SAMANTHA LUCE
Conroe
Summary
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. I am a quick and fast learner. I am wanting to get it done right the first time. Administrative work is a job that I really enjoy. I am open to learning new things and not afraid to ask questions. I am hard working, reliable, and a great multi-tasker. I am always wanting to push myself and expand my knowledge.
Overview
8
8
years of professional experience
Work History
Audiology Assistant/Insurance Verifier
North Houston Hearing Solutions
08.2023 - 01.2025
- Managed inventory of hearing aid supplies, ensuring adequate stock levels were maintained at all times to meet patient demand promptly.
- Enhanced patient experience by providing support during hearing aid fittings and adjustments.
- Contributed to clinic efficiency by maintaining audiology equipment and ensuring proper calibration.
- Educated patients on proper hearing aid usage and care, empowering them to take an active role in their hearing health management.
- Collaborated with audiologists to develop educational materials for patients regarding hearing loss prevention and management strategies.
- Promoted a welcoming clinic environment by greeting patients warmly upon arrival and addressing any concerns or questions they may have had about their appointment or treatment plan.
- Provided essential administrative support by maintaining confidential patient files and scheduling follow-up appointments as needed.
- Streamlined patient scheduling, facilitating timely appointments and reducing wait times for assessments.
- Improved patient care by assisting audiologists in performing diagnostic tests and evaluations.
- Coordinated with insurance companies to verify coverage details for audiology services, expediting claims processing and minimizing out-of-pocket expenses for patients.
- Provided follow-up care, programming, and monitoring for patients with cochlear implants to guarantee proper functionality.
- Used medical computer-based patient record system to input daily statistics and place orders.
- Demonstrated expertise in various insurance plans, including HMOs, PPOs, and government-sponsored programs, ensuring accurate verification.
- Assisted clients with understanding their insurance policies, benefits, and limitations to promote informed decision-making regarding healthcare services.
- Supported billing department by verifying coverage details to ensure correct invoicing of clients and prompt payment from insurers.
- Streamlined the verification process with meticulous attention to detail, ensuring accurate data entry and documentation.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Updated patient records with accurate, current insurance policy information.
- Assisted patients with understanding personalized insurance coverage and benefits.
Front Desk Receptionist
Tri Valley Medical Group
05.2023 - 07.2023
- Greeted guests at the front desk and engaged in pleasant conversations while managing the check-in process
- Answered multi-line phone system to respond to inquiries and transfer calls to correct departments and personnel
- Resolved customer issues quickly and notified supervisors immediately when problems escalated
- Maintained files and records by implementing effective filing systems that boosted efficiency and organization
- Transcribed phone messages and relayed to appropriate personnel
- Used internal software to process reservations, check-ins and check-outs
- Collected room deposits, fees and payments
- Monitored office supplies by checking inventory and placing orders
- Retrieved mail, packages and documents on behalf of guests, promptly verifying receipt and arranging for pickup or transmittal
- Maintained transaction security by verifying payment cards against identification
- Reported facility and room maintenance problems to appropriate personnel for immediate remediation
Medical Billing Specialist
Zymeda Provider Solutions
02.2021 - 04.2023
- Filed and updated patient information and medical records
- Collected payments and applied to patient accounts
- Located errors and promptly refiled rejected claims
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts
- Communicated effectively and extensively with other departments to resolve claims issues
- Communicated with insurance providers to resolve denied claims and resubmitted
- Liaised between patients, insurance companies, and billing offices
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable
- Posted and adjusted payments from insurance companies
- Precisely evaluated and verified benefits and eligibility
- Managed collections claims for unpaid bills against estates of debtors
- Printed and reviewed monthly patient aging reports and solicited overdue payments
- Prepared billing correspondence and maintained a database to organize billing information
- Precisely completed appropriate claims paperwork, documentation and system entry
- Identified and resolved patient billing and payment issues
Medical Billing Specialist
MBSC Inc.
03.2018 - 02.2021
- Filed and updated patient information and medical records
- Collected payments and applied to patient accounts
- Liaised between patients, insurance companies, and billing offices
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable
- Precisely evaluated and verified benefits and eligibility
- Printed and reviewed monthly patient aging reports and solicited overdue payments
- Evaluated patients' financial status and established appropriate payment plans
- Identified and resolved patient billing and payment issues
Medical Billing Specialist
Nephrology Associates Medical Group
04.2017 - 03.2018
- Filed and updated patient information and medical records
- Collected payments and applied to patient accounts
- Located errors and promptly refiled rejected claims
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts
- Liaised between patients, insurance companies, and billing offices
- Precisely evaluated and verified benefits and eligibility
- Pre-certified medical and radiology procedures, surgeries and echocardiograms
Education
No Degree - Medical Billing And Insurance Coding
UEI College
Riverside, CA04.2016
High School Diploma -
Patriot High School
Riverside, CA04.2011
Skills
- Database Systems
- Client Inquiries
- Bill Payment
- Reviewing Patient Information
- Customer Service
- Data Entry
- Time Management
- Claims Review
- Statement Billings
- Payments Posting
- Benefits Verifications
- Insurance Authorizations
- ICD-10 Coding
- Verbal and Written Communication
- Process Payments
- Billing Statement Management
- Manual Processing
- Mail Sorting and Correspondence
- 10-key accuracy
- Typing speed
Timeline
Audiology Assistant/Insurance Verifier
North Houston Hearing Solutions
08.2023 - 01.2025
Front Desk Receptionist
Tri Valley Medical Group
05.2023 - 07.2023
Medical Billing Specialist
Zymeda Provider Solutions
02.2021 - 04.2023
Medical Billing Specialist
MBSC Inc.
03.2018 - 02.2021
Medical Billing Specialist
Nephrology Associates Medical Group
04.2017 - 03.2018
No Degree - Medical Billing And Insurance Coding
UEI College
High School Diploma -
Patriot High School
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