Samantha Christner
Bangor,MI
Summary
Seasoned Medical Collections Specialist with a passion for billing. Several years experience in a fast-paced working environment pursuing, collecting, reporting, and analyzing claims and payments. Unafraid of a challenging task or learning opportunity. Excels under pressure with little to no supervision.
Overview
7
7
years of professional experience
Work History
Lead Medical Biller
Corewell Health
Grand Rapids, MI
07.2017 - 08.2023
- Adhered to the rules and regulations of HIPAA to safeguard patient information.
- Reviewed, corrected, and resubmitted claims within timely file guidelines.
- Investigated errors and pursued payment.
- Trained onboarding and seasoned billing specialists to ensure a cohesive standard of work.
- Worked closely with managers to resolve billing issues before they became unmanageable.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Communicated with outside sources using multiple contact methods, including phone, email, and virtual meetings.
- Used data entry skills to accurately document and input statements.
- Contacted insurance providers and representatives to resolve denied claims.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Verified insurance of patients to determine eligibility.
- Collaborated with patients to resolve disputes.
- Monitored outstanding invoices and performed collection duties.
- Generated reports and analyzed trends to maximize reimbursement and reduce claim denials.
Medical Biller
Spectrum Health
Grand Rapids, Michigan
12.2016 - 05.2017
- Verified eligibility using provider portals and outbound calls to insurance companies.
- Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
- Compiled and processed data for billing purposes utilizing billing software programs.
- Maintained up-to-date knowledge of government regulations related to healthcare reimbursement policies and procedures.
- Generated reports in order to track payments due from insurance companies or other third party payers.
- Answered incoming calls regarding billing inquiries from patients and and or providers in a professional manner.
- Performed daily reconciliation of accounts receivable with payment postings on the computer system.
Education
Medical Billing & Coding Certificate -
Ross Medical Education Center - Roosevelt Park
Muskegon, MI05-2016
Skills
- Insurance Verification
- Billing and Collecting Procedures
- Medical Billing Software (HQ/EPIC)
- Electronic and Paper Claim Processing
- Effective Communication
- Multitasking and Organization
- MI Medicaid FFS/HMO, Commercial, Out of State, Medicare/ MCR ADV
References
References available upon request.
Timeline
Lead Medical Biller
Corewell Health
07.2017 - 08.2023
Medical Biller
Spectrum Health
12.2016 - 05.2017
Medical Billing & Coding Certificate -
Ross Medical Education Center - Roosevelt Park