphasizing promptness and correctness.
Reviewed overdue accounts and executed collection tasks.
Confirmed acquisition for correct authorizations and essential documents.
Analyzed complex account issues involving third-party reconciliations of accounts, including billing, coding, credit balances, and reimbursements of accounts.
Acted as an intermediary between clinic staff and the billing team.
Billing and Collection Specialist
Anne Arundel Dermatology
04.2016 - 02.2019
Updated and process insurance claims for time and accuracy.
Monitor delinquent accounts and perform collection duties.
Verified authorizations and necessary documentation is obtained.
Analyzed complex account issues involving third party reconciliation of accounts including billing, coding, credit balances and reimbursements of accounts.
Served as a liaison between the clinic and billing department.
Reviewed billing for accuracy and obtained missing information.
Medicare Account Representative
Sentara Healthcare
12.2012 - 04.2016
Collect, post and manage patient account payments and submit claim forms to Medicare, Medicaid and third-party insurance.
Documented patient data and medical records, and perform routine medical record audits to comply with insurance company requirements.
Accurately input procedure and diagnosis codes into billing software to generate invoices.
Provide customer service support over the telephone and electronically to meet customer needs.
Completed the Medicare Appeal process because of denied insurance claims utilizing and adhering to Medicare guidelines.
Edited rejected claims within Emdeon
Education
Medical Billing & Coding Certificate -
Norfolk State University
Norfolk, VA
07-2014
Skills
CPR Certified
Medical Terminology
Insurance Terminology
CPT
ICD-10 coding
HIPAA/Patient Confidentiality
Data Management
Claim review
Microsoft Office Systems (Word, Excel, PowerPoint, Office)