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Stephanie S. Alexander
Bowie,MD
Summary
Medical billing professional with comprehensive background in processing claims and managing patient accounts. Proven ability to navigate complex billing systems and resolve discrepancies promptly. Known for strong team collaboration and adaptability to changing requirements, ensuring seamless operations.
Overview
11
11
years of professional experience
Work History
Virtual Administrative Assistant
A Leap of Faith Counseling Services, LLC.
Fort Washington, Maryland
02.2025 - Current
- Managed approximately 30 incoming calls, emails, and faxes per day from customers
- Conducted patient portal registration of new clients
- Managed the completion of documentation for new clients and updates of consent documentation for existing clients
- Verify insurance information
- Schedule appointments and review office policy and client copays with new clients
- Call clients and collect payments before their appointment sessions
- Submit insurance claims for daily client sessions
- Post insurance payments
- Follow up on submitted insurance claims, denials, and rebills
- Follow up on overdue client balances
- Download, upload, update, and file all forms received from clients, medical personnel, insurance, etc, via fax, email, or text
- Processed medical claims using billing software, ensuring compliance with regulations and guidelines.
- Coordinated with healthcare providers to resolve billing inquiries and streamline communication channels.
- Implemented process improvements that reduced claim processing time and improved overall workflow efficiency.
- Maintained up-to-date knowledge of insurance policies and coding updates to ensure accurate billing practices.
- Reduced billing discrepancies by diligently reviewing medical coding and ensuring accuracy in data entry.
- Improved patient satisfaction by accurately processing medical bills and promptly addressing inquiries.
- Strengthened client relationships through clear communication and prompt resolution of billing concerns.
- Maximized reimbursement opportunities by staying current on industry trends and new billing procedures.
- Safeguarded patient privacy, adhering to strict HIPAA regulations during all aspects of the billing process.
- Collaborated with healthcare providers to obtain necessary documentation for accurate claim submissions.
- Enhanced revenue collection rates with timely follow-ups on outstanding claims and appeals.
- Maintained professional demeanor while communicating with patients or insurance companies to resolve payment issues, fostering positive relationships.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
- Posted payments and collections on a regular basis.
- Collected payments and applied them to patient accounts.
- Accurately entered patient demographic and billing information in the billing system to enable tracking history and maintain accurate records.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Liaised between patients, insurance companies, and the billing office.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Delivered timely and accurate charge submissions.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Adhered to established standards to safeguard patients' health information.
- Utilized various software programs to process customer payments.
- Responded to customer concerns and questions on a daily basis.
- Used data entry skills to accurately document and input statements.
- Handled account payments and provided information regarding outstanding balances.
- Audited and corrected billing and posting documents for accuracy.
- Collaborated with customers to resolve disputes.
- Monitored outstanding invoices and performed collections duties.
- Maintained accurate records of customer payments.
- Processed payment via telephone and in person with a focus on accuracy and efficiency.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
Patient Financial Counselor/Accounts Receivable Associate/Cashier
Calvert Health Medical Center
Prince Frederick, Maryland
08.2022 - 08.2023
- Answer Phones
- Process phone payments from patients (up to 50 per day)
- Make pre-bad debt calls to patients (40 or more per day). Mail out itemized statements and/or Charity Care Applications as necessary or per the patient's request
- Verify new and updated insurance information received from patients and re-bill claims
- Research, re-bill, and do account adjustments according to the explanation of insurance benefits or insurance inquiry response.
- Print and mail out patient statements daily
- Research and update returned mail from patients
- Scan in all cashiers’ daily postings, documents, and patient correspondence
- Mail out patient itemized statements, UB-04 forms, and charity care applications per patient request.
- Work AR (accounts receivable) list of accounts more than 1 year old.
- Cover the cashier’s office in case of her absence.
- Close out the Daily Hospital Deposit Summary for the previous day and open the summary for the current day
- Prepare bank deposit and bags for various departments in the hospital
- Send weekly change requests to the bank for various departments in the hospital
- File receipts returned from bank deposit, and send copies of receipts to various departments
- Distribute the change received from the bank to the various departments for each request.
- Take payments and distribute or mail itemized statements, UB-04 forms, and Charity Care Applications to the patient at the window or by phone, as requested.
- Receive daily summaries, check and cash payments, and other documentation from hospital and medical office departments to be logged in and/or posted for that day.
- Receive daily faxed payments and correspondence from insurance, attorneys, patients, etc.
- Post payments received from faxes and mail.
- Distribute correspondence and information requests to various departments via follow-up file, email, or inter-department mail.
- Guided patients through financial assistance options, ensuring clarity and understanding of available resources.
- Educated patients on billing processes, payment plans, and financial policies to enhance their experience.
- Analyzed patient accounts to identify discrepancies and resolve issues promptly and accurately.
- Negotiated payment plans with patients, maintaining a high rate of successful payments.
- Verified patient insurance eligibility and entered patient information into the system.
- Provided excellent customer service to patients and medical staff.
- Helped address client complaints through timely corrective actions and appropriate referrals.
- Followed document protocols to safeguard the confidentiality of patient records.
- Processed payments using cash and credit cards, maintaining accurate records of transactions.
Access Coordinator
Amerisource Bergen
Rockville, Maryland
06.2015 - 02.2016
- Answer 20 phone calls per day
- Receive and process patient enrollment forms for specialty drugs
- Fully investigate the patient’s insurance for general coverage, benefits, coverage of the specialty drug in question, and benefits available for that specific drug
- Get prior authorization number and information, or prior authorization/peer-to-peer review requirements information for the specialty drug in question.
- Fax all forms and necessary information to the healthcare provider’s office for completion.
- Update all information in the Patient Plus System and note the specifics of the investigation.
- Notify the Senior Access Coordinator to relay all of the information to the patient’s health care provider
- Call the payer to check for a response to prior authorization applications
- Assist the patient in applying for the prescription assistance program
- Assist the patient in applying for copay or coinsurance assistance if necessary
- Perform daily tasks using the following systems: Patient Plus, Availity, iAssist, Thera Com, Salesforce, and Client Payer Portal
- Warm call transfer to the Medical Management Team, or complete and fax forms for patients who reported or mentioned Adverse Effects or Product Complaints.
- Ensured timely resolution of patient complaints or concerns related to access issues through diligent investigation and follow-up communication efforts.
- Participated in ongoing professional development opportunities focused on enhancing skills related to regulatory compliance, time management techniques, or EHR system functionality updates, among other relevant topics for an Access Coordinator role.
- Played a crucial role in maintaining facility accreditation by ensuring adherence to established guidelines, standards, or protocols as part of the overall patient access process.
- Responded to inquiries by directing calls to appropriate personnel.
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
Education
High School Diploma -
Frank W. Ballou Sr. High School
Washington, DC05.1983
Skills
- Invoicing and billing
- Attention to detail
- Telephone and email etiquette
- Active listening
- Document and file management
- Invoice processing
- Confidentiality and data protection
- Billing and coding
- Document preparation
- Customer service
- Problem-solving
- Microsoft office
- Customer and client relations
- Reliability
- Teamwork and collaboration
- File management
Timeline
Virtual Administrative Assistant
A Leap of Faith Counseling Services, LLC.
02.2025 - Current
Patient Financial Counselor/Accounts Receivable Associate/Cashier
Calvert Health Medical Center
08.2022 - 08.2023
Access Coordinator
Amerisource Bergen
06.2015 - 02.2016
High School Diploma -
Frank W. Ballou Sr. High School