Stacy Warren
Bedford,TX
Summary
Diligent Claims Processor versed in insurance processes and claims procedures. Offers great attention to detail and time management abilities to successfully handle large volume of claims. Highly accurate and thorough with focus on completing error-free work in line with processing guideline with over 24 years of experience in Bodily Injury Claims. Excellent reputation for resolving problems and improving customer satisfaction. Detail-oriented professional with focus on deadlines and skilled in handling medical billing without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information. Medical Billing and Coding Specialist providing administrative and advanced knowledge of private insurance processes and codes.
Overview
29
29
years of professional experience
Work History
Billing Representative
Optum360
04.2023 - Current
- Manage the preparation of invoices and complete reconciliation of billing with account receivables
- Interact with customers to gather support data to ensure invoice accuracy and also work through billing discrepancies
- Provide input to policies, systems, methods and procedures for the effective management and control of the premium billing function
- Healthcare revenue cycle - EPIC
- Ability to multitask and understand multiple products and levels of benefits with each product
Senior Claims Processor
Allstate Corp
10.1996 - 11.2020
- Established positive and trusting relationships with injured clients, administering efficient customer service and processing claims quickly through daily follow up with customers regarding bodily injury claims for major/fatality unit
- Carried out administrative tasks by communicating with clients, distributing mail, scanning documents, and accuracy check
- Generated, posted, and attached information to claim files for 90+ pending claims per month
- Made contact with health insurance carriers to discuss policies and individual patient benefits to obtain medical lien
- Medical billing input for bodily injury claims for MBRS and MDP
- Maintained confidentiality of patient records and health status to HIPPA standard
- Reviewed outstanding requests and redirected workloads to complete projects on time
- Medicare/Medicaid/Tricare subject matter expert, answering internal and external questions and inquiries.
File/Mail Clerk
Crawford & Company
03.1995 - 05.1996
- Tracked incoming and outgoing files and materials and maintained accurate records for potential discrepancies
- Located missing file materials to help teams meet project deadlines and avoid lost man-hours
- Responded to internal and external requests for information
- Examined, categorized and sorted incoming documents.
Education
Billing & Coding Specialist Certificate - Medical Billing & Coding
Dallas College
Dallas, TX04.2021
Some College (No Degree) - Liberal Arts
North Lake College
Irving, TexasSome College (No Degree) - English
The University of Texas At Arlington
Arlington, TXSkills
- EPIC - Healthcare Revenue Cycle system
- Billing reconciliation
- Documented and resolved medical claim issues daily which led to timely handling of claims per company and state guidelines
- Experienced Customer Service dealing with high volume of calls to reach satisfactory conclusion
- Collaborated with adjusters in development of Medicare/Medicaid/TRICARE claims and timely payment of medical billing
- Subject matter expert with Medicare/Medicaid regarding HIPPA/medical records procurement
- System Updates- MBRS to MDP
- Customer Needs Assessments
Timeline
Billing Representative
Optum360
04.2023 - Current
Senior Claims Processor
Allstate Corp
10.1996 - 11.2020
File/Mail Clerk
Crawford & Company
03.1995 - 05.1996
Billing & Coding Specialist Certificate - Medical Billing & Coding
Dallas College
Some College (No Degree) - Liberal Arts
North Lake College
Some College (No Degree) - English
The University of Texas At Arlington
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