Summary
Overview
Work History
Education
Skills
Timeline
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Samantha Stocum

Cohocton,NY

Summary

Dynamic Medical Billing Specialist with extensive experience at Regenexx Corporate, adept at resolving denied claims and ensuring timely payments. Proficient in insurance verification and denial management, while delivering exceptional customer service. Recognized for improving billing accuracy and fostering collaboration across departments to enhance patient satisfaction.

Overview

6
6
years of professional experience

Work History

Medical Billing Specialist

Regenexx Corporate
10.2023 - Current
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Posted and adjusted payments from insurance companies.
  • Communicated effectively and extensively with other departments to resolve claims issues.
  • Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
  • Located errors and promptly refiled rejected claims.
  • Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
  • Collected payments and applied to patient accounts.
  • Filed and updated patient information and medical records.
  • Liaised between patients, insurance companies, and billing office.
  • Efficiently processed refunds or adjustments for patients when necessary, ensuring accuracy and compliance with company policies.
  • Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
  • Verified insurance of patients to determine eligibility.
  • Posted payments and collections on regular basis.
  • Used data entry skills to accurately document and input statements.
  • Maintained accurate records of customer payments.
  • Reconciled accounts receivable to general ledger.
  • Completed Out of Pocket Estimates for patient's on a daily basis.

Billing Specialist

United Health Network
03.2023 - 10.2023
  • Researched and resolved billing discrepancies to enable accurate billing.
  • Identified, researched, and resolved billing variances to maintain system accuracy and currency.
  • Worked with multiple departments to check proper billing information.
  • Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
  • Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
  • Maintained detailed records of each account''s payment history, providing easy access to information for audit and analysis purposes.
  • Ensured compliance with industry regulations by staying up-to-date on changes in billing rules and guidelines.
  • Improved customer satisfaction with prompt and clear communication regarding their billing inquiries.
  • Negotiated with insurance companies to resolve disputed claims, securing rightful payments.
  • Responded to customer concerns and questions on daily basis.

Administrative Assistant

Bennett Carey Collision
08.2019 - 11.2020
  • Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
  • Maintained confidentiality of sensitive information by adhering to strict privacy policies and implementing secure filing systems.
  • Delivered excellent customer service through prompt responses to client inquiries, addressing concerns effectively, and building strong relationships.
  • Ensured accurate record-keeping with diligent data entry and database management for vital company information.
  • Promoted a positive work environment through effective communication skills and fostering professional relationships among colleagues.
  • Improved document organization with thorough file maintenance, archiving outdated records as necessary for efficient retrieval when needed.
  • Coordinated office supply inventory management, proactively ordering necessary items before depletion to avoid workflow disruptions.
  • Optimized calendar management for executives by scheduling appointments strategically while considering priorities and minimizing conflicts.
  • Streamlined invoice processing procedures to ensure timely payment of vendors while minimizing errors in financial records.
  • Maintained inventory of office supplies and placed orders.
  • Monitored office supplies inventory, ensuring availability of essential items without overstocking.
  • Enhanced office environment, organizing spaces for better workflow and employee comfort.

Education

Associate in Health Information Management - Billing And Coding

Bryan University
01-2023

Billing And Coding Certificate - Billing And Coding

Bryan University
Tempe, AZ
01-2022

Music Education

Wayland- Cohocton Central School
Wayland, NY
06-2003

Skills

  • HIPAA compliance
  • Payment posting
  • Claim submission
  • Insurance verification
  • Patient billing
  • CPT knowledge
  • Denial management
  • ICD-10 proficiency
  • Medicare and medicaid process
  • Bill payment
  • Accounts payable
  • Collections management
  • Files and records management
  • Quality-oriented team player
  • Insurance billing
  • Data entry
  • Medical billing
  • ICD-10
  • Insurance claims
  • Medical terminology
  • Claims review
  • Billing and collection procedures
  • Insurance claims processing
  • Critical thinking
  • Customer service
  • Electronic claims

Timeline

Medical Billing Specialist

Regenexx Corporate
10.2023 - Current

Billing Specialist

United Health Network
03.2023 - 10.2023

Administrative Assistant

Bennett Carey Collision
08.2019 - 11.2020

Associate in Health Information Management - Billing And Coding

Bryan University

Billing And Coding Certificate - Billing And Coding

Bryan University

Music Education

Wayland- Cohocton Central School

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Samantha Stocum