Rosalind McGee
Belmont,NC
Summary
Adept Medical Billing Specialist with a proven track record at Sisters of Mercy, enhancing revenue cycle processes and ensuring regulatory compliance. Excelled in leveraging HIPAA knowledge and critical thinking to resolve complex billing issues, significantly improving patient satisfaction. Skilled in fostering clear communication between patients, insurance providers, and departments, contributing to organizational growth. Team-oriented person with great decision-making skills.
Overview
16
16
years of professional experience
Work History
Medical Billing Specialist
Sisters of Mercy
08.2008 - 03.2024
- Analyzed financial reports to identify trends and areas for improvement in the overall revenue cycle process.
- Assisted management in budgeting, forecasting, and setting goals related to organizational growth within the medical billing sector.
- Maintained compliance with industry regulations by staying current on changes in coding and billing practices.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Located errors and promptly refiled rejected claims.
- Identified and resolved patient billing and payment issues.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Liaised between patients, insurance companies, and billing office.
Education
High School Diploma -
Meyers Park High School
Charlotte, NC01-1975
Skills
- HIPAA compliance
- Payment posting
- Claim submission
- Insurance verification
- Medicare Summary Notices
- Critical thinking
- Customer service
- CMS-1500 billing forms
- Verbal and written communication
- CPT knowledge
Timeline
Medical Billing Specialist
Sisters of Mercy
08.2008 - 03.2024
High School Diploma -
Meyers Park High School
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