Sabrina McClam
Lake City,SC
Summary
Experienced Patient Account Representative specializing in medical billing, coding and recordkeeping. Proactive and results-focused professional with 10 plus-year healthcare background.
Overview
13
13
years of professional experience
Work History
Physician Office Coder
McLeod Health Medical Center
Revenue Cycle Management
12.2022 - Current
- Collaborated with the medical staff to ensure proper documentation and coding for accurate billing.
- Ensured compliance with healthcare regulations while processing claims and managing patient accounts.
- Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Ensured compliance with industry regulations and guidelines by staying up-to-date on the latest coding changes.
Patient Account Representative
Medical Plaza Family Medicine
Florence, SC
05.2021 - Current
- Verify Insurance benefits
- Scrub claims for errors to ensure correct billing.
- Worked with outside entities to resolve issues with billing, claims and payments.
- Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Resourcefully used various coding books, procedure manuals and on-line encoders.
- Performed billing and coding procedures for outpatient services.
Insurance Billing Specialist
Lake City Family Medicine
Lake City, SC
04.2016 - 05.2021
- Identified, researched and resolved billing variances to maintain system accuracy and currency.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Generated and submitted invoices based upon established accounts receivable schedules and terms.
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
- Managed efficient cash flow reporting, posted cash receipts and analyzed chargebacks, independently addressing and resolving issues.
- Executed billing tasks and recorded information in company databases.
- Handled account payments and provided information regarding outstanding balances.
- Generated financial statements and reports detailing accounts receivable status
Administrative Assistant
CPM Physical Therapy
Lake City, SC
01.2014 - 04.2016
- Assist Beneficiaries with policy information.
- Verify insurance benefits.
- Apply point of service payments.
- Bill claims.
- Follow- up on outstanding claims.
- Complete medical records request.
Claims Advocate II
BCBS
Florence , SC
10.2011 - 01.2014
- Worked productively in fast-moving work environment to process large volumes of claims.
- Code/key medical claims for insurance payments.
- Examined reports, accounts and evidence to determine integrity and accuracy of information.
- Interviewed policyholders to verify information and obtain additional details.
- Followed up with customers on unresolved issues.
- Evaluated accuracy and quality of data entered into agency management system.
Education
No Degree - Computer Science
Francis Marion University
Florence, SCHigh School Diploma -
Lake City High School
Lake City, SC06.1994
Skills
- Administration and Management
- Payment Solicitation
- Problem Investigations
- Negotiation and Resolution
- Electronic and Paper Filing
- Medical Billing
- Account Resolutions
- Coding
Timeline
Physician Office Coder
McLeod Health Medical Center
12.2022 - Current
Patient Account Representative
Medical Plaza Family Medicine
05.2021 - Current
Insurance Billing Specialist
Lake City Family Medicine
04.2016 - 05.2021
Administrative Assistant
CPM Physical Therapy
01.2014 - 04.2016
Claims Advocate II
BCBS
10.2011 - 01.2014
No Degree - Computer Science
Francis Marion University
High School Diploma -
Lake City High School