Regenia Richie
Winter Haven,FL
Summary
Capable Office Assistant with 10+ years of billing and coding, patient charting, insurance claims and appointment scheduling in a busy medical office setting. Also, with coding and medical terminology knowledge. Polished and hardworking performer with experience in handling records management tasks. Considered a team-oriented person with great decision-making skills.
Experienced with managing comprehensive medical billing operations, including claims processing and revenue cycle management. Utilizes strategic approaches to enhance efficiency and ensure compliance with healthcare regulations. Strong understanding of team dynamics and conflict resolution techniques.
Overview
23
23
years of professional experience
Work History
Medical Billing Director
IHN Podiatry Services PLLC Dba Bedside Wound Care
10.2022 - Current
- Developed strong relationships with insurance companies to negotiate favorable terms for prompt reimbursements.
- Ensured timely submission of accurate claims by establishing clear expectations and deadlines for the team.
- Complied with established internal controls and policies.
- Reviewed medical documentation to make sure it supported claims before billing.
- Coordinated with providers and medical staff with questions on medical documentation and claims.
- Verified all patients insurance plans and made patients aware of their out of pocket expenses.
- Requested referrals and authorizations from insurances when needed.
- Scrubbed and billed medical claims to various insurances.
- Manually input remittances into EHR system.
- Worked denials and resubmitted to insurance.
- Responsible for insurance credentialing and setting up insurance websites.
- Responsible for hospital credentialing.
- Helped with sending out cultures, emailing radiology referrals, answering phones, requesting medical records, and uploading documentation into EHR system.
Patient Referral Coordinator
Hyperhealing Wound Care
03.2021 - 09.2022
- Served as a liaison between patients, providers, and insurance companies during the referral process, addressing any concerns or questions that arose along the way.
- Enhanced patient experience by coordinating timely and efficient referrals to specialists.
- Streamlined referral processes for improved patient satisfaction and reduced wait times.
- Trained new employees on referral coordination procedures, ensuring consistent quality of service.
- Collaborated with healthcare providers to ensure accurate and comprehensive referral documentation.
- Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
- Verified patient insurance eligibility and entered patient information into system.
Office Coordinator
Mark G. Leitner, DPM, PA
10.2002 - 03.2021
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Liaised between patients, insurance companies and billing office.
- Scheduled patients in Medical Manager System.
- Translated and interpreted medical billing codes with strong accuracy to enable swift payment from insurance agencies.
- Collected payments and applied to patient accounts.
- Assisted patients by determining financial assistance available and setting up payment plans.
- Communicated with insurance providers to resolve any denied claims and resubmit.
- Delivered timely and accurate charge submissions utilizing Aprima.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Confirmed backup and proper storage of sensitive information in event of data breach or outage.
- Verified proper ICD-10 coding on claims.
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
- Orchestrated day-to-day operations of billing department, including medical coding, payment posting, accounts receivables and collections.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Complied with all HIPAA Privacy and Security Regulations to protect patients' medical records and information.
Education
High School Diploma -
East Bay High School
Gibsonton, FL06.1984
Skills
- Healthcare billing expertise
- Medical coding expertise
- Health information management
- Electronic health records experience
- CPT coding
- ICD-10
- Payment posting
- Problem-solving
- Multitasking Abilities
- Organizational skills
- Patient Account Analysis
- Medical coding expertise
- Accurate payment posting
- Insurance expertise
- Healthcare coding expertise
- Billing support
- Patient data protection
- Transaction management
- Effective time management
Timeline
Medical Billing Director
IHN Podiatry Services PLLC Dba Bedside Wound Care
10.2022 - Current
Patient Referral Coordinator
Hyperhealing Wound Care
03.2021 - 09.2022
Office Coordinator
Mark G. Leitner, DPM, PA
10.2002 - 03.2021
High School Diploma -
East Bay High School
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