Summary
Overview
Work History
Education
Skills
Timeline
Generic

Stephanie Pate

Camden,SC

Summary

Seeking a career in Medical Insurance; Medical Billing & Coding; Hospital Billing ;Insurance; Eager to utilize my skills and experience for the benefit and growth of your company's business.

Overview

25
25
years of professional experience

Work History

Revenue Cycle Specialist

Signature Performance Inc
08.2022 - Current
  • I am responsible for billing follow/up on institutional and professional hospital claims, Performs complex clerical and accounting functions for patient billing, including verification of invoice information, maintenance of third party billing records, and resolution of problems
  • Follows up on submitted claims and patient billing; resubmits claims or correct inaccuracies, medical records, corrected claims, appeals/reconsiderations, customer service

Medical Billing Specialist

Carolinas Dermatology And Plastic Surgery LLC
Columbia, SC
09.2021 - Current
  • I am responsible for properly coding all medical services, procedures, diagnoses, and treatments
  • Preparing and sending invoices or claims for payment
  • Performs complex clerical and accounting functions for patient billing, including verification of invoice information, maintenance of third party billing records, and resolution of problems
  • Follows up on submitted claims and patient billing; resubmits claims or correct inaccuracies
  • Claim entry payment posting, manage medical billing for patients, updating patient information, generating invoices, and processing payments

Provider Enrollment Analyst

PALMETTO GBA
Columbia, SC
03.2017 - 09.2021
  • I was responsible for reviewing, approving, denying, and processing all applications submitted by providers who want to provide medical services covered under Medicare Insurance Plans
  • I work within appropriate standards and timelines established by the Centers for Medicare and Medicaid Services (CMS) Medicaid CSA

Provider Service Advocate II

KELLY SERVICES
08.2016 - 03.2017
  • I was responsible for responding to provider service and customer service inquiries; verify insurance coverage/benefits; process corrected claims; review and adjudicate customer and provider appeals; refund requests; special projects; faxing, indexing & scanning etc

Claims Provider Service Advocate II

BCBS/ FEP
08.2012 - 05.2016
  • I was responsible for responding to provider service and customer service inquiries; verify insurance coverage/benefits; process corrected claims; review and adjudicate customer and provider appeals; refund requests; special projects; faxing, indexing & scanning etc

Technical Information Specialist

KELLY SERVICES
10.2011 - 05.2012
  • I was responsible for processing claims for Medicare Part B, signature attestation statements, mac adjudications, prescreening, second screen work, special projects, etc

Patient Service Representative

DOCTORS CARE WATEREE
03.2008 - 02.2010
  • I was responsible for the check in/check out of patients, insurance follow-up, ICD-9CM, CPT, HCPCS coding on patient encounters, scheduling appointments, customer service, cashier, collecting co-pays & payments, posting payments to accounts, verifying insurance coverage/benefits, proofing/ posting of cash drawer, reports, chart filing, medical records, scanning, faxing & etc

Patient Account Representative II

Patient Financial Services
09.2008 - 01.2010
  • I was responsible for collecting payments, billing claims, insurance follow-up, verifying insurance coverage, cashier, proofing/posting of cash drawer, customer service, financial assistance, processing refunds, journal entries for daily batch cash sheets, adjustments/appeals, medical records, scanning, payment plans, special projects, reports, faxing & etc

Managed Care Support Tech I / Call Center Representative

BCBS
05.2004 - 03.2008
  • I was responsible for processing & paying all types of workers compensation claims, (medical, dental, pharmacy, transportation, DME), customer service ACD line, processing first reports of injury and/or insurance claims for automobile, umbrella, property, & condo insurance, bill/check status, adjustments/appeals, processing refunds, reports, special projects, scanning, faxing & etc

Patient Representative I

KERSHAW COUNTY MEDICAL CENTER
01.2000 - 08.2004
  • I was responsible for operating the main switchboard, scheduling appointments for all patient types, registering/pre-registering patients, transferring/discharging/admitting patients, verifying insurance coverage, collecting payments, medical records, reports, scanning, faxing & etc

Managed Care Support Tech I / Call Center Representative

BCBS
12.2001 - 12.2003
  • I was responsible for processing & paying all types of workers compensation claims, (medical, dental, pharmacy, transportation, DME), customer service ACD line, processing first reports of injury and/or insurance claims for automobile, umbrella, property, & condo insurance, bill/check status, adjustments/appeals, processing refunds, reports, special projects, scanning, faxing & etc

Education

Certification - Medical Billing & Coding

Centura College-Columbia
Columbia, SC
12.2011

Diploma -

North Central High School
06.1998

Skills

  • Epic
  • Cerner
  • EDI
  • ICD-10
  • Medical billing
  • CPT coding
  • Medical coding
  • Revenue cycle management
  • Medical records
  • Medical terminology
  • ICD coding
  • EMR systems
  • Workers' compensation law
  • Microsoft Access
  • Clerical experience
  • Customer service
  • Hospital experience
  • Analysis skills
  • Cash handling
  • Cash register
  • Microsoft Office
  • ICD-9
  • Microsoft Word
  • Medical office experience
  • Anatomy knowledge
  • Typing
  • Time management
  • Office experience
  • Organizational skills
  • Claims review

Timeline

Revenue Cycle Specialist

Signature Performance Inc
08.2022 - Current

Medical Billing Specialist

Carolinas Dermatology And Plastic Surgery LLC
09.2021 - Current

Provider Enrollment Analyst

PALMETTO GBA
03.2017 - 09.2021

Provider Service Advocate II

KELLY SERVICES
08.2016 - 03.2017

Claims Provider Service Advocate II

BCBS/ FEP
08.2012 - 05.2016

Technical Information Specialist

KELLY SERVICES
10.2011 - 05.2012

Patient Account Representative II

Patient Financial Services
09.2008 - 01.2010

Patient Service Representative

DOCTORS CARE WATEREE
03.2008 - 02.2010

Managed Care Support Tech I / Call Center Representative

BCBS
05.2004 - 03.2008

Managed Care Support Tech I / Call Center Representative

BCBS
12.2001 - 12.2003

Patient Representative I

KERSHAW COUNTY MEDICAL CENTER
01.2000 - 08.2004

Certification - Medical Billing & Coding

Centura College-Columbia

Diploma -

North Central High School
Stephanie Pate