Efficient medical billing specialist with extensive experience in claims processing and insurance verification. Recognized for attention to detail and reliability, contributing to timely billing cycles and improved revenue cycle management.
Overview
23
23
years of professional experience
Work History
Cashier and Sales Associate
TJMaxx
Orlando
06.2025 - 12.2025
Processed customer transactions accurately and efficiently at checkout.
Assisted customers with product inquiries and store navigation.
Replenished merchandise on sales floor to enhance product availability.
Followed company policies for returns and exchanges effectively.
Performed other duties as assigned by management.
Stocked shelves with merchandise when needed.
Provided excellent customer service while promoting loyalty programs to increase sales potential.
Learned roles of other departments to provide coverage and keep store operational.
Boosted customer satisfaction levels by going extra mile to personalize service for each customer.
Maintained store organization and ensured merchandise was properly displayed.
Medical Biller
Physicians Healthcare Billing
New York
02.2008 - 07.2009
Verified insurance information and patient demographics for accuracy.
Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
Submitted electronic claims to various insurance carriers.
Researched discrepancies between billed charges and payments received from insurance companies or other third party payers.
Processed patient billing claims using electronic health record systems.
Resolved billing discrepancies by communicating with healthcare providers.
Managed payment postings and reconciled accounts for timely processing.
Answered incoming calls regarding billing inquiries from patients and and or providers in a professional manner.
Performed follow up activities on unpaid claims with insurance companies or other third party payers by phone or written correspondence.
Performed daily reconciliation of accounts receivable with payment postings on the computer system.
Generated reports in order to track payments due from insurance companies or other third party payers.
Medical Biller
Town Optical
New York
11.2004 - 04.2007
Reviewed account information to confirm patient and insurance information is accurate and complete.
Performed insurance verification, pre-certification and pre-authorization.
Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
Processed medical claims using advanced billing software for accuracy.
Managed accounts receivable, tracking payments and outstanding balances diligently.
Researched discrepancies between billed charges and payments received from insurance companies or other third party payers.
Performed follow up activities on unpaid claims with insurance companies or other third party payers by phone or written correspondence.
Communicated with insurance representatives to complete claims processing or resolve problem claims.
Collected, posted and managed patient account payments.
Performed daily reconciliation of accounts receivable with payment postings on the computer system.
Receptionist
First Med
Bayside
12.2003 - 11.2004
Greeted patients upon arrival and ensured smooth check-in process.
Managed patient records and maintained confidentiality throughout interactions.
Collected patient information and verified insurance details accurately.
Answered incoming calls, responding to inquiries from patients and other medical offices.
Checked patients in and out for appointments and collected co-payments.
Prepared charts for new patients, ensuring all necessary forms were completed correctly.
Protected patients by observing strict HIPAA guidelines.
Medical Biller
Orthopedic Associates of Manhasset
Manhasset
03.2003 - 11.2004
Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
Submitted electronic claims to various insurance carriers.
Managed accounts receivable, tracking payments and outstanding balances diligently.
Performed follow up activities on unpaid claims with insurance companies or other third party payers by phone or written correspondence.
Researched discrepancies between billed charges and payments received from insurance companies or other third party payers.
Answered incoming calls regarding billing inquiries from patients and providers in a professional manner.
Collected, posted and managed patient account payments.
Education
Certified Professional Biller - Medical Billing (CPB)
American Academy of Professional Coders-AAPC
Salt Lake City, UT
Some College (No Degree) - Liberal Arts and Sciences
Suffolk County Community College
Selden, NY
Skills
Proficient in
Word
Excel
AdvancedMD
Kareo
NexGen
Optum 360
Eyefinity
Medisoft
OMNI
Denial management
Collections management
Problem resolution
Organization and time management
Detail orientation
HIPAA compliance
Affiliations
Lead Volunteer Coordinator at Mater Academy Narcoossee 2023- Present
Help to manage the parent volunteers at various events, such as Book Fair, Snack cart and Mega Blast. Tasks involve maintaining and cash registers and reconciling funds at the end of each event. Help coordinate scheduling and training of the parent volunteers. Problem-solve any issues the parent volunteers encounter regarding logistics before, during and after events. Founded the gaming club, which, is an after-school event. Serve as a liaison between school staff/leadership and the parent volunteers. All volunteer hours amount to approximately 250+ hour a year.
Timeline
Cashier and Sales Associate
TJMaxx
06.2025 - 12.2025
Medical Biller
Physicians Healthcare Billing
02.2008 - 07.2009
Medical Biller
Town Optical
11.2004 - 04.2007
Receptionist
First Med
12.2003 - 11.2004
Medical Biller
Orthopedic Associates of Manhasset
03.2003 - 11.2004
Certified Professional Biller - Medical Billing (CPB)
American Academy of Professional Coders-AAPC
Some College (No Degree) - Liberal Arts and Sciences