Shari Valek
St. Michael,MN
Summary
Efficient billing professional with 10 years of experience. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive.
Overview
12
12
years of professional experience
Work History
Billing Specialist
Crest View Senior Communities
2021.07 - Current
- Enhanced claim accuracy by meticulously reviewing and verifying patient insurance information.
- Streamlined billing processes for improved efficiency through the implementation of electronic payment systems.
- Reduced processing time with thorough pre-authorization requests, ensuring prompt approvals for patient procedures.
- Increased revenue collection by diligently pursuing outstanding claims and negotiating with insurance companies.
- Maintained strong working relationships with insurance providers, fostering open communication channels for claim resolution.
- Improved cash flow by promptly posting payments and reconciling accounts on a daily basis.
- Minimized errors in claims submissions through regular cross-checking of CPT and ICD codes against medical documentation.
- Assisted patients in understanding their coverage benefits, providing clear explanations and addressing any concerns or questions.
- Collaborated with medical staff to obtain necessary documentation, enabling timely submission of accurate claims.
- Conducted periodic audits to ensure compliance with industry regulations and maintain the integrity of billing operations.
- Optimized revenue recovery efforts by efficiently identifying underpayments and resolving discrepancies with payers.
- Ensured strict adherence to HIPAA guidelines while handling sensitive patient information during the billing process.
- Assisted colleagues during peak workload periods, demonstrating strong teamwork and commitment to overall departmental success.
- Stayed up-to-date with industry developments and changes in insurance policies to ensure ongoing compliance and adaptability in billing practices.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Responded to customer concerns and questions on daily basis.
- Used data entry skills to accurately document and input statements.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
- Collaborated with customers to resolve disputes.
- Handled account payments and provided information regarding outstanding balances.
- Monitored outstanding invoices and performed collections duties.
- Audited and corrected billing and posting documents for accuracy.
- Maintained accurate records of customer payments.
- Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
- Generated monthly billing and posting reports for management review.
- Reconciled accounts receivable to general ledger.
Optician
Buffalo Eye Clinic
2019.06 - 2021.07
- Entered and submitted insurance claims for patient appointments and eyewear.
- Verified patient insurance coverage and benefits.
- Processed patient medical insurance claims and payments.
- Researched, corrected and resubmitted denied claims.
- Worked closely with insurance companies to determine patient coverage.
- Verified and updated patient records promptly to guarantee accurate prescription information.
- Provided exceptional customer service by attentively listening to patient concerns and addressing them promptly.
- Collaborated with optometrists to develop tailored vision care plans, addressing each patient''s unique visual needs.
- Managed check-in and check-out procedures, verified patient information, and submitted lens orders.
Optician/Front Desk Coordinator
LifeStyle Optics
2012.05 - 2019.06
- Verified patient insurance coverage and benefits.
- Processed patient medical insurance claims and payments.
- Researched, corrected and resubmitted denied claims
- Worked closely with insurance companies to determine patient coverage.
- Issued monthly patient statements.
- Applied payments to correct accounts.
- Managed office logistics by scheduling appointments, maintaining files and collecting payments.
- Received and routed laboratory results to correct clinical staff members.
- Supported sales team initiatives by upselling available rooms or packages when appropriate opportunities arose during daily operations.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Helped patients complete necessary medical forms and documentation.
Education
Bachelor of Science - Paralegal
Winona State University
Winona, MN06.1990
Skills
- Claim submission
- Claims processing
- HCPCS Coding
- Insurance Verification
- Denial Management
- A/P and A/R expertise
- Quality Assurance Management
- Billing systems and software
- Microsoft Word and Excel proficient
- Patient account management
- Statement Distribution
- Bill payment
- Invoice Generation
- Customer service support
Timeline
Billing Specialist
Crest View Senior Communities
2021.07 - Current
Optician
Buffalo Eye Clinic
2019.06 - 2021.07
Optician/Front Desk Coordinator
LifeStyle Optics
2012.05 - 2019.06
Bachelor of Science - Paralegal
Winona State University
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