Stephanie Newton
Altoona,IA
Summary
Dynamic Medical Billing Specialist with proven expertise at PractiSynergy in claim submission and denial management. Adept at enhancing revenue collection through effective communication and critical thinking. Skilled in HIPAA compliance and insurance verification, fostering collaboration across departments to ensure timely resolution of claims and promote positive patient experiences.
Overview
17
17
years of professional experience
Work History
Medical Billing Specialist
PractiSynergy
08.2020 - Current
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
Medical Documentation Specialist
MercyONE (Conifer)
01.2016 - 01.2018
- Improved document organization by implementing a comprehensive filing system for easy access and retrieval.
- Prepared, scan, validate and check in all incoming health charts.
- Daily work in computer programs such as Microsoft Word, Excel, Cerner applications and Kofax.
- Abide by HIPAA and health management policies.
- Translated complex technical information into intuitive clear format.
- Developed and maintained a comprehensive style guide for company-wide use, resulting in increased consistency across all written materials.
Behavioral Dependent Supervisor
Behavioral Technologies
03.2008 - 12.2015
- Oversaw daily operations of the department, ensuring smooth workflow and timely completion of tasks.
- Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
- Upheld all regulatory guidelines for adult caregiving within a home-based setting, ensuring full compliance with state and federal requirements.
- Facilitated social interactions among clients by organizing group activities and outings, improving mental wellbeing and overall satisfaction.
- Collaborated with multidisciplinary teams to develop comprehensive care plans tailored to individual client needs.
- Assisted clients with daily living needs to maintain self-esteem and general wellness.
Education
Health Information Technology
Des Moines Community College
Ankeny, IA12-2020
Skills
- HIPAA compliance
- CPT knowledge
- Claim submission
- Insurance verification
- Denial management
- Data entry
- Insurance claims processing
- Critical thinking
- Teamwork and collaboration
- Tebra software applications proficiency
Timeline
Medical Billing Specialist
PractiSynergy
08.2020 - Current
Medical Documentation Specialist
MercyONE (Conifer)
01.2016 - 01.2018
Behavioral Dependent Supervisor
Behavioral Technologies
03.2008 - 12.2015
Health Information Technology
Des Moines Community College
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