Sara Richmond
Rayville,USA
Summary
Detail-oriented medical biller with extensive experience in managing complex multitasking and claims processing tasks. Proven ability to efficiently collaborate with insurance companies to resolve disputes and ensure timely reimbursements. Committed to maintaining accuracy and compliance in all billing operations, contributing to streamlined processes and enhanced revenue cycles. Adept at navigating challenging situations with professionalism and a focus on delivering exceptional service.
Overview
8
8
years of professional experience
Work History
Medical Billing Specialist Level 2
Premier Urgent Care
08.2024 - Current
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Filed and updated patient information and medical records.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Identified and resolved patient billing and payment issues.
- Located errors and promptly refiled rejected claims.
- Verified insurance of patients to determine eligibility.
Medical Billing Specialist Level 2
Affinity health group
06.2018 - 07.2024
- Researched complex billing issues involving multiple providers or services rendered over a period of time.
- Adhered to HIPAA regulations when handling confidential patient information.
- Reviewed patient records for accuracy and completeness of information in medical billing.
- Submitted appeals using provider portals and phone communication.
- Posted and adjusted payments from insurance companies.
- Streamlined billing processes by implementing efficient workflows and utilizing advanced software tools.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Reduced errors in medical billing by meticulously reviewing patient records and ensuring accurate coding.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Filed and updated patient information and medical records.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Identified and resolved patient billing and payment issues.
- Located errors and promptly refiled rejected claims.
- Verified insurance of patients to determine eligibility.
Education
Medical Coding And Billing
Kaplan University
Davenport, IA06.2017
Skills
- Generally Accepted Accounting Principles (GAAP)
- Quality-oriented team player
- Bill payment
- Insurance Verification
- Patient Billing
- Payment posting
- HIPAA Compliance
- Collections Management
- CPT Knowledge
- ICD-10 Proficiency
- Files and records management
- Multitasking and Organization
- Teamwork and Collaboration
- Clerical Support
- Commercial and Private Insurance
- Billing and Collection Procedures
- Claims review
- Claims Processing
- Regulatory Compliance
- CMS-1500 Billing Forms
- Medicaid and Medicare Knowledge
- Insurance Billing
- Critical Thinking
- Electronic Claims
- Insurance claims processing
- Submission of medical claims
- Reimbursements
- Insurance Claims
- ICD-10 Coding
- Billing codes
- Information inputting
- Centricity use
- Medical Billing
- Medical coding understanding
- Account follow-up
- Medical Terminology
- Claim review
- CPT code modifiers
- ICD-10
- Claim submission
- Insurance verification
- Medicare and medicaid process
- Patient billing
- Claims processing
- Medical terminology
- Insurance claims
- Medical billing
Timeline
Medical Billing Specialist Level 2
Premier Urgent Care
08.2024 - Current
Medical Billing Specialist Level 2
Affinity health group
06.2018 - 07.2024
Medical Coding And Billing
Kaplan University
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