Shari Roach
Milton,FL
Summary
Results-driven Medical Billing Specialist with extensive experience at American Behavioral Clinics, SC. Expert in claim submission and denial management, ensuring timely payments and enhancing patient satisfaction through effective communication. Proven ability to resolve complex billing issues while maintaining HIPAA compliance and fostering strong relationships with insurance providers and patients.
Overview
17
17
years of professional experience
Work History
Medical Billing Specialist
American Behavioral Clinics,SC
11.2008 - Current
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Located errors and promptly refiled rejected claims.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Identified and resolved patient billing and payment issues.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- 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.
Education
General
St Francis High School
St Francis,WISkills
- HIPAA compliance
- Payment posting
- Claim submission
- Insurance verification
- Patient billing
- Denial management
- Medicare and medicaid process
- Data entry
- Electronic claims
- Customer service
- Claims review
Timeline
Medical Billing Specialist
American Behavioral Clinics,SC
11.2008 - Current
General
St Francis High School
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