STARLA ALEXANDER
Amarillo,TX
Summary
Results-driven individual with a solid track record in delivering quality work. Known for excellent communication and teamwork abilities, with a commitment to achieving company goals, and delivering exceptional service. Passionate about continuous learning and professional development.
Overview
16
16
years of professional experience
Work History
SR. MEDICAL BILLING SPECIALIST
TTUHSC
AMARILLO, TX
10.2019 - Current
- Checking eligibility and benefits.
- Designed and maintained detailed project data within Excel systems.
- Consistently achieved daily targets for resolving medical claim denials.
- Maintaining effective communications with all departments, providers, and provider insurance representatives regarding claim issues
- Established monthly budget plans for patients.
- Checking provider portals and calling various insurance companies for authorization requirements.
- Enter corrected medical claims and voided claims on provider portals
- Review claims rejections and denials to determine appropriate action needed for resolution in a timely manner.
- Trained new team members on company policies and accounting systems to keep team operations productive and efficient.
- Checked claims coding for accuracy with ICD-10 standards.
- Participated in meetings with healthcare providers concerning billing issues.
MEDICAL BILLING CLERK
AMARILLO ENDOSCOPY CENTER
AMARILLO, TX
06.2017 - 10.2019
- Responsible for billing out all clinic, facility, and hospital claims
- Checking pt Benefits and eligibility
- Obtaining pre-authorizations
- Managed and processed day-to-day deposits efficiently.
- Posted Explanation of Benefits throughout the system.
- Verifying and Collecting deductibles, coinsurance, and copays required by medical insurance
- Setting up payment plans
- Medical Claim Appeals
- Generated detailed productivity reports.
- Trained new team members on company policies and accounting systems to keep team operations productive and efficient.
- Supervised daily operations of office as far as opening/ closing tasks.
ADMITTING CLERK/ REGISTRAR
SHASTA REGIONAL MEDICAL CENTER
REDDING , CA
04.2016 - 06.2017
- Processed patient registrations for inpatient/outpatient medical procedures.
- Coordinate registration for both ER and direct admissions.
- Assessed eligibility and benefits.
- Managed accurate collection of copays, deductibles, and coinsurance.
- Reported admissions from ER to insurance companies.
- Assisted with administrative tasks in the finance counseling office.
- Applications for presumptive eligibility (Emergency Medicaid).
- Verified availability of Days Remaining under Medicare inpatient coverage.
- Answered incoming calls from patients regarding registration inquiries.
- Scanned documents into electronic health record system according to established procedures.
- Ensured compliance with HIPAA regulations related to patient privacy rights.
ASSISTANT MANAGER
THE BUCKLE
REDDING , CA
10.2011 - 07.2014
- Consistently setting and meeting goals
- Trained team members and shoppers on product features and benefits.
- Managed shift schedules ensuring compliance with break and lunch requirements.
- Allocated responsibilities each day to keep the store tidy and orderly.
- Monitored productivity metrics and implemented strategies to surpass prior year's performance.
- Ensure team remains motivated and energized.
- Weekly Scheduling for store employees
- Performed routine store opening and closing procedures.
- Managed daily bank deposits efficiently.
- Evaluated individual and team business performance and identified opportunities for improvement.
- Planned and delivered training sessions to improve employee effectiveness and address areas of weakness.
- Resolved conflicts between team members in an effective manner.
RECEPTIONIST
RUBY D SAULOG MD
AMARILLO, TX
10.2008 - 09.2009
- Confirm, CX, and R/S Patient Appointments
- Electronic Record Filing's Filing
- Entered demographic data and new patient information.
- Analyzed patient charts to process medication refill requests.
- Contacted insurance companies to obtain prior authorizations.
- Facilitated scheduling of diagnostic imaging procedures.
- Ensured that all necessary forms were completed accurately prior to submitting them for processing.
Education
HIGH SCHOOL DIPLOMA -
ANDERSON UNION HIGH SCHOOL
Anderson, CA06.2007
Skills
- Continuous learning mindset
- Medical/ Insurance terminology
- ICD-10 knowledge
- Data Entry
- Microsoft Office systems (Word, Excel, Office)
- Time management
- Attention to detail
- Accounts receivable management
- Multitasking and organization
- Chart auditing
- Clerical support
- Team leadership
- Problem-solving
- Employee training/coaching
- Communication skills
Timeline
SR. MEDICAL BILLING SPECIALIST
TTUHSC
10.2019 - Current
MEDICAL BILLING CLERK
AMARILLO ENDOSCOPY CENTER
06.2017 - 10.2019
ADMITTING CLERK/ REGISTRAR
SHASTA REGIONAL MEDICAL CENTER
04.2016 - 06.2017
ASSISTANT MANAGER
THE BUCKLE
10.2011 - 07.2014
RECEPTIONIST
RUBY D SAULOG MD
10.2008 - 09.2009
HIGH SCHOOL DIPLOMA -
ANDERSON UNION HIGH SCHOOL
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