Starla McFarland
Portland,OR
Summary
To seek and maintain a full-time position that offers professional challenges utilizing interpersonal skills, excellent time management, and problem-solving skills.
Overview
22
22
years of professional experience
Work History
Finance Specialist 1
Multnomah County Health Department
01.2016 - Current
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Researched and resolved billing discrepancies to enable accurate billing.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Monitored customer accounts to identify and rectify billing issues.
- Identified payment trends and adjusted billing processes accordingly to retain customers.
- Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
- Verified patient insurance coverage and benefits for medical claims.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Paid or denied medical claims based upon established claims processing criteria.
- Posted payments to accounts and maintained records.
- Researched and resolved complex medical claims issues to support timely processing.
- Monitored and updated claims status in claims processing system.
- Responded to correspondence from insurance companies.
- Processed insurance payments and maintained accurate documentation of payments.
National Billing Specialist
All American Hearing
09.2015 - 01.2016
- Researched and resolved billing discrepancies to enable accurate billing.
- Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
- Provided excellent customer service, developing and maintaining client relationships.
- Monitored customer accounts to identify and rectify billing issues.
- Processed and verified invoices to secure accuracy of billing information.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Handled account payments and provided information regarding outstanding balances.
Medical Billing Specialist
Robert Half/Account Temps
03.2011 - 09.2015
- Worked well in a team setting, providing support and guidance.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Collected payments and applied to patient accounts.
- Corrected, completed and processed claims for multiple payer codes.
- Processed online and paper appeal submissions and refund requests.
- Monitored outstanding invoices and performed collections duties.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Developed and implemented new filing system for medical records to improve efficiency.
- Assisted in preparation of medical reports for external parties.
Billing Specialist
Care Medical Equipment
11.2001 - 02.2011
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Located errors and promptly refiled rejected claims.
- Identified and resolved patient billing and payment issues.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Collected payments and applied to patient accounts.
- Posted and adjusted payments from insurance companies.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Precisely evaluated and verified benefits and eligibility.
- Filed and updated patient information and medical records.
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
- Reconciled accounts receivable to general ledger.
- Monitored outstanding invoices and performed collections duties.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Verified insurance of patients to determine eligibility.
Education
Associate of Science - Health Information Technology
University of Phoenix
Tempe, AZ09.2024
Billing/Coding Dipolma - Billing/Coding
Concorde Career Institute
Portland, OR09.2000
Skills
- Insurance Verification
- Payment Posting
- Denial Management
- Conflict Resolution
- Medical Billing
- HIPAA Knowledge
- Interpersonal Abilities
- Medicaid Knowledge
Timeline
Finance Specialist 1
Multnomah County Health Department
01.2016 - Current
National Billing Specialist
All American Hearing
09.2015 - 01.2016
Medical Billing Specialist
Robert Half/Account Temps
03.2011 - 09.2015
Billing Specialist
Care Medical Equipment
11.2001 - 02.2011
Associate of Science - Health Information Technology
University of Phoenix
Billing/Coding Dipolma - Billing/Coding
Concorde Career Institute
Similar Profiles
Sean PhounsavathSean Phounsavath
Environmental Health Specialist at Multnomah County Health DepartmentEnvironmental Health Specialist at Multnomah County Health Department
E. Scott WilliamsE. Scott Williams
Senior Manager, Direct Clinical Services at Multnomah County Health DepartmentSenior Manager, Direct Clinical Services at Multnomah County Health Department
Artemio PerezArtemio Perez
Office Specialist 2 (Bilingual Spanish) at Multnomah County Health DepartmentOffice Specialist 2 (Bilingual Spanish) at Multnomah County Health Department
Myron FalknerMyron Falkner
Psychiatric Mental Health Nurse Practitioner at Multnomah County Health Department - CorrectionsPsychiatric Mental Health Nurse Practitioner at Multnomah County Health Department - Corrections
Manar Al-MasriManar Al-Masri
Caregiver at The Watermark at the PearlCaregiver at The Watermark at the Pearl