Summary
Overview
Work History
Education
Skills
Timeline
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Stephanie FREEMAN

Boise,ID

Summary

Dynamic Medical Billing Specialist with proven success at MSN, enhancing revenue collection through effective denial management and timely claim submissions. Skilled in HIPAA compliance and patient billing, I excel in resolving complex insurance issues while fostering positive relationships with patients and providers. Committed to accuracy and efficiency in all billing processes.

Overview

22
22
years of professional experience

Work History

Medical Billing Specialist

MSN
11.2019 - Current
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Posted and adjusted payments from insurance companies.
  • Communicated effectively and extensively with other departments to resolve claims issues.
  • Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
  • Identified and resolved patient billing and payment issues.
  • Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
  • Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
  • Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
  • Precisely completed appropriate claims paperwork, documentation and system entry.
  • Streamlined billing processes by implementing efficient workflows and utilizing advanced software tools.
  • Monitored changes in payer requirements, adjusting billing practices accordingly to minimize disruptions in the revenue cycle.
  • Participated in departmental meetings, sharing insights and ideas for improving overall medical billing efficiency and revenue generation.
  • Contributed to overall office organization by maintaining up-to-date records of all billed services and payments received.
  • Educated colleagues on best practices in medical billing, providing ongoing training sessions as needed.
  • Developed customized reports for management review, highlighting trends in key performance metrics such as claim denial rates and days outstanding for accounts receivable balances.
  • Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
  • Posted payments and collections on regular basis.
  • Utilized various software programs to process customer payments.
  • Used data entry skills to accurately document and input statements.

Medical Billing Specialist

PMI
09.2003 - 11.2019
  • Located errors and promptly refiled rejected claims.
  • Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
  • Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
  • Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
  • Collected payments and applied to patient accounts.
  • Efficiently processed refunds or adjustments for patients when necessary, ensuring accuracy and compliance with company policies.
  • Conducted regular audits of patient accounts for potential underpayments or overpayments due to incorrect coding or billing practices.
  • Prepared billing correspondence and maintained database to organize billing information.
  • Reduced errors in medical billing by meticulously reviewing patient records and ensuring accurate coding.
  • Prepared billing statements for patients and verified correct diagnostic coding.
  • Delivered timely and accurate charge submissions.
  • Adhered to established standards to safeguard patients' health information.
  • Collaborated with customers to resolve disputes.
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Posted and adjusted payments from insurance companies.
  • Communicated effectively and extensively with other departments to resolve claims issues.

Education

High School Diploma -

APTOS HIGH SCHOOL
APTOS, CA
05-1999

Skills

  • HIPAA compliance
  • Payment posting
  • Claim submission
  • Insurance verification
  • Patient billing
  • Denial management
  • Data Entry

Timeline

Medical Billing Specialist

MSN
11.2019 - Current

Medical Billing Specialist

PMI
09.2003 - 11.2019

High School Diploma -

APTOS HIGH SCHOOL

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Stephanie FREEMAN