Proven leader in streamlining billing processes at Western Springs Family Practice, LLC, enhancing revenue collections by implementing rigorous follow-up procedures. Expert in insurance claims and medical billing, complemented by strong customer service skills. Achieved significant reduction in account receivables, demonstrating exceptional decision-making and teamwork abilities. Gifted in working with stressed, confused and upset individuals in need of benefits information and supportive guidance to navigate insurance protocols. Effective at operating within HIPPA regulations and billing department guidelines to manage telephone calls, emails, and letters requests for assistance. Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation. An established Medical Coding and Billing Specialist known for handling various office tasks with undeniable ease.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Front Gate Security Officer
Blue Line Elite
08.2023 - Current
Recorded incident reports with detailed accounts of occurrences.
Monitored alarm systems and CCTV footage to enable prompt attention and response.
Maintained a secure environment for employees and visitors by enforcing access control policies and visitor management procedures.
Supervised and evaluated security staff performance to determine compliance with safety regulations.
Oversaw team of security officers and managed scheduling and performance evaluations.
Developed and implemented strategies to prevent and respond to security incidents.
Led team of security personnel, ensuring high standards of discipline and professionalism were maintained.
Followed company protocols to ensure anyone entering the property was granted access by residents.
Updated resident's profiles to keep up to date records to ensure timely and efficient entrance.
Business Office Manager
Panozzo Therapy, LLC
08.2016 - 03.2023
Updated reports, managed accounts, and generated reports for company database.
Resolved financial discrepancies and customer billing issues with timely attention.
Enhanced customer satisfaction by addressing inquiries promptly and resolving issues professionally.
Safeguarded sensitive company information by establishing comprehensive data security protocols that complied with industry best practices.
Managed allocation and maintenance of office space and equipment, optimizing resources for maximum efficiency.
Implemented new software for financial management, significantly reducing errors in budget reports and expense tracking.
Communicated with insurance providers to resolve denied claims and resubmitted.
Filed and updated patient information and medical records.
Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
Ensured timely payments from insurance providers through submission of accurate and complete claims.
Collected payments and applied to patient accounts.
Posted payments and collections on regular basis.
Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
Liaised between patients, insurance companies, and billing office.
Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
Maintained professional demeanor by staying calm when addressing unhappy or angry customers.
Used industry expertise, customer service skills and analytical nature to resolve customer concerns and promote loyalty.
Verified insurance of patients to determine eligibility.
Delivered timely and accurate charge submissions.
Acted as liaison between healthcare providers and insurance companies; resolved disputes quickly while maintaining positive relationships.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Supported efficient scheduling practices by verifying patient eligibility and coverage prior to appointments.
Resolved discrepancies in accounts receivable reports, contributing to improved cash flow management.
Improved patient satisfaction levels with clear explanations of their financial responsibilities and available payment options.
Organized filing system for patient records, expediting access to essential documents when needed.
Adhered to established standards to safeguard patients' health information.
Reviewed outstanding balances owed by patients; initiated collection actions if necessary resulting in improved account recovery efforts.
Assisted patients in understanding insurance benefits, leading to a positive experience during their visit.
Streamlined billing processes by implementing efficient procedures to improve accuracy and reduce errors.
Responded to customer concerns and questions on daily basis.
Used data entry skills to accurately document and input statements.
Handled account payments and provided information regarding outstanding balances.
Processed payment via telephone and in person with focus on accuracy and efficiency.
Maintained accurate records of customer payments.
Collaborated with customers to resolve disputes.
Utilized various software programs to process customer payments.
Correctly entered ICD-10 and CPT codes to generate claims
Submitted claims to insurance companies for timely processing.
Medical Biller
Western Springs Family Practice, LLC
09.2011 - 08.2016
Verified insurance of patients to determine eligibility.
Communicated with insurance providers to resolve denied claims and resubmitted.
Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
Filed and updated patient information and medical records.
Ensured timely payments from insurance providers through submission of accurate and complete claims.
Collected payments and applied to patient accounts.
Posted payments and collections on regular basis.
Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
Liaised between patients, insurance companies, and billing office.
Maintained compliance with industry regulations by staying updated on changes to medical billing codes and requirements.
Delivered timely and accurate charge submissions.
Collaborated with healthcare providers, ensuring accurate documentation for seamless billing operations.
Acted as liaison between healthcare providers and insurance companies; resolved disputes quickly while maintaining positive relationships.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Supported efficient scheduling practices by verifying patient eligibility and coverage prior to appointments.
Improved patient satisfaction levels with clear explanations of their financial responsibilities and available payment options.
Organized filing system for patient records, expediting access to essential documents when needed.
Prepared billing statements for patients and verified correct diagnostic coding.
Adhered to established standards to safeguard patients' health information.
Reviewed outstanding balances owed by patients; initiated collection actions if necessary resulting in improved account recovery efforts.
Assisted patients in understanding insurance benefits, leading to a positive experience during their visit.
Reviewed patient records, identified medical codes, and created invoices for billing purposes.
Reviewed patient diagnosis codes to verify accuracy and completeness.
Reduced instances of denied claims, carefully reviewing and rectifying coding errors before submission.
Facilitated seamless collaboration between billing department and healthcare providers to ensure accurate billing information.
Improved patient satisfaction by providing clear explanations of billing procedures and addressing billing inquiries promptly.
Achieved significant reduction in outstanding accounts receivables by implementing rigorous follow-up procedures with insurers and patients.
Orchestrated transition to ICD-10 coding system, minimizing disruptions to billing operations.
Responded to customer concerns and questions on daily basis.
Used data entry skills to accurately document and input statements.
Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
Audited and corrected billing and posting documents for accuracy.
Monitored outstanding invoices and performed collections duties.
Handled account payments and provided information regarding outstanding balances.
Generated monthly billing and posting reports for management review.
Processed payment via telephone and in person with focus on accuracy and efficiency.
Maintained accurate records of customer payments.
Education
High School Diploma -
Victor J. Andrew
Tinley Park, IL
06.2005
Skills
Insurance Claims
Medical Billing
Insurance Billing
Electronic Claims
Customer Service
Electronic Health Record Software
Multitasking and Organization
Teamwork and Collaboration
Customer Relations
Decision-Making
Team Leadership
Office Administration
Computer Skills
Professional and Courteous
Certification
Certified Professional Coder -Apprentice (CPCA) - American Academy of Professional Coders (AAPC).