Experienced Medical Billing Specialist with 14+ years in posting payments and working denied claims. Looking to grow with a company where I can put my skills and knowledge to good use, and support overall productivity.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Medical Billing Specialist
STI Computer Services, Formerly Radcom Associates
06.2023 - Current
Process payments to patient accounts using a variety of payment methods such as electronic 835 files, credit cards, cash and checks on a daily basis.
Download payment files from various websites.
Identify and resolve patient billing and payment issues.
Audit and correct billing and posting documents for accuracy.
Efficiently process refunds or adjustments for patients and Insurance when necessary, ensuring accuracy and compliance with company policies.
Balance daily payment ledgers.
Communicate with insurance providers to resolve denied claims and resubmit.
Medical Billing Specialist
Radcom Associates LTD
09.2010 - 05.2023
Posted and adjusted payments from patients and insurance companies on a daily basis.
Balanced daily ledgers and ensured accuracy in payments.
Identified and resolved patient billing and payment issues.
Monitored changes in payer requirements to minimize disruptions in the revenue cycle.
Identified and processed refunds or adjustments for patients and insurances when necessary.
Verified insurance of patients to determine eligibility.
Submitted insurance claims for radiology services.
Communicated with insurance providers to resolve denied claims and resubmitted.
Followed-up on unpaid claims and denials with insurance companies.
Education
Associate Degree - Advanced Medical Billing and Coding
Career Training Academy (CTA)
New Kensington, PA
07.2010
Skills
Explanation of Benefits (EOB) Interpretation
Payment processing
Claim submission
Insurance verification
Account reconciliation
Denied Claims Resolution
Data Entry
Insurance billing
Medical Billing Software: ImagineSoftware
Multitasking and organization
HIPAA compliance
Certification
HIPAA Training Certification
Timeline
Medical Billing Specialist
STI Computer Services, Formerly Radcom Associates
06.2023 - Current
Medical Billing Specialist
Radcom Associates LTD
09.2010 - 05.2023
Associate Degree - Advanced Medical Billing and Coding
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