Rosemary Hill
Mission,SD
Summary
Proven Medical Biller from Preventive Health Solutions, adept in insurance verification and denial management, significantly reduced claim denials through meticulous review and quality control. Skilled in medical coding and fostering patient relations, I enhanced revenue collections and maintained high compliance standards. Demonstrates exceptional multitasking and critical thinking abilities. Reliable Medical Biller with coding and medical terminology knowledge. Polished and hardworking performer with background overseeing accounts and handling records management tasks. Team-oriented person with great decision-making skills.
Overview
11
11
years of professional experience
Work History
Medical Biller
Preventive Health Solutions
06.2022 - Current
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Filed and updated patient information and medical records.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Collected payments and applied to patient accounts.
- Posted payments and collections on regular basis.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Implemented quality control measures to identify potential errors before submitting claims, reducing rejections significantly.
- Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
- Liaised between patients, insurance companies, and billing office.
Medical Biller
Preventive Health Solutions
03.2014 - 07.2019
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Filed and updated patient information and medical records.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Collected payments and applied to patient accounts.
- Posted payments and collections on regular basis.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Implemented quality control measures to identify potential errors before submitting claims, reducing rejections significantly.
- Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
- Maintained compliance with industry regulations by staying updated on changes to medical billing codes and requirements.
- Established strong relationships with insurance representatives, facilitating prompt resolution of billing issues.
Education
Medical Records Clerk/Transcriptionist - Medical Field
Texas State Institute
McAllen, TX06.1989
High School Diploma -
San Benito High Scool
San Benito, TX05.1985
Skills
- Insurance Claims
- Medical Billing
- Insurance Billing
- Electronic Claims
- CPT Knowledge
- Insurance Verification
- HIPAA Compliance
- Billing and Collection Procedures
- Patient Billing
- Customer Service
- Insurance claims processing
- Medicaid and Medicare Knowledge
- Claim submission
- Medicare and Medicaid process
- Denial Management
- Payment posting
- ICD-10 Proficiency
- Medical terminology expert
- Medical coding knowledge
- Multitasking and Organization
- Medical Coding Expertise
- Critical Thinking
- Patient Collections
Timeline
Medical Biller
Preventive Health Solutions
06.2022 - Current
Medical Biller
Preventive Health Solutions
03.2014 - 07.2019
Medical Records Clerk/Transcriptionist - Medical Field
Texas State Institute
High School Diploma -
San Benito High Scool
Similar Profiles
Zev FeigerZev Feiger
VP of Operations at National Preventive SolutionsVP of Operations at National Preventive Solutions
Sevinch YusupovaSevinch Yusupova
Customer Care Representative at New York Preventive Health CenterCustomer Care Representative at New York Preventive Health Center
Alex HerewaneAlex Herewane
Chronic Disease Worker at Aboriginal Preventive HealthChronic Disease Worker at Aboriginal Preventive Health
Thomas Allen-MarshallThomas Allen-Marshall
Laborer at Ripley's IncLaborer at Ripley's Inc
Rocky Wiedman JrRocky Wiedman Jr
Stocker at WalmartStocker at Walmart