Stephany Sands

Summary

Methodical Medical Billing Clerk known for high productivity and efficient task completion. Specialize in accurate claims processing, effective record keeping, and robust patient billing procedures. Excel at communication, time management, and problem-solving to ensure smooth operational flow in medical billing environments.

Overview

13

years of professional experience

Work History

Medical Billing Clerk

CAMC Memorial Hospital Patient Accounts

Charleston, West Virginia

07.2008 - 04.2014

Process medical claims using hospital billing software to ensure accuracy.
Verify patient insurance information to facilitate timely reimbursements.
Review and correct billing discrepancies for proper claim submissions.
Communicate with insurance companies regarding claim status and issues.
Maintain patient confidentiality in compliance with healthcare regulations.
Collaborate with healthcare providers to gather necessary documentation for claims.
Train new staff on billing procedures and software usage within the department.
Responded promptly to inquiries from patients, staff, and insurance representatives related to billing issues.
Investigated any problems associated with the payment of claims, such as late or missing payments, or incorrect amounts paid by insurers.
Reviewed patient accounts for accuracy and completeness, ensuring that all required fields have been entered correctly.
Ensured compliance with federal and state regulations relating to medical billing procedures.
Reconciled errors between patient accounts and third-party payers' records.
Verified accuracy of charges prior to submitting them for payment processing.
Maintained accurate records of all billing activities performed.
Prepared documentation for appeals when necessary due to denied claims or incorrect payments received from insurers.
Submitted corrections for inaccurate coding and incorrect information from healthcare providers.
Worked closely with other departments within the organization to ensure proper coding of services rendered.
Processed electronic and paper claims to insurance companies in a timely manner.
Performed data entry of medical billing information into the company's computer system.
Applied HIPAA privacy and security regulations while handling patient information.
Communicated with insurance representatives to complete claims processing or resolve problem claims.
Reviewed claims for coding accuracy.
Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
Assessed billing statements for correct diagnostic codes and identified problems with coding.
Checked claims coding for accuracy with ICD-10 standards.
Reconciled codes against services rendered.
Participated in workshops, seminars, and training classes to gain stronger education in industry updates and federal regulations.
Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.

Registration/Admitting Clerk

Charleston Area Medical Center Health System Inc.

Charleston, WV

10.2001 - 04.2008

Processed patient admissions and collected necessary documentation for registration.
Verified insurance information and explained coverage options to patients.
Coordinated communication between departments for efficient patient flow.
Managed electronic health records to ensure data accuracy and confidentiality.
Assisted patients with inquiries regarding services and billing procedures.
Scheduled appointments and followed up on patient needs as required.
Trained new staff on admission procedures and system usage effectively.
Maintained a clean, organized reception area to enhance patient experience.
Ensured compliance with HIPAA regulations related to patient privacy rights.
Checked patient information and insurance coverage.
Determined charges and collected co-pays.
Coordinated patient paperwork and charts.
Applied knowledge of medical terminology and insurance processes to support office administration productivity.
Completed registrations for laboratory work, surgical procedures and radiology.
Verified schedules and arrival times.
Demonstrated ability to use multiple computer systems simultaneously while entering data accurately.
Greeted and registered new patients, checked for accuracy of demographic information, updated existing records.
Assisted patients in completing insurance forms and other paperwork related to admission.
Collaborated with various departments within the facility to ensure efficient flow of admitting processes.
Scanned documents into EHR system as needed.
Maintained accurate logs of patient demographics, insurance information, visitor log books.
Verified third party payer contracts to ensure maximum reimbursement was received for services provided.
Performed quality assurance checks on all documentation submitted by admitting staff members for accuracy.
Coordinated with billing department for any discrepancies encountered during registration process.
Provided excellent customer service to all customers, including visitors, vendors and employees.
Responded quickly to queries from physicians, nurses or other departments in a timely manner.

Education

East Bank High School, East Bank, WV

Skills

Medical coding
Claims processing
Insurance verification
Billing software
HIPAA compliance
Medical terminology
Patient account management
Data entry accuracy
Quality assurance
Communication skills
Problem solving
Attention to detail
Team collaboration
Customer service
CPT knowledge
Patient billing
Schedule management
Billing and coding
Claim submission
ICD-9
Billing codes
Proficiency in Microsoft Office
CMS-1500 billing forms

Verbal and written communication
Records management
Multitasking and organization
Account management
Medical billing
Clerical support
Database systems
Billing security
Medical record security
Billing and collection procedures
Medical claims submission
Submission of medical claims
Regulatory compliance
Claims review
Knowledgeable in EMR
Data security procedures
Insurance claims
Commercial and private insurance
Medical terminology expert
Information inputting
Work prioritization
Teamwork and collaboration
45 WPM

Work Preference

Job Search Status

Open to work

Work Type

Part Time

Location Preference

Remote

Salary Range

$45000/yr - $200000/yr

Timeline

Medical Billing Clerk - CAMC Memorial Hospital Patient Accounts

07.2008 - 04.2014

Registration/Admitting Clerk - Charleston Area Medical Center Health System Inc.