Raven Encalade
Gretna,LA
Summary
Medical billing professional prepared to bring expertise in healthcare revenue cycle management. Known for improving billing accuracy and resolving payment issues promptly. Team-oriented, adaptable, and focused on achieving optimal results while navigating changing requirements. Recognized for strong communication and problem-solving skills.
Overview
24
24
years of professional experience
1
1
Certification
Work History
Medical Billing Representative
LCMC
11.2023 - Current
- Resolved billing discrepancies by collaborating with healthcare providers and insurance companies.
- Review EOBs from insurance companies for accuracy.
- Perform accurate data entry of patient information into electronic medical records system.
- Identify trends in billing and coding denials or rejections by payers and take appropriate action.
- Processed medical claims accurately and efficiently, ensuring compliance with regulations.
- Protect confidentiality of sensitive information to comply with HIPAA guidelines.
- Attend coding meetings to obtain CEU's and to stay current with changes.
- Maintain productivity of 100 claims per day.
Billing Representative
Ochsner
07.2018 - 10.2023
- Review and solve account and billing discrepancies
- Coordinate with intermediate parties to obtain payments and resolve issues
- Work effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments
- Trained new team members on Epic and Nthrive systems
- Communicate with insurance providers to resolve denied claims and resubmitted
- Meets productivity of 130 claims per day consistently.
Assistant Manager
Fifth District Savings Bank
02.2016 - 02.2017
- Interacted with customers upon entering bank to determine what their needs were
- Built relationships with customers to increase likelihood of repeat business
- Completed all opening and closing procedures, including counting the contents of the cash tills and vaults
- Assigned work to team members based on company needs, personal strengths and job knowledge
- Encouraged staff to cross-sell complementary products and services to customers
- Completed monthly audits and reports.
Senior Teller/ Teller
Fifth District Savings Bank
07.2002 - 01.2016
- Maintained friendly and professional customer interactions
- Executed customer transactions, including deposits, withdrawals, and checks
- Scheduled staffing for main branch
- Processed quarterly Vault and ATM audits with zero error rate
- Trained and directed new hires
- Sold cashier's checks, traveler's checks and money orders
- Pulled daily branch reports
- Answered telephone inquiries on banking products including checking, savings, loans and lines of credit
- Executed wire transfers, stop payments and account transfers.
Education
Certified Coder - CPC
American Academy of Professional Coders
LAParalegal Certificate - Paralegal
Kaplan University
IABachelor of Arts - Social Science
Our Lady of Holy Cross College
LAAssociate of Arts - Criminal Justice
Delgado Community College
LASkills
- Issue resolution
- Training and development
- Consistently meets productivity goals
- Skilled problem solver
- Motivated team player
- Customer service-oriented
- Coding review experience
- Superior organization ability
- Computer literate
- Detail-oriented
- Customer relations skills
- Effectively communicate with upper management
- Multitasking
- HIPAA Compliance
- Insurance Verification
- ICD-10 knowledge
- Continuous learning attitude
Certification
CPC Certificate
Timeline
Medical Billing Representative
LCMC
11.2023 - Current
Billing Representative
Ochsner
07.2018 - 10.2023
Assistant Manager
Fifth District Savings Bank
02.2016 - 02.2017
Senior Teller/ Teller
Fifth District Savings Bank
07.2002 - 01.2016
Paralegal Certificate - Paralegal
Kaplan University
Bachelor of Arts - Social Science
Our Lady of Holy Cross College
Associate of Arts - Criminal Justice
Delgado Community College
Certified Coder - CPC
American Academy of Professional Coders