EPIC
Years of mastering Medical Billing
Sara Nicole Clark
Jacksonville,FL
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
7
7
5
5
Perfecting being a Pharmacy Technician
17
17
Delivering exceptional Customer Service & Forming Bonds
3
3
Working Administrative Position with Precise Organization
Work History
Medical Billing Specialists – Insurance Follow Up Specialist
Omega Healthcare/Himagine Solutions
Remote
01.2024 - Current
- Third Party Billing Medicaid, Medicare, and all Commercial Plans scrubbing, correcting, appealing, adjusting, and auditing claims to obtain payment for the client
- MO, WI, IL and OK billing experience Communicating effectively with insurance companies via all available portals, phones, faxes, emails, and phone calls
- Prioritizing effective communication that will allow for easy follow up without extensive research
- Assisting with automation creation for tasks would allow more time on claims that need more hands-on attention
- Training fellow employees Creating workflows and “cheat sheets” for better understanding of protocols
- Staying up to date with changes in the Commercial, Medicaid, and Medicare guidelines
- Continuously having an open communication with the client to understand the processes and procedures that are being done to make sure the work is done in the most effective way possible
- Ensure my daily production goal was met and exceeded.
- Exceeded established service goals while leveraging customer service and employee management best practices.
- Prevented key account losses by researching discrepancies and correcting problems.
Medical Billing Specialist – Team Lead
North Florida Surgeons
Jacksonville, FL
02.2022 - 12.2023
- Billing Verification and Insurance Set-Up Claim
- Adjustment/Denials/Appeals/Adjustments
- Reimbursement Management Properly coding services, procedures, diagnoses, and treatments
- Following up with patients and insurance companies about outstanding bills
- Connecting with the proper departments with their insurance companies to resolve claim discrepancies or COB issues.
- Obtained and verified benefits and eligibility with speed and precision.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Determined prior authorizations for medication and outpatient procedures.
- Helped mitigate and resolve data issues by analyzing situation and implementing appropriate solutions.
Medical Billing Specialist- Medicaid Billing
Legacy Link Area Agency on Aging
Oakwood, GA
05.2020 - 01.2021
- Claim submission.
- Code correction.
- Casework – averaging 65 - 80 cases a month.
- Assessing Insurance Approvals & Appealing Denials
- Verification of Active Coverage and Obtaining Referrals
- Accounts Receivable/Account Payable
- Reviewed and verified benefits and eligibility with speed and precision.
- Applied payments, adjustments, and denials into medical manager system.
Medical Billing Manager
Focus Forward Counseling and Consulting
Cumming, GA
06.2017 - 05.2020
- Designed and Implemented a Flow from scheduling through the billing process to prevent missing information and having to repeatedly call the patient to acquire missed pieces.
- Insurance Verification/Follow-Up on Claims/Claim Submission
- Claim Management & Scrubbing/Accounts Receivable & Accounts Payable
- Bring the EHR system to a more current intuitive interface with also being adaptable to commercial insurance, Medicare, and Medicaid
- Hiring & Training New Employees and Creating Guides for flawless set up.
- Patients Bill Pay Tutorials & Payment Plan Set-Up and Follow-Up
- Appointment Scheduling and Testing Time Blocks
- Built high-performance team by collaborating with new members on procedural, administrative, collections and compliance areas.
- Helped customers to bring accounts into good standing by implementing payment plans.
- Resolved billing issues by applying knowledge and completing in-depth research.
- Managed billing calendar and scheduled claims for payments.
Education
Bachelor of Science - Healthcare Administration
Liberty University
Lynchburg, VASkills
- Medical billing proficiency
- Conflict resolution abilities
- Effective communication abilities
- Strong analytical skills
- HIPAA Compliance
- Problem Resolution
- Insurance Verification
- Quality Control
- Customer Service
- Account Management
- Call Documentation
- Adaptability
References
References available upon request.
Accomplishments
- Supervised team of 32 staff members.
- Achieve nearly flawless implementation new EHR systems and work flows throughout the practice with accuracy and efficiency.
- Consistently excelled in all daily, weekly, monthly goals for production.
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Work Preference
Work Type
Part TimeContract WorkWork Location
RemoteImportant To Me
Flexible work hoursSoftware
EClinicalWorks
Athena
Microsoft - Word, Excel, PP, etc
Adobe
Availity
Valant
OCHIN EPIC
TherapyNotes
Languages
English
Native language
Quote
Out of your vulnerabilities will come your strength.
Sigmund Freud
Interests
Training Rottweilers
Making the world a more kind place
Advocating for those who cannot advocate for themself
Finding a job that fuels the passion
Learning a new skill/trade
Timeline
Medical Billing Specialists – Insurance Follow Up Specialist
Omega Healthcare/Himagine Solutions
01.2024 - Current
Medical Billing Specialist – Team Lead
North Florida Surgeons
02.2022 - 12.2023
Medical Billing Specialist- Medicaid Billing
Legacy Link Area Agency on Aging
05.2020 - 01.2021
Medical Billing Manager
Focus Forward Counseling and Consulting
06.2017 - 05.2020
Bachelor of Science - Healthcare Administration
Liberty University
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