Seasoned Billing Lead Coordinator with deep expertise in billing systems and patient account management. Proven success in insurance verification and claims processing, driving revenue cycle improvements. Payment processing, patient support, and collections. Strong process optimization and team leadership skills enhance financial operations efficiency. Demonstrated capability in resolving complex discrepancies, significantly reducing billing errors.
Overview
26
26
years of professional experience
1994
1994
years of post-secondary education
Work History
Group Billing Lead
AmeriPath Diagnostics formally PathAI Diagnostics
Memphis, Tennessee
06.2024 - Current
Managed billing processes for medical claims and patient accounts with precision.
Reviewed invoices, ensuring accuracy prior to submission.
Coordinated with patients, providers, clients, collection agencies, and attorneys to resolve discrepancies.
Filed and appealed commercial, federal, state, and worker’s compensation insurance claims.
Updated insurance information while filing primary, secondary, and tertiary claims.
Handled medical records requests and ensured compliance with regulations.
Processed patient correspondence including return mail and bankruptcies efficiently.
Trained new team members on billing systems and procedures.
Verify benefits and eligibility using Availity, Waystar, Navinet, Palmetto, and various insurance sites.
Patient Support/ Billing Coordinator Group Lead
PathAI formally Poplar Healthcare
Memphis, Tennessee
05.2022 - 06.2024
Processed and verified billing statements for laboratory services at PathAI.
Managed invoice reconciliation to ensure accuracy in financial records.
Collaborated with healthcare providers to resolve billing inquiries efficiently.
Weighed envelopes containing statements to determine correct postage and affix postage.
Verified accuracy of information and resolved discrepancies with vendors before entering invoices for payment.
Processed invoice payments and recorded information in account database.
Reviewed legal claims for accuracy and issues.
Participated in workshops, seminars, and training classes to gain stronger education in industry updates and federal regulations.
Collected, posted and managed patient account payments.
Managed all payments processing, invoicing and collections tasks.
Answered customer questions to maintain high satisfaction levels.
Performed accurate and fully compliant monthly closing processes, accruals and journal entries.
Monitored past due accounts and pursued collections on outstanding invoices.
Submitted claims to insurance companies.
Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
Ensured compliance with company policies related to invoice generation and processing.
Researched customer account information to respond to inquiries and resolve disputes.
Reviewed past due accounts and contacted customers for payment arrangements.
Responded promptly to customer inquiries concerning services, bills, payments.
Contacted insurance providers to verify insurance information and obtain billing authorization.
Completed documentation, reports and spreadsheets of financial information.
Submitted appeals on behalf of patients for denied claims.
Provided support for internal departments regarding billing inquiries.
Generated detailed reports on billing activity for management review.
Updated billing systems regularly by entering new customer information, or modifying existing records.
Communicated with insurance companies regarding claim submissions and denials.
Greet Vendors or Patients in lobby for assistance.
Self Pay Lead, Bankruptcy/Med Records Custodian
Poplar Healthcare, Formally GI Pathology
Memphis, TN
04.2013 - 05.2023
Organized and maintained comprehensive records according to compliance standards.
Managed document retrieval requests for internal and external stakeholders.
Implemented efficient filing systems for physical and digital records.
Located, retrieved and copied information in response to requests and delivered to authorized users.
Eliminated outdated or unnecessary materials according to file maintenance guidelines or legal requirements.
Located missing records by searching files or contacting individuals assigned to records.
Answered questions about records or files.
Input data into computer systems to support document and information retrieval.
Maintained records of materials using logbooks or computers and generated computerized reports.
Coordinated the transfer of records between departments, ensuring secure and timely delivery.
Participated in meetings and committees related to information management and governance.
Responded to audit requests, providing all necessary documentation and information in a timely manner.
Coordinated the secure destruction of obsolete records in accordance with legal and company policies.
Processed requests for information, providing prompt and accurate responses to internal and external queries.
Recorded and processed payments by company and customers.
Provided file, document and record access to appropriate personnel.
Data entry, payment posting, process refunds and payment research.
Process payments, contact vendor for card terminal at Covid Tent for maintenance , reconcile daily transactions and order supplies from vendor.
In put all refunds on refund allocation spreadsheet.
Submit daily credit card transactions report for in-house, web page and Covid tent.
Process payments and assist patients in the front lobby.
Accompany Vendors for billing department upon arrival, such as shredder personnel and postage machine maintenance.
Assist Sales Representatives on account related issues, Clients by processing credit card payments.
Handle all patient correspondence to include return mail, return checks, payments disputes, blank or invalid checks and decline checks/credit cards payments.
Greet and assit Vendors and Patients in the lobby and at the Covid Tent.
Self Pay Collector
GI Pathology
Memphis, Tennessee
07.2008 - 04.2013
Managed customer accounts to facilitate timely payments and collections.
Trained new staff on company policies and collection procedures.
Guided customers experiencing financial difficulties through available options.
Investigated disputed claims and made necessary adjustments.
Prepared monthly reports summarizing collections activity for management review.
Processed payments via phone and set up recurring drafts.
Assisted customers with inquiries regarding billing statements and account status.
Conducted skip tracing to locate customers with overdue accounts.
Billing Collector
UT Medical Group
Memphis, TN
06.2004 - 07.2008
Processed customer billing inquiries and resolved payment discrepancies.
Managed collection efforts for overdue accounts and maintained accurate information.
Established Attorney Assignment for pending accidental or law suite cases.
Reprocess insurance claims and correspond with insurance companies.
Process bankruptcy information
Process payments, set up payment plans and assist with financial assistance.
Collector/Customer Billing Representative
NBC Bank
Memphis, Tennessee
02.2000 - 06.2004
Managed customer accounts to ensure timely payments and effective communication.
Conducted outreach to consumers regarding overdue balances and payment plans.
Recorded payment arrangements accurately in bank financial systems.
Collected on past due automobile loans to minimize losses.
Processed payments and extended terms on eligible accounts.
Assisted consumers with mortgage remodifications, guiding application completion and documentation gathering.
Executed collections on commercial accounts within transportation and construction sectors.
Education
Billing Admin - Billing Administration
CCI Institute
Memphis, TN
08.1992 - 08.1993
Hamilton High School
Memphis, TN
Skills
Medical billing and claims processing
Invoice reconciliation and insurance verification
Vendor management and expenditure oversight
Medical records compliance
Payment processing and data entry
Financial reporting and team metrics
Collections agency reporting and SFTP transfers
Audits and HEDIS reviews
ICD-10 proficiency and Microsoft Office skills
Patient communication and support
Knowledge of insurance plans (Commercial, HMO, Federal, State)