Simona Wells
Hammond,Indiana
Summary
Dynamic professional with a proven track record of leadership in incoming and outgoing call center environments. Exceptional customer service skills in outpatient and inpatient settings. Skilled in accounts payable, accounts receivable, admissions, medical billing, and medical collections procedures. Expertise in multitasking to prioritize and coordinate departmental workflow. Proficient in billing, adjusting, correcting, and collecting information for delinquent accounts for patients and insurance companies.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Accounts Receivable/Collections Specialist
Hammond Clinic
01.2011 - 2011
- Audited overdue accounts to ensure billing accuracy.
- Adjusted codes to align with services documented in medical records.
- Resolved payment discrepancies by adjusting accounts and issuing refunds.
Billing/Collection Specialist
Little Company of Mary-HH
01.2010
- Entered charges for billing to HMO’s, PPO’s, Medicaid, MC, and other third party insurances.
- Contact insurance, patient, and vendors for payments on delinquent accounts.
- Ordered supplies through Mckesson for home healthcare needs of nurses/patients.
Clinic Coordinator/Billing
University of Chicago Medical Center
01.2011 - 06.2025
- Checked and confirmed patient appointments, insurance information, and demographic data at check-in.
- Scheduled and coordinated patient appointments, lab orders, and radiology procedures.
- Facilitated resolution of concerns and questions from patients, nursing staff, and physicians.
- Utilized Centricity to ensure precise entry of medical codes for efficient billing.
Billing/Denials Specialist
Sisters of ST Francis -CBO
01.2008 - 2011
- Handled rebilling of denied HMO, PPO, Medicaid, and MC claims to obtain overdue insurance payments.
- Review patient accounts for diagnosis, coding, and authorization accuracy.
- Scheduled and posted payment arrangements for hospital and physician sites.
Education
South Suburban College of Cook County
South Holland, ILMedical Coding
Ashworth College
Norcross, GA05.2023
Skills
- Centricity
- CITRIX/ EPIC
- CPT codes / ICD 10
- Docu-capture/Mr View
- ECARE
- Encoder Plus
- HIPPA
- Medi-tech
- MS Office
- NDAS
- Oracle/ UNAS
- 10-Key calculator/ Typing
Accomplishments
Worked high dollar misapplied payments over $300,000.00 and applied payments to the correct accounts.
Certification
Medication therapy management
Medical History
Pharmacy
Languages
Spanish
Limited Working
Timeline
Accounts Receivable/Collections Specialist
Hammond Clinic
01.2011 - 2011
Clinic Coordinator/Billing
University of Chicago Medical Center
01.2011 - 06.2025
Billing/Collection Specialist
Little Company of Mary-HH
01.2010
Billing/Denials Specialist
Sisters of ST Francis -CBO
01.2008 - 2011
South Suburban College of Cook County
Medical Coding
Ashworth College
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