Pia Wilson
Orlando
Summary
Detailed-oriented and reliable Medical Biller with coding and medical terminology knowledge. Polished and hardworking performer with background overseeing accounts and handling records management tasks. Team-oriented person with great decision-making skills.
Overview
32
32
years of professional experience
Work History
Reimbursement Specialist
AdventHealth
09.2017 - Current
- Provided exceptional customer service when responding to patient inquiries about reimbursement status and procedures.
- Enhanced the overall financial performance of the organization by diligently monitoring outstanding claims and following up on overdue payments.
- Maintained patient confidentiality by adhering to strict HIPAA guidelines when handling sensitive information.
- Reduced claim denial rates by thoroughly reviewing documentation before submission to insurance providers.
Medical Biller, Collector, and Collections
Dr. Cordell Mitchell - OBGYN
08.2013 - 09.2017
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Verified insurance of patients to determine eligibility.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Delivered timely and accurate charge submissions.
- Collected payments and applied to patient accounts.
- Liaised between patients, insurance companies, and billing office.
Medical Billing and Collections Specialist
Physician Associates
08.2006 - 08.2013
- Maintained excellent relationships with insurance representatives to expedite claims processing and secure timely reimbursements for services rendered.
- Promoted a positive work environment by consistently demonstrating professionalism, mutual respect, and cooperation with fellow team members.
- Provided exceptional customer service to patients regarding their account balances, addressing concerns and answering questions in a professional manner.
- Implemented efficient workflows within the department that led to increased productivity levels among staff members while reducing errors in claim submissions.
- Reduced claim denials by diligently reviewing patient records for correct coding and billing information.
- Corrected, completed and processed claims for multiple payer codes.
Park Lake Nursing and Rehabilitation
Certified Nursing Assistant
02.1993 - 08.2006
- Provided high-quality personal care services such as bathing, grooming, dressing, and feeding to ensure patient dignity.
- Assisted patients with daily living activities for enhanced comfort and wellbeing.
- Promoted good oral and personal hygiene by aiding patients with shaving, bathing, and teeth brushing.
- Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
- Checked patient vitals such as temperature, blood pressure, and blood sugar levels.
Education
High School Diploma -
Edgewater High
Orlando, FL07-1991
Skills
- Sales
- Detailed oriented
- Customer Service
- Leader/Management
- Marketing
- Training
- Data Entry
- Active Listening
- Problem-solving abilities
- ICD-10 proficiency
- HIPAA compliance
- Denial management
- Accounts payable
- Claim submission
- Insurance verification
- Medicare and medicaid process
- Patient billing
- Payment posting
- Medical coding expertise
- Collections management
Timeline
Reimbursement Specialist
AdventHealth
09.2017 - Current
Medical Biller, Collector, and Collections
Dr. Cordell Mitchell - OBGYN
08.2013 - 09.2017
Medical Billing and Collections Specialist
Physician Associates
08.2006 - 08.2013
Park Lake Nursing and Rehabilitation
Certified Nursing Assistant
02.1993 - 08.2006
High School Diploma -
Edgewater High
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