STEPHANIE PEAK
Knox City,MO
Summary
Hospital billing professional handling end-to-end claim processing, from patient and insurance data verification to electronic and paper submission, secondary billing, and denial resolution. Supports appeal preparation, benefits verification, provider-based billing issues, and patient balance questions to keep accounts moving and billing problems resolved.
Overview
1
1
Certification
12
12
years of professional experience
Work History
Billing Specialist I
Phelps County Regional Medical Center
Rolla, MO
01.2023 - Current
- Enter and verify patient, insurance, and insurance ID information to support complete and accurate claims.
- Submit insurance claims electronically through clearinghouses or directly to insurers, and prepare paper claims using UB-04 and CMS-1500 forms.
- Post insurance and patient payments in medical billing software and submit secondary claims after primary insurer processing.
- Followed up on unpaid, rejected, or denied claims; investigated issues and resubmitted claims to ensure timely resolution and minimize revenue loss.
- Prepare appeal letters and gather supporting documentation when disputing insurance claim denials.
- Responded to patient inquiries regarding balances, copayments, and deductibles; resolved billing concerns to enhance patient satisfaction and trust.
- Participated on Provider-Based Billing team to identify and resolve billing issues, contributing to overall accuracy and efficiency in billing processes.
Operator 3
Aerofil Technology Inc.
Sullivan, MO
05.2014 - 05.2022
- Operated filling and packaging equipment in aerosol production lines at Aerofil Technology.
- Resolved equipment issues to sustain production goals while adhering to safety practices.
- Monitored machine controls and adjusted settings for safe, steady operation.
- Inspected finished products for defects and packaging accuracy.
- Processed customer orders accurately per specifications while maintaining professional communication with internal and external contacts.
Quality Control Technician
Aerofil Technology Inc.
Sullivan, MO
05.2014 - 05.2022
- Inspected aerosol packaging lines for defects and process compliance.
- Tested products using gauges, scales, and laboratory instruments.
- Audited production-line processes and conducted customer testing to ensure compliance with procedures.
- Reviewed batch records and quality documentation for accuracy.
Chemical Analyst
Aerofil Technology Inc.
Sullivan, MO
05.2014 - 05.2022
- Applied testing methods to confirm pesticides and active ingredients met regulatory limits.
- Tested products and raw materials to ensure compliance with customer specifications.
- Conducted system analyses and evaluations to identify opportunities for performance enhancement.
Education
Undergraduate Certificate - Medical Billing and Coding
DeVry University
Chicago, IL12-2022
Skills
- Medical Billing and Reimbursement
- Insurance Claims Submission
- CMS-1500 & UB-04 Forms
- Denial management
- Benefits verification
- Patient Account Support
- Provider-Based & Hospital Billing
- Coding & reimbursement
- Epic EHR
- Health record systems
- Quality Assurance
- HIPAA & Confidentiality
- Code lookup
Personal Information
Title: MEDICAL BILLING SPECIALIST
RELEVANT COURSEWORK
- ICD-10-CM/PCS Coding; CPT/HCPCS Coding
- Medical Terminology and Anatomy; Pathophysiology and Pharmacology
- Outpatient Billing (CMS-1500); Inpatient Billing (UB-04)
ADDITIONAL QUALIFICATIONS
- Knowledge of HIPAA compliance, protection of private health information, and confidential handling of patient records.
- Experience communicating with clients and staff, adapting to changing needs, supporting process improvement, and training or leading team members.
Certification
- Certified Revenue Cycle Representative (CRCR) - Healthcare Financial Management Association (HFMA)
Timeline
Billing Specialist I
Phelps County Regional Medical Center
01.2023 - Current
Operator 3
Aerofil Technology Inc.
05.2014 - 05.2022
Quality Control Technician
Aerofil Technology Inc.
05.2014 - 05.2022
Chemical Analyst
Aerofil Technology Inc.
05.2014 - 05.2022
Undergraduate Certificate - Medical Billing and Coding
DeVry University