Highly motivated Professional who's goal is to get clean claims out reduce rejections, track claims efficiently and aggressively follow up on unpaid claims.
Overview
5
5
years of professional experience
Work History
Billing Training Officer
Falcon Critical Care Transport
03.2023 - 12.2023
Developed and implemented effective lesson plans to cover necessary material.
Adjusted instructional strategies according to student needs and understanding of material.
Evaluated success of training programs and recommended improvements to upper management to enhance effectiveness.
Assessed skill gaps for employees and developed training courses to meet identified needs.
Provided coaching and mentoring to employees.
Analyzed and evaluated training effectiveness and program outcomes.
Billing Specialist
Falcon Critical Care Transport
09.2021 - 03.2023
Researched and resolved billing discrepancies to enable accurate billing.
Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
Monitored customer accounts to identify and rectify billing issues.
Effectively billed Kaiser, Commerical and Medi-Cal Managed Payers.
Payment reconciliation to all EOB's, 835 Files and Bank deposits.
Posting of virtual credit card payments from payors and customers to patient accounts.
Aging and collections on all Medi-Cal managed accounts.
Claims processing and uploads.
Account Representative
Berkeley Emergency Medical Group
01.2019 - 04.2020
Verified insurance of patients to determine eligibility.
Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
Communicated with insurance providers to resolve denied claims, resubmitted claims and filed appeals if necessary
Worked aging accounts and special projects assigned.
Demonstrated excellent customer service by responding to patient account questions and researching account issues.
Medical Biller
Light House Management
12.2018 - 04.2019
Verified patient eligibility and demographics
Claims follow up
aging and collections
Posting patients credit card payments
Education
Associate of Applied Science - Medical Insurance Billing And Coding
Heald College
Concord CA
04.2015
Skills
HIPPA Compliance
Organizational Skills
Communication Skills
Time Management
Analytical
Insurance Verification
Billing And Claim Management
Timeline
Billing Training Officer
Falcon Critical Care Transport
03.2023 - 12.2023
Billing Specialist
Falcon Critical Care Transport
09.2021 - 03.2023
Account Representative
Berkeley Emergency Medical Group
01.2019 - 04.2020
Medical Biller
Light House Management
12.2018 - 04.2019
Associate of Applied Science - Medical Insurance Billing And Coding
Heald College
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