Highly efficient medical billing representative, well established and knowledgeable in multiple facets of the medical billing process, from front end to back end. Eager to learn with aptitude for applying new knowledge with skill and efficiency.
Overview
21
21
years of professional experience
Work History
Revenue Cycle Management Clerk
Medical Billing Services
08.2020 - Current
Cash posting- applied monies received from insurances and patients via bank deposits and credit card payments to appropriate patient accounts. Also posted denials and patient responsibility. Adept at reading and deciphering EOBs. Production over 150% of standard expectations.
Work denials to locate updated information and refile claims to insurance
Searching insurance websites and payment systems to locate EOBs that were not included with payments
Calls to insurance companies and doctor's offices for claim and patient information
Medicare Billing Specialist
MultiCare Health
12.2007 - 10.2008
Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
Delivered timely and accurate charge submissions.
Communicated with insurance providers to resolve denied claims and resubmitted.
Adhered to established standards to safeguard patients' health information
Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable
Verified insurance of patients to determine eligibility
Filed and updated patient information and medical records
Project Manager/ Billing Representative
Medical Billing Services
07.2002 - 06.2007
Received, formatted and delegated reports to billing representatives; generated reports for each completed report
Quality assurance of reports, tracked and logged errors and error rates
Worked reports, which included claims with missing information or insurance denials/cash payments
Researched status of medical claims via insurance websites, phone calls to insurance companies, calling doctor's offices for patient info or per insurance EOBs
Responsible for keying obtained data into system (worked in multiple systems), updating information in denied claims for rebilling to insurance or billing to patients