Summary
Overview
Work History
Education
Skills
Certification
Medical Assistant
Timeline
Generic

Sonia Corbett

Orlando,FL

Summary

Dynamic and results-oriented professional with extensive experience in medical billing and claims resolution at Florida Cancer Specialists. Excelled in insurance verification, leveraging ICD-10 proficiency, and enhanced team productivity through effective leadership. Demonstrated commitment to HIPAA compliance and exceptional customer service, significantly improving claims processing efficiency.

Overview

19
19
years of professional experience
1
1
Certification

Work History

Oncology Revenue EDI Medical Biller Specialist

Florida Cancer Specialists
12.2018 - Current


  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
  • Filed and updated patient information and medical records.
  • Proficiently utilize electronic systems and software related to EDI for medical billing, such as clearinghouses, practice management systems, and electronic health record (EHR) software.
  • Apply knowledge of medical coding systems, such as ICD-10, CPT, and HCPCS, to accurately assign appropriate codes for diagnoses, procedures, and services. Ensure compliance with coding guidelines and regulations.
  • Verify patient insurance coverage and eligibility through online portals or by contacting insurance companies directly. Confirm the accuracy of patient demographic and insurance information to facilitate claims processing. Review Explanation of Benefits (EOB) and Remittance Advice (RA) to reconcile payments, identify discrepancies, and resolve billing discrepancies or denials. Maintain accurate and organized records of billing activities, including claim submissions, payment records, and correspondence. Ensure proper documentation to support claims and facilitate audits or reviews.
  • Stay updated on industry trends, changes in insurance regulations, and coding guidelines. Ensure compliance with federal and state laws, HIPAA regulations, and other relevant regulatory requirements

Claims Resolution Specialist & Revenue Cycle Team

Florida Cancer Specialists
12.2018 - 08.2019
  • Enhanced claims processing efficiency by streamlining workflows and implementing time-saving procedures.
  • Collaborated with various departments for comprehensive claim evaluations, improving overall outcomes.
  • Handled complex cases with multiple parties involved, effectively managing priorities and deadlines to ensure timely resolutions.
  • Contributed to team success by consistently meeting or exceeding individual performance metrics for claim resolution.
  • Accurately process and review claims submitted by healthcare providers, ensuring adherence to company policies, procedures, and industry regulations. Conduct thorough
  • Stay updated on industry trends, changes in insurance regulations, and coding guidelines. Ensure compliance with federal and state laws, HIPAA regulations, and other relevant regulatory requirements
  • Ensured compliance with industry regulations and company policies by staying up-to-date on relevant guidelines.
  • Directed claims negotiations within allowable limit and supported successful litigations for advanced issues.

Office Manager/ Medical Assistant/ Receptionist

Florida Hospital Medical Group
02.2005 - 03.2017
  • Handled sensitive information with discretion, maintaining confidentiality of company documents and personnel records.
  • Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence.
  • Maintained computer and physical filing systems.
  • Maintained accurate financial records by reconciling accounts payable/receivable transactions regularly to ensure balanced budgets.
  • Developed and maintained successful relationships with vendors, suppliers and contractors.
  • Created, maintained and updated filing systems for paper and electronic documents.
  • Coordinated office events and meetings, ensuring timely execution and optimal scheduling for all participants.
  • Enhanced team productivity by delegating tasks effectively and overseeing daily workflow.
  • Coached new hires on company processes while managing employees to achieve maximum production.
  • Managed compliance to keep organization operating within legal and regulatory guidelines.
  • Updated reports, managed accounts, and generated reports for company database.
  • Assisted in the recruitment process, conducting interviews and onboarding new employees to promote a seamless integration into the team dynamic.
  • Managed vendor relationships, negotiating contracts for cost savings while maintaining high-quality services.
  • Organized travel arrangements for executives by researching cost-effective options while accommodating individual preferences.
  • Reduced costs with meticulous budget monitoring and expense tracking for essential supplies and equipment.
  • Measured patient pulse oximetry.
  • Helped improve patient outcomes by educating and advising on relevant treatments and care.
  • Streamlined front desk operations for increased efficiency by effectively managing phone calls, emails, and walk-in clients.

Education

Associate of Arts - Healthcare Administration

University of Phoenix
Tempe, AZ
08.2017

Certification - Medical Assisting

HiTech Institute
Orlando, FL
04.2000

Skills

  • Insurance Claims
  • Medical Billing
  • Insurance Billing
  • Electronic Claims
  • HIPAA Compliance
  • Insurance Verification
  • CPT Knowledge
  • Billing and Collection Procedures
  • Medicaid and Medicare Knowledge
  • Claim submission
  • Electronic Health Record Software
  • ICD-10 Proficiency
  • Medical coding knowledge

Certification

  • [Medical Assistant] Certificate - [2000]

Medical Assistant

· Patient Vitals, EKG monitoring, communicating lab, Imaging results to patients

· Prior Authorizations. Per to Per for medications/medical procedures, called in medications to pharmacy

Timeline

Oncology Revenue EDI Medical Biller Specialist

Florida Cancer Specialists
12.2018 - Current

Claims Resolution Specialist & Revenue Cycle Team

Florida Cancer Specialists
12.2018 - 08.2019

Office Manager/ Medical Assistant/ Receptionist

Florida Hospital Medical Group
02.2005 - 03.2017

Associate of Arts - Healthcare Administration

University of Phoenix

Certification - Medical Assisting

HiTech Institute

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Sonia Corbett