Sherry Carlson
MEDICAL BILLING SPECIALIST
OLYMPIA,WA
Summary
Results-driven billing professional with over 10 years of experience in medical billing and claims management. Expertise in implementing process improvements and resolving discrepancies, contributing to enhanced operational efficiency and timely collections.
Overview
19
19
years of professional experience
Work History
BILLING SPECIALIST
NOBLE PHYSICIANS
Lacey, WA
04.2024 - Current
- Processed and managed patient billing inquiries with precision and attention to detail.
- Utilized billing software to ensure accurate invoicing and timely collections.
- Collaborated with healthcare providers to resolve discrepancies in billing statements.
- Implemented process improvements that enhanced efficiency of billing operations.
- Conducted regular audits of accounts receivable to maintain compliance and accuracy.
- Liaised with insurance companies to facilitate claims processing and payment resolutions.
- Researched and resolved billing discrepancies to enable accurate billing.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
Medical Billing Specialist
Westcare Clinic
Lacey, WA
01.2013 - 04.2024
- Processed medical claims efficiently to ensure timely reimbursements.
- Reviewed and corrected billing discrepancies to maintain accuracy in patient accounts.
- Collaborated with healthcare providers to resolve billing inquiries and enhance communication.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Located errors and promptly refiled rejected claims.
- 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.
Medical Biller
CAPITAL ONCOLOGY
OLYMPIA, WA
11.2007 - 12.2012
- Managed billing processes for oncology services, ensuring accuracy in patient accounts and insurance claims.
- Coordinated with healthcare providers to resolve billing discrepancies and streamline payment processes.
- Implemented electronic health record (EHR) systems to enhance data retrieval and charge capture efficiency.
- Developed best practices for claim submissions, reducing rejections and improving turnaround times.
- Collaborated with cross-functional teams to optimize workflows, contributing to improved operational efficiencies.
- Verified insurance of patients to determine eligibility.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Posted payments and collections on regular basis.
- Collaborated with healthcare providers, ensuring accurate documentation for seamless billing operations.
Education
No Degree - COMPUTER INFORMATION SYSTEMS
New Mexico Highlands University
Las Vegas, NMSkills
- Billing systems and software
- Insurance verification
- Invoice processing
- Customer service
- Claims processing
- Research and due diligence
Timeline
BILLING SPECIALIST
NOBLE PHYSICIANS
04.2024 - Current
Medical Billing Specialist
Westcare Clinic
01.2013 - 04.2024
Medical Biller
CAPITAL ONCOLOGY
11.2007 - 12.2012
No Degree - COMPUTER INFORMATION SYSTEMS
New Mexico Highlands University