Accomplished individual with comprehensive understanding of medical coding, billing, and claims procedures. Proficient in utilizing various medical billing software and databases. Demonstrates proven track record of successfully resolving billing disputes and providing accurate and timely billing solutions. Known for dependable work ethic, expertise in data entry and records management. Exhibits demonstrated ability to prioritize tasks and consistently meet deadlines. Detail-oriented A/R Specialist with strong understanding of bookkeeping principles and commitment to exceptional customer service. Experienced in developing and managing efficient billing and posting processes. Considered focused and organized team player.
Overview
3
3
years of professional experience
1
1
Certification
Work History
Accounts Receivable Specialist
Accountable Revenue Cycle Solutions, LLC
01.2024 - Current
Reduced outstanding accounts receivable balances by diligently following up on overdue payments.
Prepared and mailed invoices to customers, processed payments, and documented account updates.
Enhanced cash flow by ensuring timely invoicing, payment application, and account reconciliation.
Utilized Microsoft Excel and Smartsheets software to manage invoices and payments.
Improved customer satisfaction by providing prompt, courteous service when addressing billing concerns or inquiries.
Trained new team members on company policies, software systems, and effective accounts receivable practices for seamless integration into the role.
Enhanced cash flow by efficiently managing accounts receivable billing and collections processes.
Managed and responded to correspondence and inquiries from customers.
Communicated with insurance providers to resolve denied claims and resubmitted.
Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
Identified and resolved patient billing and payment issues.
Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
Precisely completed appropriate claims paperwork, documentation and system entry.
Provided exceptional customer service to both patients and insurance representatives, resolving inquiries quickly and professionally.
Streamlined billing processes by implementing efficient workflows and utilizing advanced software tools.
Medical Billing Associate
GENETIC TECHNOLOGICAL INNOVATIONS, LLC
01.2022 - 11.2023
Accurately processed medical claims to ensure timely reimbursement from insurance companies
Utilized excellent communication skills when corresponding with insurance payers regarding payment discrepancies
Managed data entry tasks accurately while meeting deadlines consistently
Resolved patient billing issues and communicated with insurance carriers
Verified accuracy of patient information, including demographic data and insurance coverage details
Reviewed and evaluated unpaid claims to determine cause of delay or denial, taking appropriate action as needed
Processed medical bills and insurance claims accurately, ensuring compliance with HIPAA regulations
Performed claims research, appeals and related follow-up using medical systems and software
Analyzed trends in denials and rejections of medical bills to identify areas for improvement in billing process
Education
High School Diploma -
Ohio Connections Academy
Skills
Medical Billing
Database Systems
US Health Insurance Portability and Accountability Act (HIPAA)
Director AR Management Operations I at Conifer Health Revenue Cycle SolutionsDirector AR Management Operations I at Conifer Health Revenue Cycle Solutions