Peggy Counts
Grove,OK
Summary
Medical Insurance Biller with expertise in claims processing and a strong commitment to customer satisfaction at Advanced Determology. Proven ability to analyze denial trends and enhance revenue cycle management. Proficient in medical billing software and skilled in fostering collaborative relationships, ensuring compliance with HIPAA regulations.
Overview
27
27
years of professional experience
Work History
Medical Insurance Biller
Advanced Determology
02.2024 - 09.2024
- Boosted customer satisfaction through professional handling of patient inquiries regarding billing matters and insurance coverage.
- Contributed to company growth by accurately analyzing trends in denial rates, payer mix, and other key performance indicators relevant to revenue cycle management.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Capacity Building Coordinator
JB Hunt Transportation
06.2021 - 09.2023
- Evaluated program effectiveness by tracking progress against key performance indicators and adjusting strategies as needed.
- Cultivated strong relationships with external partners such as consultants or subject matter experts enlisted to assist in capacity-building efforts.
- Worked with Drivers to ensure accurate delivery dates and time as directed by the Customer needs.
- Promoted a culture of continuous learning within the organization, encouraging open communication and feedback among team members.
Medical Insurance Biller
Washington Regional Medical Center
07.2019 - 07.2021
- Boosted customer satisfaction through professional handling of patient inquiries regarding billing matters and insurance coverage.
- Communicated with insurance providers to resolve denied claims and resubmitted.
Medical Billing Specialist
Ozark Orthopaedics
01.2016 - 06.2019
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Located errors and promptly refiled rejected claims.
Senior Credit Analyst
Helpcard, Inc.
01.2006 - 04.2016
- Analyzed customer data such as financial statements to determine level of risk involved for extending credit.
- Performed credit reviews on corporations to assess financial conditions.
- Complied with internal controls and government regulations.
- Improved understanding of financial statements, which helped in assessing risk.
- Worked in tandem with sales team and customers to negotiate payments and verify account reconciliations.
- Offered insight to upper management regarding credit decisions.
Office Manager
McClelland Consulting Engineers
01.1998 - 03.2006
- Handled sensitive information with discretion, maintaining confidentiality of company documents and personnel records.
- Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence.
- Maintained accurate financial records by reconciling accounts payable/receivable transactions regularly to ensure balanced budgets.
- Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
- Streamlined office operations by implementing efficient filing systems and organizational strategies.
- Assisted in the recruitment process, conducting interviews and onboarding new employees to promote a seamless integration into the team dynamic.
- Served as a liaison between upper management and staff members, facilitating open channels of communication to address concerns or issues promptly.
- Managed vendor relationships, negotiating contracts for cost savings while maintaining high-quality services.
Education
High School Diploma -
Elkins High School
Elkins, AR06-1978
Skills
- Medical billing software proficiency
- HIPAA compliance awareness
- ICD-10 knowledge
- Organizational growth
- Claims processing proficiency
Timeline
Medical Insurance Biller
Advanced Determology
02.2024 - 09.2024
Capacity Building Coordinator
JB Hunt Transportation
06.2021 - 09.2023
Medical Insurance Biller
Washington Regional Medical Center
07.2019 - 07.2021
Medical Billing Specialist
Ozark Orthopaedics
01.2016 - 06.2019
Senior Credit Analyst
Helpcard, Inc.
01.2006 - 04.2016
Office Manager
McClelland Consulting Engineers
01.1998 - 03.2006
High School Diploma -
Elkins High School
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