Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Overview
12
12
years of professional experience
Work History
Billing and Insurance Analyst
Tidewater Physicians Multispecialty Group
Newport News, VA
10.2015 - Current
Provide daily Helpdesk support for patient inquiries via phone and email.
Post insurance payment information and correspondence to NextGen and other database programs.
Process Payer Batches weekly and submitted payment reports to the Cash Control Daily database program.
Reconciling insurance charges with Financial Management staff with possible posting errors is evident.
Verify patient account, upon intake, for valid insurance and Worker Compensation status.
Review and research outstanding accounts by utilizing tasks assigned in NextGen or Aging Reports database programs.
Assist other employees and office staff with correspondence, such as, but not limited to, patient appeals.
Maintained compliance with all OSHA, HIPPA, HHC, Privacy Act and confidentiality rules and regulations.
PCA – Personal Care Assistant
Prestige Home Health Care
Newport News, VA
11.2020 - 03.2021
Provided daily care for patients in home according to the daily care plan provided by the company.
Provided an appropriate grooming regimen for patient care.
Administered medications according to care plan and doctor's orders.
Maintained compliance with all OSHA, HIPPA, HHC, Privacy Act and confidentiality rules and regulations.
Manager – Billing and Scheduling Department
Elite Home Healthcare
Newport News, VA
01.2014 - 12.2014
Responsible for billing facility claims to correct insurance companies in a timely manner, according to insurance and company guidelines.
Investigated and resolved billing issues for patients and interfaced with medical administrators for an understanding of contractual matters that impacted invoicing private-pay patients.
Prepared and processed work in progress and billings to ensure that all client invoices are billed accurately.
Effectively communicated with patients to advise if more information is needed for their claims or to assist in updating their coordination of benefits.
Compiled and analyzed data for review by senior management of various reports to measure company performance.
Provided phone and clerical assistance to front office staff as needed.
Maintained compliance with all OSHA, HIPPA, HHC, Privacy Act and confidentiality rules and regulations.