Rachel Mile
Kimball,MI
Summary
Detail-oriented Medical Billing Specialist with strong skills in HIPAA compliance and claims review. Proven ability to resolve billing issues, ensure timely reimbursements, and maintain effective communication with insurance providers.
Overview
2
2
years of professional experience
1
1
Certification
Work History
Medical Billing Specialist
Pavilion Consulting Services
Fort Gratiot, Michigan
06.2024 - Current
- Processed and submitted medical claims accurately to ensure timely reimbursement.
- Reviewed patient accounts for discrepancies and resolved billing issues effectively.
- Communicated with insurance companies to clarify coverage and payment information.
- Maintained up-to-date knowledge of medical coding and billing regulations.
- 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.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Collected payments and applied to patient accounts.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
Quality Control Inspector
Valtec LLC
Imlay City, MI
10.2012 - 06.2024
- Conducted thorough inspections to ensure product quality and compliance with industry standards.
- Utilized measurement tools and equipment to assess dimensional accuracy of components.
- Documented inspection results and identified non-conformance issues for corrective actions.
- Collaborated with production teams to enhance quality control processes and reduce defects.
Education
High School Diploma -
Imlay City High School
Imlay City, MIBilling And Coding Certificate - Medical Billing And Coding
Ross Medical Education Center
06-2024
Skills
- HIPAA compliance
- Payment posting
- Claim submission
- Insurance verification
- Denial management
- Insurance billing
- Data entry
- Medical billing
- ICD-10
- Insurance claims
- Claims review
- Billing and collection procedures
- Critical thinking
- CMS-1500 billing forms
- Accounts receivable
- Patient collections
- Account follow-up
- Reimbursements
Certification
NHA CBCS Certified
Timeline
Medical Billing Specialist
Pavilion Consulting Services
06.2024 - Current
Quality Control Inspector
Valtec LLC
10.2012 - 06.2024
High School Diploma -
Imlay City High School
Billing And Coding Certificate - Medical Billing And Coding
Ross Medical Education Center