Stephanie Matney
Bristol,TN
Summary
Detail-oriented Billing Specialist experienced in medical billing and insurance verification. Enhanced process efficiency and ensured HIPAA compliance while optimizing revenue cycle processes, resulting in improved accuracy in claims submissions. Committed to delivering exceptional customer service and fostering positive patient experiences through collaboration and problem-solving.
Overview
1
1
Certification
17
17
years of professional experience
Work History
Billing Specialist
Ensemble Health Partners
11.2020 - Current
- Managed billing processes to ensure accurate and timely invoicing for healthcare services.
- Analyzed patient accounts to identify discrepancies and resolve billing issues efficiently.
- Collaborated with cross-functional teams to streamline revenue cycle operations and enhance workflow efficiency.
- Developed procedures that improved the accuracy of claims submissions, reducing rejections significantly.
- Monitored regulatory changes in healthcare billing to ensure compliance with federal guidelines.
- Researched and resolved billing discrepancies to enable accurate billing.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Worked with multiple departments to check the proper billing information.
- Negotiated with insurance companies to resolve disputed claims, securing rightful payments.
- Collaborated with healthcare team to ensure billing codes were accurately applied, optimizing reimbursement from insurance companies.
Patient Access Representative
Mountain State Health Alliance
06.2017 - 08.2018
- Managed insurance verification and authorization, reducing delays in patient care access.
- Facilitated patient registration processes, ensuring accuracy and compliance with healthcare regulations.
- Trained new team members on electronic health record systems and patient intake procedures.
- Led initiatives to streamline check-in procedures, improving overall patient satisfaction scores.
- Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
- Stayed calm under pressure and successfully dealt with difficult situations.
- Adapted quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.
- Provided excellent customer service through active listening skills, understanding patient needs, and offering tailored solutions where applicable.
- Enhanced overall patient experience with empathetic communication and thorough explanations of insurance benefits and coverage.
- Maintained accurate patient records, contributing to a well-organized database for seamless information access across departments.
Pricing Specialist
Old Navy
11.2009 - 05.2015
- Developed promotional pricing models that increased customer engagement and sales volume.
- Mentored junior staff on pricing analysis techniques and best practices for data interpretation.
- Led training sessions on pricing systems to improve team proficiency and reduce errors in execution.
- Provided training and support to junior team members, ensuring they were equipped with the necessary skills and knowledge to succeed in their roles as pricing specialists.
- Streamlined pricing processes to improve efficiency and ensure accuracy of all financial data.
Education
Associate of Science - Health Information Management
Virginia Highlands Community College-
Abingdon, VA06-2019
Skills
- Medical billing expertise
- Claims management
- Billing systems and software
- Insurance verification
- Claims submission
- Denial management
- Invoice processing
- Patient account management
- Data entry proficiency
- HIPAA compliance
- Research and due diligence
- Team collaboration
- Customer service
Certification
- CPC - Certified Professional Coder
Timeline
Billing Specialist
Ensemble Health Partners
11.2020 - Current
Patient Access Representative
Mountain State Health Alliance
06.2017 - 08.2018
Pricing Specialist
Old Navy
11.2009 - 05.2015
Associate of Science - Health Information Management
Virginia Highlands Community College-