Paige Gaines
Pampa,TX
Summary
Reliable Medical Biller, Insurance poster, Receptionist, and customer service representative. I have a background overseeing accounts and handling medical records tasks as well. I have excellent phone skills, and I am a people person. Team-oriented. I am always looking to learn and improve.
Overview
7
7
years of professional experience
Work History
Full Cycle Biller
Skilled Wound Care
Remote
06.2023 - 05.2024
- Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
- Expedited payment processing by promptly addressing any discrepancies or issues raised by insurance carriers.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Posted payments and collections on regular basis.
- Delivered timely and accurate charge submissions.
Medical Billing and Collections Specialist
Pampa Regional Medical Center
07.2020 - 07.2022
- Compiled and tracked outstanding balances owed to medical facilities.
- Handled account payments and provided information regarding outstanding balances.
- Responded to customer concerns and questions on daily basis.
- Processed medical records requests from outside providers according to facility, state and federal law.
- Accurately posted payments and adjustments both electronically and manually.
- Processed payments that had been received from insurance companies and Medicare.
Medical Biller
Precision Chiropractic
12.2017 - 04.2020
- Answered questions from patients regarding billing charges by explaining services and clinical duties performed
- Verified coverage with insurers, filed required forms, and submitted paperwork to obtain timely payments
- Followed-up on claims submitted to insurance companies to mediate disputes and obtain reimbursement for services rendered during patient's treatment
- Translated health care services into coded medical claims for submittal to insurers
- Check in/ Check out desk
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted payments and collections on regular basis.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Collected payments and applied to patient accounts.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
Receptionist
Sicher Foot Center
12.2016 - 12.2017
- Prepared new patient charts, by collecting information, documentation, and patient data from paper sources and electronic health record formats
- Retrieved patients' records for medical staff and refiled in correct locations after use
- Answered phone calls and scheduled or followed-up on appointments
- Send out invoices to collect payments on aged accounts and followed up before referring to collections
- Interacted with insurers to verify coverage and collect payments.
- Confirmed appointments, communicated with clients and updated client records.
- Managed multiple tasks and met time-sensitive deadlines.
- Helped patients complete necessary medical forms and documentation.
- Checked patient insurance, demographic and health history to keep information current.
Education
Amarillo College
Skills
- Insurance verification
- Multitasking and Organization
- Time Management
- Medical Terminology
- Billing and Collections Procedures
- Reviewing Patient Information
- Records Management
- Clerical Support
- Speaking Clearly
- Medicare and Medicaid Knowledge
Timeline
Full Cycle Biller
Skilled Wound Care
06.2023 - 05.2024
Medical Billing and Collections Specialist
Pampa Regional Medical Center
07.2020 - 07.2022
Medical Biller
Precision Chiropractic
12.2017 - 04.2020
Receptionist
Sicher Foot Center
12.2016 - 12.2017
Amarillo College