Adept at medical billing and claim denials, I leveraged my attention to detail and multitasking abilities at Memorial Hermann Medical Group to enhance billing accuracy and efficiency. My expertise in Athena, Epic and strong communication skills reduced claim denials, showcasing my ability to adapt and thrive in fast-paced environments.
Overview
17
17
years of professional experience
Work History
Patient Account Representative II
Memorial Hermann Medical Group
01.2008 - 12.2024
Worked all denials accordingly and promptly by correcting the issue that caused denial which may be due to incorrect insurance billed, modifier or procedure code issue and hospice denials
Worked with outside entities to resolve issues with billing, claims, and payments
Review Medical records request
Fax or add records to the portal for needed dates of service requested
Adjust accounts that may deny due to past prompt filing, authorizations, and referrals if applicable
Follow-up on appealed claims tat are pending payment
Skilled at woking independently and collaboratively in a team environment
Excellent verbal and written communication skills
Demonstrated respect, friendliness and willingness to help whenever needed
Assisted with day-to-day operations, working efficiently and productively with all team members
Used critical thinking to break down problems, evaluate solutions and make decisions
Ability to learn quickly and adapt to new situations
Worked effectively in a fast pace environment
Data Entry Clerk
South Texas Medical Clinic
01.2009 - 04.2012
Completed data entry tasks with accuracy and efficiency.
Followed established procedures to enter and process data correctly.
Organized, sorted, and checked input data against original documents.
Sorted documents and maintained organized filing process.
Prioritized tasks effectively to ensure timely completion of all assigned projects
Maintained strict confidentiality of sensitive client information
Communicated with management to process data quickly and resolve discrepancies.
Managed and organized documents for data entry tasks.
Checked for accuracy by verifying data and records.
Followed data entry protocols, rules and regulations.
Compiled, verified accuracy, and sorted information to prepare source data for computer entry.