Sandi Marsh
Elgin,SC
Summary
Seasoned Senior Medical Biller with comprehensive background in medical billing and claims. Able to efficiently process payments, review accounts, and conduct audits to ensure accuracy. Strong interpersonal skills combined with deep knowledge of coding procedures and insurance policies contribute to effective communication with healthcare providers and insurance companies. Proven ability to improve billing processes for better efficiency and accuracy, leading to improved revenue cycle management.
Overview
20
20
years of professional experience
Work History
Senior Medical Biller
Cardiovascular Services LLC
03.2011 - Current
- Managed practice operations by overseeing billing processes and coordinating with healthcare providers, ensuring compliance with regulatory requirements and increasing revenue by 80%.
- Conducted insurance verification by confirming patient coverage and coordinating with insurance providers, enduring accurate billing and minimizing claim denials by 100%. I also run payroll and employee attendance.
- Developed and maintained relationships with insurance companies, resolving claim denials and ensuring maximum reimbursement for services rendered.
- Created detailed reports on billing activities, including revenue analysis, payment trends, and outstanding balances.
- Successfully resolved complex billing issues by researching discrepancies, communicating with relevant parties, and implementing corrective actions.
- Assisted patients in understanding their insurance coverage benefits and resolving any disputes or inquiries related to medical bills.
- Managed the submission of electronic claims through various clearinghouses or directly through insurance portals.
- Negotiated payment plans with patients who were unable to pay their full balance upfront.
Billing Specialist
Gastroenterology Associates
06.2006 - 03.2011
- Responsible for running a surgery center from A-Z.
- Verifying patient insurance, maintain accounts receivable daily, Research unpaid and denied insurance claims, submit re-bills and secondary Billing, inquire authorizations.
- I post daily charges to software system.
- Run reports for ASC Center weekly.
- Responsible for all customer service calls.
Education
High school diploma -
Thayer high school
Winchester, NHSkills
- Electronic claim specialist
- EOB posting
- Working denials
- Customer service
- Insurance Verification
- Microsoft Word
- CPT Coding
- Accounts Payable
- Medical Office Experience
- Medical collection
- Organizational skills
- EMR Systems
- Clerical Experience
- Medical billing
- ICD coding
- Microsoft Excel
- ICD-10
- Medical Records
- Records Management
- Office Management
- Medical Terminology
- Medicare
Work Preference
Work Type
Full TimeLocation Preference
RemoteImportant To Me
Work-life balanceWork from home optionPaid time offPaid sick leave401k matchAwards
ASC Award, 2008, Awarded one of the top ASC facilities to meet all billing standards in the nation. I was pretty proud of that. The opportunity to meet hundreds of medical billers and to be named one of the top 5 is impressive.
Additional Information
Im currently interviewing for my next job. My current job will be ending soon, my doctor is retiring. I have letters of reference on hand for potential employers.
Thank you
Timeline
Senior Medical Biller
Cardiovascular Services LLC
03.2011 - Current
Billing Specialist
Gastroenterology Associates
06.2006 - 03.2011
High school diploma -
Thayer high school