Nicole Whitener
Tyler,TX
Summary
Seasoned Patient Financial Specialist Lead with a proven track record at Christus Trinity Clinic, adept in denial management and electronic health records management. Demonstrates exceptional leadership in training teams and streamlining billing processes, ensuring HIPAA compliance and enhancing payment collection efficiency. Skilled in Allscripts and Epic, my expertise drives significant improvements in financial accuracy and patient satisfaction.
Overview
23
23
years of professional experience
Work History
Patient Financial Specialist Lead
Christus Trinity Clinic
Tyler, TX
02.2016 - Current
- Claims processing
- Ten Key
- Some excel
- Billing software: Allscripts, Lytec, Welford, Medical Manager, Edimis, Mysis, and Epic
- Analyzed medical coding issues, identified errors, made corrections, and followed up with insurance providers or patients on denied claims, as necessary
- Submitted claims to insurance companies
- Distributed or posted financial data to appropriate accounts, and prepared simple reconciliations
- Training new hires and any questions team members or clinic have
- Contacted insurance companies to check status of claim payments.
- Communicated with insurance representatives to complete claims processing or resolve problem claims.
- Submitted claims to insurance companies.
- Verified patient eligibility for services through online portals or via telephone contact with insurance companies.
- Adhere to HIPPA regulations when handling confidential patient information
- Provide customer service support to patient inquiries related to their account balances
Homemaker
San Antonio, TX
11.2008 - 02.2016
Billing Representative
Dr. Michael Gorby M.D.
Palestine, TX
03.2008 - 10.2008
- Submitted claims to insurance companies
- Served as primary contact for internal departments concerning billing matters
- Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections
- Generated and distributed month-end statements for customers and resolved related concerns
- Investigated customer complaints related to billing issues
- Managed all payments processing, invoicing and collections tasks
- Answered phones and scheduled appointments
- Credentialing
Medical Billing Manager
Dr. C Renee Branch D.O.
Frankston, TX
11.2005 - 03.2008
- Applied payments, adjustments, and denials into medical manager system
- Communicated regularly with patients to ensure timely payment of balances due
- Answered customer questions to maintain high satisfaction levels
- Confirmed patient demographics, collected copays and verified insurance
- Completed and submitted appeals for denied claims
- Submitted refund requests for claims paid in error
- Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management
- Answered phones and scheduled appointments
- Credentialing
Insurance Biller
Professional Physicians Services
Palestine, TX
11.2004 - 10.2005
- Answered patient questions
- Worked on aging AR and researched refunds and write-offs
Insurance Biller
East Texas Physicians Alliance
Palestine, TX
05.2002 - 10.2004
- Worked insurance and patient aging, and refunds
- Posted insurance and patient payments as well as all charges
- Did the daily and monthly close, as well as the end reports
- Sent claims to the clearing house and also sent out patient statements
Education
Some College - Psychology, English
Trinity Valley Community College
Palestine, TXSkills
- Payment collection
- Denial management
- Electronic health records management
- Medicaid and medicare proficiency
- HIPAA compliance
- CPT knowledge
- ICD-10 proficiency
- Insurance verification
- Familiar with websites use to access and manage insurance and third party policies
References
- Mary Lowndes, Supervisor, 903-253-3515
- Karen Rhame, Supervisor, 903-920-5358
Timeline
Patient Financial Specialist Lead
Christus Trinity Clinic
02.2016 - Current
Homemaker
11.2008 - 02.2016
Billing Representative
Dr. Michael Gorby M.D.
03.2008 - 10.2008
Medical Billing Manager
Dr. C Renee Branch D.O.
11.2005 - 03.2008
Insurance Biller
Professional Physicians Services
11.2004 - 10.2005
Insurance Biller
East Texas Physicians Alliance
05.2002 - 10.2004
Some College - Psychology, English
Trinity Valley Community College