Summary
Overview
Work History
Education
Skills
Timeline
Generic

Nikki Pratt

Tupelo,MS

Summary

Proven Billing Reimbursement Specialist with a track record of enhancing reimbursement rates and streamlining billing processes at MD Revenue Management. Expert in Medicare and Medicaid, with a knack for fostering patient communication and team collaboration. Achieved significant improvements in billing accuracy and reduced aged accounts receivable balances, demonstrating a strong blend of analytical and interpersonal skills. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Organized Patient Service Representative with 20+ years of experience in healthcare. Adept at patient advocacy and education with commitment to efficiency. Skilled at coordinating busy offices and maintaining professionalism in stressful situations. Customer Service Representative bringing top-notch skills in oral and written communication, active listening and analytical problem-solving skills. Enhances customer experiences by employing service-oriented behaviors, understanding customer desires and providing customized solutions to build loyalty.

Overview

10
10
years of professional experience

Work History

Billing Reimbursement Specialist

MD Revenue Management
10.2019 - Current
  • Enhanced reimbursement rates for the organization by efficiently resolving claim denials and underpayments.
  • Streamlined billing processes, resulting in faster payments from insurance companies.
  • Improved billing accuracy by meticulously reviewing and verifying patient insurance information.
  • Facilitated better communication between departments by serving as a liaison between billing staff, clinical personnel, and administrators regarding reimbursement issues.
  • 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.
  • Coordinated with insurance providers to verify customer's policy benefits in relation to claims.
  • Delivered timely information to insurance representatives to resolve common and complex issues.
  • Followed up on denied and unpaid claims to resolve problems and obtain payments.
  • Contributed positively to workplace morale by actively participating in team meetings and offering support to colleagues when needed.
  • Prevented revenue loss due to incorrect or outdated patient demographic information with regular database reviews and updates.
  • Maintained compliance with all regulatory guidelines, ensuring accurate billing and documentation practices.
  • Reduced aged accounts receivable balances through diligent follow-up on outstanding claims.
  • Developed positive relationships with insurance representatives, facilitating smoother claim resolution processes.

Customer Service Representative

Internal Medicine & Pediatric Clinic Of New Albany
11.2014 - 09.2019
  • Handled customer inquiries and suggestions courteously and professionally.
  • Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
  • Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
  • Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
  • Answered constant flow of customer calls with minimal wait times.
  • Answered customer telephone calls promptly to avoid on-hold wait times.
  • Updated account information to maintain customer records.
  • Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
  • Offered advice and assistance to customers, paying attention to special needs or wants.
  • Responded to customer requests for products, services, and company information.
  • Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
  • Clarified customer issues and determined root cause of problems to resolve product or service complaints.
  • Participated in team meetings and training sessions to stay informed about product updates and changes.
  • Checked patient insurance, demographic, and health history to keep information current.
  • Helped patients complete necessary medical forms and documentation.
  • Coordinated patient scheduling, check-in, check-out and payments for billing.
  • Ensured HIPAA compliance by maintaining strict confidentiality with all patient records and information.
  • Managed a high volume of incoming calls, addressing inquiries, and providing exceptional customer service to patients.
  • Organized paperwork such as charts and reports for office and patient needs.
  • Handled financial transactions related to copayments or self-pay fees while adhering to company policies regarding payment collection.
  • Adhered to strict HIPAA guidelines to protect patient privacy.
  • Kept waiting room neat and organized by stacking magazines, removing trash, and cleaning glass.
  • Increased accuracy in data entry tasks by regularly updating patient demographics and insurance information.
  • Enhanced patient satisfaction by consistently providing friendly and efficient service at the front desk.
  • Managed multi-line phone system and pleasantly greeted patients.
  • Provided administrative support to medical staff, assisting with various clerical tasks as needed.
  • Assisted with insurance verification tasks, expediting the billing process for both patients and providers.
  • Verified and updated demographic and other personal information for clients with respect to personal boundaries when asking for important details.
  • Improved office efficiency by organizing and maintaining accurate patient files and records.
  • Provided vital support during peak hours by efficiently handling walk-ins, check-ins, and appointment scheduling duties.
  • Facilitated smooth office operations by managing multi-line phone systems and directing calls to appropriate staff members.
  • Served as a liaison between patients and healthcare providers, ensuring clear communication of necessary information.
  • Expedited patient registration processes by gathering necessary paperwork from new arrivals promptly upon their arrival at the front desk.
  • Used computer programs and registration systems to schedule patients for routine and complex procedures.
  • Remained aware of provider schedules and scope of practice on evolving basis to organize and schedule appropriate care.
  • Maintained a well-stocked reception area, creating a welcoming atmosphere for patients upon arrival.
  • Proactively addressed potential conflicts or problems in appointment scheduling, resolving issues to ensure seamless patient experiences.
  • Reduced errors in medical recordkeeping by meticulously reviewing documentation for accuracy before filing or distributing it.
  • Assisted patients experiencing difficulties navigating online patient portal, troubleshooting issues and providing guidance as needed.
  • Completed clerical duties and tasks for clinic administration.
  • Collaborated with other team members on specific projects aimed at improving overall office organization and workflow efficiency.
  • Streamlined appointment scheduling processes, resulting in reduced wait times for patients.
  • Transcribed phone messages and relayed to appropriate personnel.
  • Completed patient referrals to other medical specialists.
  • Maintained current and accurate medical records for patients.
  • Supported office staff and operational requirements with administrative tasks.
  • Performed various administrative tasks by filing, copying and faxing documents.
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff.
  • Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
  • Obtained payments from patients and scanned identification and insurance cards.
  • Completed administrative patient intakes with case histories, insurance information and mandated forms.
  • Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
  • Managed office bookkeeping with insurance billing and patient payments.
  • Assisted with medical coding and billing tasks.

Education

No Degree - Business Administration

Mississippi State University
Starkville, MS

High School Diploma -

Tupelo High School
Tupelo, MS
05.1990

Skills

  • Medicare and Medicaid knowledge
  • HIPAA Compliance
  • Patient Communication
  • Insurance Verification
  • Medical Billing
  • Microsoft Office

Timeline

Billing Reimbursement Specialist

MD Revenue Management
10.2019 - Current

Customer Service Representative

Internal Medicine & Pediatric Clinic Of New Albany
11.2014 - 09.2019

No Degree - Business Administration

Mississippi State University

High School Diploma -

Tupelo High School

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Nikki Pratt