Nichol Coleman
Maryland Heights,MO
Summary
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
23
23
years of professional experience
Work History
Medical Billing Specialist
Professional Solutions Stat, LLC
SAINT LOUIS, MO
06.2001 - Current
- 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.
- 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.
- Reviewed patient records for accuracy and completeness of information in medical billing system.
- Resolved discrepancies between insurance companies and patients regarding payment of bills.
- Maintained detailed records of all billing activities including denials, adjustments, and payments received.
- Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Reviewed and verified benefits and eligibility with speed and precision.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
Education
High School Diploma -
Mccluer North High School
Florissant, MO06-1991
Skills
- Billing and Collection Procedures
- Commercial and Private Insurance
- Multitasking and Organization
- Claims Processing
- Teamwork and Collaboration
- Clerical Support
- Account Reconciliation
- Patient Billing
- Work Prioritization
- Billing codes
- Insurance Verification
- Submission of medical claims
- Accounts Receivable
- Insurance Claims
- Data Entry
- Worker's Compensation Knowledge
- ICD-10 Coding
- CPT code modifiers
- CMS-1500 Billing Forms
- Medicaid and Medicare Knowledge
- CONNECT & EPIC(SOFTWARE)
- Critical Thinking
- Customer Service
- HIPAA Compliance
- Account follow-up
Custom
- I am a very quick learner & detail oriented. I take my job seriously & try to do the best that I can to be a great asset. Definitely a team player. I strongly believe in treating others as you would like to be treated. I like to create & maintain a pleasant working environment.
Timeline
Medical Billing Specialist
Professional Solutions Stat, LLC
06.2001 - Current
High School Diploma -
Mccluer North High School
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