Sarah Wessels
Summary
Competent medical billing specialist with 8 years of experience in handling a wide variety of medical billing and coding tasks. Sophisticated and hardworking individual with excellent analytical, problem solving, and multitasking abilities. Coordinates with insurance companies and expedites claims processes. Expertise in accurately posting payments and denial codes and reconciling accounts to reflect accurate patient and/or insurance balances.
Overview
8
8
years of professional experience
Work History
Senior Medical Billing Specialist
Austin Retina Associates
08.2017 - Current
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Delivered timely and accurate charge submissions.
- Adhered to established standards to safeguard patients' health information.
- Liaised between patients, insurance companies, and billing office.
- Collected payments and applied to patient accounts.
- Verified insurance of patients to determine eligibility.
- Accurately posted insurance payments and denial codes
- Audited and corrected billing and posting documents for accuracy.
- Generated monthly billing and posting reports for management review.
Ophthalmologist Front Office Receptionist
Central Texas Eye Center
10.2016 - 08.2017
- Check patients in and out for appointments
- Data entry and verification of patient demographic information
- Data entry and verification of patient insurance information (medical and vision plans)
- Collect and accurately post patient payments
- Triage patient calls and schedule according to clinical protocol and office policies
- Preload new patient medical history into EMR
- Organize, scan and label medical documentation in to EMR system
Medical Billing Specialist
Greater Austin Pain Center
05.2016 - 07.2016
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Located errors and promptly refiled rejected claims.
- 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.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Posted and adjusted payments from insurance companies.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Delivered timely and accurate charge submissions.
Education
Austin Community College
High School Diploma -
Hendrickson High School
06.2006
Skills
- Medical Billing & Coding
- Claim Analyzation & Submission
- Medical Terminology
- ERA Analyzation & Posting
- MS Office Suite
- Data Entry
- Electronic records
- HIPAA Compliance
- Multitasking and Organization
- Account Reconciliation
- Claims Processing
- HIPAA Compliance Certification
- Medical Terminology Expert
- Insurance Claims
- ICD-10
- Payment Posting
- Critical Thinking & Problem Solving
- Medicare and Medicaid Process
- Medicaid and Medicare Knowledge
- Electronic Health Record Software
References
References available upon request
Timeline
Senior Medical Billing Specialist
Austin Retina Associates
08.2017 - Current
Ophthalmologist Front Office Receptionist
Central Texas Eye Center
10.2016 - 08.2017
Medical Billing Specialist
Greater Austin Pain Center
05.2016 - 07.2016
Austin Community College
High School Diploma -
Hendrickson High School
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