Detail-oriented Medical Billing Specialist with proven skills in CPT coding and insurance verification. Committed to resolving billing discrepancies efficiently and maintaining compliance with healthcare regulations.
Overview
9
9
years of professional experience
Work History
Medical Billing Specialist
Village Care Hospice
Houston
05.2022 - Current
Processed medical claims using electronic billing systems efficiently.
Reviewed patient records for accuracy and completeness prior to submission.
Coordinated with healthcare providers to resolve billing discrepancies promptly.
Managed insurance verifications and eligibility checks for patients carefully.
Maintained up-to-date knowledge of healthcare regulations and billing codes regularly.
Collaborated with team members to streamline billing processes and improve workflows.
Contacted insurance providers to verify insurance information and obtain billing authorization.
Adhered to HIPAA regulations when handling confidential patient information.
Completed appeals and filed and submitted claims.
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Maintained detailed records of all billing activities including denials, adjustments, and payments received.
Medical Billing Assistant
Regency Home Health
Houston
08.2016 - 05.2022
Reviewed patient records to ensure accurate billing information.
Processed medical claims for timely reimbursement from insurance companies.
Maintained patient confidentiality while handling sensitive financial information.
Utilized billing software to track and manage outstanding accounts.
Collaborated with team members to streamline billing processes and procedures.
Updated billing records in compliance with regulatory guidelines and standards.
Performed follow-up on unpaid or rejected claims with insurance providers.
Verified insurance coverage and eligibility for medical services rendered.
Entered data into electronic billing system.
Prepared reports on billing activities for management review.