Nicole Callison
Chillicothe,IL
Summary
Diligent Medical Billing and Collections Specialist with 18 years experience in medical billing and collections. Successfully managed billing cycles and facilitated collections processes, ensuring timely reimbursements. Skilled in medical billing software and conflict resolution, I implemented efficient workflows that boosted productivity and accuracy, ensuring compliance with HIPAA regulations while delivering exceptional patient service. Demonstrated proficiency in coding and claims processing, combined with excellent attention to detail and problem-solving skills.
Overview
21
21
years of professional experience
Work History
Medical Billing and Collections Specialist
Baton Rouge Orthopaedic Clinic
05.2007 - Current
- Reduced claim denials by diligently reviewing patient records for correct coding and billing information.
- Prevented unnecessary loss of revenue due to late or incomplete billing by meticulously tracking all accounts and ensuring timely submission of accurate claim forms.
- Provided essential support to the medical billing team, allowing for a more efficient and effective overall operation within the department.
- Implemented efficient workflows within the department that led to increased productivity levels among staff members while reducing errors in claim submissions.
- Facilitated effective communication between healthcare providers, patients, and insurance companies to resolve billing disputes promptly.
- Collaborated with team members to identify trends in unpaid claims and develop strategies for resolution.
- Provided exceptional customer service to patients regarding their account balances, addressing concerns and answering questions in a professional manner.
- Improved cash flow through timely follow-up on outstanding accounts, negotiating payment plans, and collecting overdue payments.
- Assisted in maintaining a high-quality database of patient information by accurately entering demographic and insurance details into the system.
- Ensured compliance with industry regulations by staying up-to-date on changes to medical billing procedures and guidelines.
- Trained new employees on medical billing software, policies, and procedures, ensuring accuracy in claims submission from day one.
- Processed online and paper appeal submissions and refund requests.
- Corrected, completed and processed claims for multiple payer codes.
- Processed billing calls and answered questions from patients and third-party carriers.
- Assisted in reconciling deposit and patient collections.
- Logged charges and payments.
- Monitored outstanding invoices and performed collections duties.
- Handled account payments and provided information regarding outstanding balances.
- Responded to customer concerns and questions on daily basis.
- Used data entry skills to accurately document and input statements.
- Utilized various software programs to process customer payments.
- Collaborated with customers to resolve disputes.
- Generated monthly billing and posting reports for management review.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Maintained accurate records of customer payments.
- Reconciled accounts receivable to general ledger.
Certified Medical Assistant
Baton Rouge Physical Medicine
08.2004 - 05.2007
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Called and faxed pharmacies to submit prescriptions and refills.
- Provided compassionate care for patients, addressing their concerns and ensuring a positive experience.
- Assisted physicians with various procedures, ensuring comfort and accuracy for optimal patient outcomes.
- Collected and documented patient medical information such as blood pressure and weight.
- Reduced wait times for patients by maintaining an organized schedule and swiftly preparing examination rooms.
- Conducted preliminary patient evaluations measuring weight, temperature and blood pressure.
- Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
- Enhanced clinic efficiency by thoroughly documenting patient information and updating electronic health records.
- Contributed to a welcoming atmosphere at the practice by greeting patients warmly upon arrival, checking them in efficiently, and answering any questions they had about their visit or overall healthcare needs.
- Taught patients about medications, procedures, and care plan instructions.
- Communicated clearly and effectively with patients to verify information, determine purpose of visit and record medical history.
- Prepared and administered medications to alleviate patient symptoms.
- Improved patient satisfaction by providing efficient and accurate medical assistance during appointments.
- Directed patients to examining rooms and coordinated transportation assistance as necessary.
- Promoted office efficiency, coordinating charts, completing insurance forms, and helping patients with diverse needs.
- Increased patient safety by meticulously following infection control protocols and maintaining a sterile environment.
- Facilitated continuity of care through proper scheduling of follow-up appointments based on physician recommendations.
- Educated patients on preventative care measures, effectively reducing the risk of future health complications.
- Optimized inventory management, ordering supplies as needed while minimizing waste and adhering to budget constraints.
- Expedited insurance claims processing by verifying coverage details and submitting accurate documentation in a timely manner.
- Obtained client medical history, medication information, symptoms, and allergies.
- 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.
- Obtained and documented patient medical history, vital signs and current complaints at intake.
- Explained procedures to patients to reduce anxieties and increase patient cooperation.
- Oriented and trained new staff on proper procedures and policies.
Education
Live Oak High School
Watson, LANo Degree - Medical Assisting
MedVance Institute
Baton Rouge, LA05-2004
Skills
- Denial resolution
- Medical billing software proficiency
- Claims processing proficiency
- HIPAA compliance
- Continuous learning mindset
- Electronic health records experience
- Insurance verification
- Conflict resolution
- Data entry proficiency
- Payment posting accuracy
- Accounts receivable management
- Medical coding expertise
- ICD-10
Timeline
Medical Billing and Collections Specialist
Baton Rouge Orthopaedic Clinic
05.2007 - Current
Certified Medical Assistant
Baton Rouge Physical Medicine
08.2004 - 05.2007
Live Oak High School
No Degree - Medical Assisting
MedVance Institute
Similar Profiles
Rachael MelanconRachael Melancon
Physical Therapy Technician at Baton Rouge Orthopaedic ClinicPhysical Therapy Technician at Baton Rouge Orthopaedic Clinic
Timothy FerrellTimothy Ferrell
Student Medical Assistant at Baton Rouge Orthopaedic ClinicStudent Medical Assistant at Baton Rouge Orthopaedic Clinic
Marta GoffMarta Goff
Clinical Medical Assistant - Student Externship at Baton Rouge General Physicians - Brusly ClinicClinical Medical Assistant - Student Externship at Baton Rouge General Physicians - Brusly Clinic
Brian HenryBrian Henry
Millwright at Washington MillsMillwright at Washington Mills
Kara IveyKara Ivey
Receptionist/Assistant Bookkeeper at IVC District #321Receptionist/Assistant Bookkeeper at IVC District #321