Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Noel Cole

Livermore,CA

Summary

Successful at efficiently handling client inquiries, billing and administrative tasks. Familiar with contracts and other documents affecting billing processes. Prepares professional, polished statements and business correspondence. Detail-oriented and methodical Billing Specialist offering 10 years of experience in related roles. Exceptional abilities in conducting research, problem-solving and prioritizing simultaneous tasks. Leverages resourcefulness, critical thinking skills and superior work ethic for top job performance. Knowledgeable about preparing invoices, processing payments and pursuing past-due balances. Well-versed in accurately coding different types of bills for clear recordkeeping and tracking. Team-oriented, dependable and performance-driven.

Overview

14
14
years of professional experience
1
1
Certification

Work History

Billing Specialist, CMS

Norcal Ambulance
Livermore, CA
11.2017 - Current

Answered billing inquiries from patients, staff, clients and insurance companies and resolve patient complaints


Completed all required claim entries with compliance standard prior to processing claims


Prepared, reviewed and sent patient statements


Performed various collection actions including contacting patients by phone, correcting and resubmitting claims after confirming transmission errors with payer


Maintained up to date knowledge of private insurance provisions and contract requirements


Maintained compliance (Medicare, Medicaid, Medi-Cal, OSHA,HIPAA, etc.,)


Established and maintained a courteous and professional attitude with all appropriate managers, co-workers, payers, clients and their patients

Medical Billing and Collections Specialist

David K Padgett, DO
Danville, CA
07.2016 - 11.2017
  • Compiled and tracked outstanding balances owed to medical facilities.
  • Corrected, completed and processed claims for multiple payer codes.
  • Processed billing calls and answered questions from patients and third-party carriers.
  • Logged charges and payments within Billing software
  • Processed online and paper appeal submissions and refund requests.
  • Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
  • Responded to customer concerns and questions on daily basis.
  • Handled account payments and provided information regarding outstanding balances.
  • Received and sorted mail, prepared packages for delivery and scanned documents.

Medical Administrative Assistant

David K Padgett DO
Danville, CA
12.2007 - 08.2015
  • Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing.
  • Scheduled patient appointments and placed reminder calls to deliver exceptional customer experience.
  • Called patients to confirm scheduled appointments day in advance.
  • Communicated with patients regarding payments on outstanding accounts.
  • Supported office staff and operational requirements with administrative tasks.
  • Reviewed physician letters and corrected grammar and spelling errors.
  • Completed billing and coding duties to handle submitted claims.
  • Located, checked in and pulled medical records for patient appointments and incomplete charts.
  • Managed master calendar and scheduled appointments for providers based on optimal patient loads and clinician availability.
  • Established relationships with Medicare, Medicaid and private insurance providers to resolve billing issues effectively.
  • Completed and filed financial documentation for accounting purposes.
  • Contacted patients regarding unpaid and underpaid accounts to resolve issues.
  • Advocated for patients through conversations with insurance representatives.
  • Enhanced office productivity by handling high volume of callers per day.
  • Conducted insurance verification and pre authorizations and managed patient charts.
  • Maintained current and accurate medical records for patients.
  • Verified insurance coverage to prepare for upcoming patient appointments.
  • Kept organized documentation of prescription refill information

Education

Certificate - Health Information Technology

Western Career College
San Leandro, CA
10.2007

Associate of Arts - General Studies

Las Positas College
Livermore, CA
06.1993

Skills

  • Statement Distribution
  • Information Updates
  • Billing Systems and Software
  • Customer Contact
  • Medical Billing and Collections
  • Billing Dispute Resolution
  • Billing Data Verification
  • Medical Transport Billing
  • Claim Processing
  • Invoice Documentation Management
  • Financial Documentation
  • Records Organization and Review
  • Diagnostic Codes
  • 10-Key Data Entry
  • Electronic Document Management System
  • Billing Document Creation
  • Office Cleaning
  • Filing Appeals
  • Inquiry Handling
  • Compliance Requirements
  • Correspondence Writing
  • Statement Billings
  • Insurance Claim Requirements
  • Correcting Submissions
  • Digital Postal Meters
  • Patient Correspondence
  • Submitting Insurance Documents

Certification

  • Certified Ambulance Coder - National Academy Of Ambulance Compliance
  • Certified Ambulance Documentation Specialist- National Academy Of Ambulance Compliance

Timeline

Billing Specialist, CMS

Norcal Ambulance
11.2017 - Current

Medical Billing and Collections Specialist

David K Padgett, DO
07.2016 - 11.2017

Medical Administrative Assistant

David K Padgett DO
12.2007 - 08.2015

Certificate - Health Information Technology

Western Career College

Associate of Arts - General Studies

Las Positas College
Noel Cole