Nicole Durham
AR Billing Specialist/Medical Coder
Tyler
Summary
Accurate and efficient AR Billing Specialist with 10+ years of experience with HHA Exchange, Payment Posting, Insurance Verification, Billing Cycle Management, and Payment Collection. Detail-oriented worker with proven resourcefulness and reliability. Strong understanding of medical billing practices, insurance billing requirements, and healthcare reimbursement processes.
Overview
18
18
years of professional experience
1
1
Certification
Work History
AR Billing Specialist
Home Healthcare
1 2020 - Current
- Responsible for Accounts Receivables in HHA Exchange.
- Responsible for verifying patients insurance and medical records in order to bill patients
- Responsible for coding ICD- 10 with office charges.
- Managed large volumes of data efficiently and with great care on daily basis.
- Accurately posted payments and adjustments both electronically and manually.
- Processed payments that had been received from insurance companies and Medicare.
- Identified overpayments and processed refunds for insurance carriers and patients.
- Reviewed accounts on monthly basis to assess aging and pursue collection of funds.
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
- Prepared and mailed invoices to customers, processed payments, and documented account updates.
- Reconciled accounts receivable ledger to verify payments and resolve variances.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Utilized Microsoft Excel, QuickBooks and Oracle software to manage invoices and payments.
- Developed and implemented strategies to improve collection processes and reduce overdue payments.
- Generated monthly accounts receivable reports to submit developments for management review.
AR Billing Specialist
Meals on Wheels
01.2019 - 01.2020
- Responsible for verifying patients insurance and medical records in order to bill patients
- Responsible for coding ICD- 10 with office charges.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency
- Checked insurance eligibility by making appropriate phone calls and conducting research on services rendered
AR Billing Specialist
Pulmonary Specialists of Tyler
01.2016 - 01.2019
- Responsible for verifying patients insurance and medical records in order to bill patients
- Responsible for coding ICD- 10 with office charges.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency
- Reviewed and reconciled customer accounts to manage accuracy of payments
AR Billing Specialist
ETMC Office, Department
01.2011 - 01.2016
- Responsible for verifying patients insurance and medical records in order to bill patients for medical services for the State of Texas and California Making outbound phone calls to medical facilities to gather crucial information in regards to patients financial obligations.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency
- Executed billing tasks and recorded information in company databases
Teacher/Childcare Provider
Kids R' Life Daycare Facility
01.2010 - 01.2011
- Provided childcare for children ages 4 months-12 years old, including lesson plans, recreational activities, social concerns and parental interactions.
File Clerk/Paralegal Secretary/Receptionist
Flowers & Davis Law Firm
01.2007 - 01.2010
- Responsible for preparing pleading and discovery boards for court hearings
- Prepared attorney notes and corresponding boards for court hearings
- Documented and recorded legal information for accuracy and efficiency
- Took on minor tasks usually performed by the accountant such as billing routines and money management
- Answered incoming calls from clients when the receptionist was absent.
Education
Certified Medical Coder/Insurance Coder - Medical Coding
State of Texas
Texas 12.2016 - 2017.05
Associate of Arts - Education
Stephen F Austin State University
Texas 05.2009 - 2011.05
Tyler Junior College
Texas 01.2007 - 2009.05
Whitehouse High School
Texas 01.2003 - 2007.05
Skills
HHA Exchange
Spreadsheet and Database entry
(Word, Excel, Powerpoint, Etc)
Multiple insurance and medical billing softwares
Batch total recording
High-volume transaction posting
Effective communication skills
Incomplete payment identification
HIPAA regulation observance
Payment entry completion
Codes reviewing
Cash application
Aging reports analysis
Accurate payment posting
Accomplishments
Successful clearing and maintenance of entire books of business where previous billers were unable to achieve.
Certification
Certified Medical Coder
Timeline
AR Billing Specialist
Meals on Wheels
01.2019 - 01.2020
Certified Medical Coder
01-2017
Certified Medical Coder/Insurance Coder - Medical Coding
State of Texas
12.2016 - 2017.05
AR Billing Specialist
Pulmonary Specialists of Tyler
01.2016 - 01.2019
AR Billing Specialist
ETMC Office, Department
01.2011 - 01.2016
Teacher/Childcare Provider
Kids R' Life Daycare Facility
01.2010 - 01.2011
Associate of Arts - Education
Stephen F Austin State University
05.2009 - 2011.05
File Clerk/Paralegal Secretary/Receptionist
Flowers & Davis Law Firm
01.2007 - 01.2010
Tyler Junior College
01.2007 - 2009.05
Whitehouse High School
01.2003 - 2007.05
AR Billing Specialist
Home Healthcare
1 2020 - Current
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