Open To Work
Sharon McLarnan
Sparta,MO
Work Preference
Summary
Detail-oriented Medical Billing Specialist skilled in claims processing and patient communication. Experienced in managing complex billing tasks and enhancing team training to boost operational efficiency. Well-versed in medical coding and HIPAA compliance with hands-on experience in claims review and billing report maintenance.
Overview
15
15
years of professional experience
Work History
Medical Billing Specialist
Woodlands Medical Specialists
Pensacola, Florida
08.2020 - 06.2022
- Processed medical claims accurately for various insurance providers.
- Reviewed patient billing records for completeness and accuracy.
- Communicated with patients regarding outstanding balances and payment options.
- Assisted in resolving claim denials by providing necessary documentation.
- Maintained up-to-date knowledge of insurance policies and regulations.
- Supported the team in training new staff on billing procedures and systems.
- Collaborated with healthcare providers to ensure accurate coding practices.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Adhered to HIPAA regulations when handling confidential patient information.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Applied payments, adjustments, and denials into medical manager system.
- Completed appeals and filed and submitted claims.
- Analyzed rejected claims and corrected errors before resubmitting for payment.
- Submitted appeals for denied claims when appropriate according to the insurance company's criteria.
- Provided customer service support to patients who had questions about their bills or payments due.
- Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
- Submitted refund requests for claims paid in error.
- Analyzed patients' insurance coverage details, including deductibles and remaining balances.
- Ensured HIPAA compliance by maintaining confidentiality of all patient information.
Medical Office Assistant
Advance Medical Care
Pensacola, FL
04.2007 - 10.2019
- Managed patient scheduling and appointment confirmations for efficient clinic operations.
- Assisted healthcare providers with patient intake and documentation procedures.
- Coordinated insurance verification and billing processes, ensuring accurate claims submission.
- Maintained medical records and ensured compliance with privacy regulations.
- Communicated with patients about test results and follow-up appointments, enhancing patient understanding.
- Organized office supplies and maintained inventory levels for smooth daily functions.
- Trained new staff on office protocols and patient interaction best practices.
- Utilized electronic health record systems to update patient information promptly.
- Assisted with referrals and prepared medical records for patients.
- Managed medical records using an electronic health record system.
- Collected information, verified insurance, and processed co-payments during check-in, streamlining patient intake.
- Ensured that all required paperwork was completed accurately prior to submitting it for processing.
- Processed referrals for specialist visits or diagnostic tests.
Patient Care Coordinator
HealthSource Chiropractor
Pensacola, Florida
10.2016 - 11.2018
- Coordinated patient appointments and managed scheduling for efficient clinic operations.
- Assisted patients with insurance verification and explained coverage options clearly.
- Communicated effectively with healthcare providers to optimize patient care plans.
- Maintained accurate patient records and ensured data privacy compliance consistently.
- Managed front desk operations, including greeting patients and answering phone inquiries.
- Developed patient education materials on chiropractic treatments and wellness strategies.
Education
Certificate - Medical Billing And Coding
U.S. Career Institute
Fort Collins, CO05-2026
Diploma - Medical Billing And Coding
Virginia College
Pensacola, FL05-2007
Skills
- Claims processing
- Medical coding
- ICD-10 proficiency
- CPT knowledge
- Insurance verification
- Payment posting
- Patient billing
- Denial management
- CMS-1500 billing forms
- Electronic health record software
- Compliance adherence
- HIPAA compliance
- Data management
- Patient communication
- Customer service
- Office administration
- CMS-1500 billing forms
Timeline
Medical Billing Specialist
Woodlands Medical Specialists
08.2020 - 06.2022
Patient Care Coordinator
HealthSource Chiropractor
10.2016 - 11.2018
Medical Office Assistant
Advance Medical Care
04.2007 - 10.2019
Certificate - Medical Billing And Coding
U.S. Career Institute
Diploma - Medical Billing And Coding
Virginia College