Detail-oriented professional with focus on deadlines and skilled in handling medical billing without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Medical Billing Specialist
Community Health & Emergency Services, Inc.
11.2022 - Current
Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Researched CPT and ICD-10 coding discrepancies for compliance and reimbursement accuracy.
Communicated effectively and extensively with other departments to resolve claims issues.
Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
Medical Billing Specialist
Medical Office Services
04.2021 - 11.2022
Communicated with insurance providers to resolve denied claims and resubmitted.
Posted and adjusted payments from insurance companies.
Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
Located errors and promptly refiled rejected claims.
Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Medical Office Administrative Assistant
Prompt Med Urgent Care
01.2019 - 04.2021
Demonstrated excellent multitasking abilities while simultaneously handling various administrative tasks such as answering phones, greeting patients, and data entry.
Assisted in training new staff members on office procedures, ensuring consistent quality of services provided.
Handled sensitive patient information with utmost discretion, adhering to HIPAA guidelines at all times.
Maintained a clean, organized reception area for a welcoming environment for patients and visitors.
Supported clinic operations by ordering necessary supplies, managing inventory levels, and coordinating maintenance requests when needed.
Assisted with billing procedures to ensure accurate invoicing and prompt payment from patients and insurance companies.
Medical Office Receptionist
Chicago Open MRI
01.2014 - 01.2019
Increased office productivity by multitasking efficiently during peak hours, handling multiple responsibilities simultaneously.
Improved patient satisfaction by efficiently managing front desk operations and addressing inquiries professionally.
Handled sensitive situations compassionately when dealing with distressed patients or families during difficult times.
Collaborated with medical staff to ensure seamless communication and coordination of patient care.
Contributed to a welcoming atmosphere by greeting patients warmly upon arrival and assisting them throughout their visit.
Reviewed and sent medical records to other physicians upon request.
Enhanced office efficiency by maintaining organized patient records and scheduling appointments accurately.
Managed high call volumes, directing calls to appropriate departments while providing accurate information to callers.
Pulled charts and prepared for nurse and doctor assessment.
Assisted in billing processes, ensuring accurate records and timely payments from insurance companies and patients.
Education
Medical Coding Certification - Medical Billing And Coding
Hutchinson Community College
Hutchinson, Kansas
12.2023
Skills
HIPAA Compliance
Payment posting
Claim submission
Insurance Verification
CPT Knowledge
Denial Management
ICD-10 Proficiency
Medical Billing
Certification
Medical Billing & Coding Certification
Timeline
Medical Billing Specialist
Community Health & Emergency Services, Inc.
11.2022 - Current
Medical Billing Specialist
Medical Office Services
04.2021 - 11.2022
Medical Office Administrative Assistant
Prompt Med Urgent Care
01.2019 - 04.2021
Medical Office Receptionist
Chicago Open MRI
01.2014 - 01.2019
Medical Coding Certification - Medical Billing And Coding
Hutchinson Community College
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