Medical Billing and Coding Specialist with 5 years providing administrative and patient support in hospital and medical office settings. Advanced knowledge of private insurance processes and codes. Working independently in remote setting.
Overview
5
5
years of professional experience
Work History
Revenue Specialist I, ROPS
Davita, Inc & American Renal Associates
Federal way, WA
04.2022 - Current
Prepared legal documentation and efficiently managed administrative duties including organizing paperwork, scheduling appointments and maintaining accurate records.
Demonstrated excellent attention to detail, assessing medical claims for compliance with regulations and correcting discrepancies, ensuring accurate and efficient processing of claims in compliance with applicable guidelines.
Maintained productive contact with insurance providers, developing and implementing strategies to resolve complex medical claims issues quickly and effectively.
Mange assigned workload to meet strict deadlines, prioritizing important tasks and maintaining effective communication with supervisors and team members on task status.
Identified and addressed delinquent accounts, collecting payments from unpaid invoices, and maintaining accurate records of customer payments, efficiently reconciling accounts receivables to general ledger.
Resolved claim denials and prevented delays by verifying information and correcting discrepancies prior to submission, enhancing claim processing efficiency by 30%.
Maintained high customer satisfaction rate, managing customer complaints and needs with excellent communication skills, supporting company reputation.
RevenueCycleSpecialist
Valley Cities Behavioral Health
Federal Way, WA
01.2022 - 08.2022
Proficient in managing billing and reimbursement processes for behavioral healthcare services, ensuring accurate and timely submission of claims and maximizing revenue.
Knowledgeable in legal and regulatory requirements related to billing and reimbursement for healthcare services, including HIPAA and Medicaid/Medicare guidelines.
Skilled in analyzing financial data and identifying trends to improve revenue cycle performance and optimize reimbursement.
Proficient in depositing cash and cashiers check into company business accounts, both manually and remotely ensuring that funds are accurately recorded and accounted for.
Experienced in communicating with patients, insurance companies, and other stakeholders to resolve billing and reimbursement issues and ensure customer satisfaction.
Detail-oriented and organized, with ability to maintain accurate records and documentation related to billing and revenue cycle processes.
Strong problem- solving and critical thinking skills, with ability to identify and resolve complex billing and reimbursement issues in a timely and effective manner.
Medical Office Administrator
Family Practice Physician
Auburn, WA
09.2018 - 06.2021
Strong organizational skills, with experience managing schedules, appointments, and records for busy medical office.
Proficient in variety of software systems and applications, including Microsoft Office and electronic medical records (EMR) systems.
Excellent communications skills, with proven ability to interact professionally with clients, patients , and colleagues.
Experience working in fast paced environment, with ability to multitask and mange competing priorities.
Strong attention to detail and accuracy in data entry and record-keeping, with commitment to maintaining confidentiality and privacy.
Demonstrated ability to work independently and as part of team, with strong work ethic and commitment to excellence.
Education
Associate of Applied Science - Medical Billing And Coding
Ultimate Medical Academy
Clearwater, FL
09.2020
Skills
Attention to detail
Analytical
Problem-solving
Verbal and written communication
Customer service
Time management
Organizational
Technical
Regulatory compliance
Adaptability
Teamwork
Ethical standards and decisions
Insurance claims analysis
Coding error resolution
Records management
Records review
PPE Compliance
Teambuilding
Decision-Making
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
The supernatural is the natural not yet explained.
Elbert Hubbard
Timeline
Revenue Specialist I, ROPS
Davita, Inc & American Renal Associates
04.2022 - Current
RevenueCycleSpecialist
Valley Cities Behavioral Health
01.2022 - 08.2022
Medical Office Administrator
Family Practice Physician
09.2018 - 06.2021
Associate of Applied Science - Medical Billing And Coding