Summary
Overview
Work History
Education
Skills
Timeline
Generic

Symetress Richardson

spring

Summary

Dynamic and empathetic professional with a proven track record at Cleartone Hearing Center, enhancing front office efficiency and patient care through expert organization and customer service. Skilled in insurance verification and maintaining HIPAA compliance, I excel in creating positive patient experiences and streamlining billing processes. My dedication to healthcare excellence and patient confidentiality stands out, contributing significantly to workplace harmony and operational success.

Overview

12
12
years of professional experience

Work History

Patient Coordinator

Cleartone Hearing Center
09.2023 - Current
  • Increased efficiency of the front office operations through effective multitasking, attention to detail, and organization skills.
  • Provided excellent customer service to all patients, addressing concerns and answering questions promptly and professionally.
  • Handled sensitive situations with empathy when dealing with distressed patients or those facing serious health challenges.
  • Maintained up-to-date knowledge on insurance policies, medical terminology, and clinic protocols in order to provide accurate information and assistance to patients.
  • Worked with patients to schedule tests and procedures.
  • Ensured accuracy of insurance information for each patient visit, verifying coverage details ahead of time for smooth processing at appointment time.
  • Maintained confidentiality of patient data and condition to safeguard health information.
  • Maintained accurate electronic health records for improved patient care and compliance with privacy regulations.
  • Contributed to a positive atmosphere within the clinic by maintaining a professional demeanor and compassionate attitude towards all patients.
  • Collaborated closely with billing departments to resolve any discrepancies or issues related to patient accounts, reducing payment delays.
  • Delivered excellent patient experiences and direct care.
  • Verified patient insurance eligibility and entered patient information into system.
  • Answered incoming calls, scheduled appointments and filed medical records.
  • Resolved customer complaints using established follow-up procedures.
  • Followed document protocols to safeguard confidentiality of patient records.

Medical Coding and Billing Specialist

Senior Psych Care Houston, Tx.
09.2012 - 09.2023
  • Developed a comprehensive understanding of ICD-10-CM, CPT, and HCPCS codes to ensure proper use in medical coding assignments.
  • Provided exceptional customer service to patients, addressing their concerns regarding insurance claims or billing issues with empathy and professionalism.
  • Maintained patient confidentiality by adhering to strict HIPAA regulations during all aspects of the coding and billing processes.
  • Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
  • Collaborated with healthcare providers to obtain necessary documentation for accurate code assignment and claim submission.
  • Attained up-to-date knowledge of coding requirements through continuing education courses and certification renewal.
  • Reduced errors in medical billings, effectively addressing discrepancies and rectifying issues promptly.
  • Monitored trends in medical billing denials, implementing corrective actions to prevent future occurrences of similar issues.
  • Optimized revenue generation through diligent monitoring of denied claims, resubmitting corrected information when needed.
  • Improved overall reporting quality by working closely with the clinical team to ensure accurate and complete documentation.
  • Ensured compliance with regulatory requirements, diligently researching and staying up-to-date on industry standards.
  • Established positive relationships with insurance companies, facilitating open communication lines for efficient claim processing.
  • Resolved coding discrepancies through in-depth analysis and collaboration with physicians, ensuring appropriate reimbursement for services rendered.
  • Enhanced accuracy of medical coding by implementing a thorough review process and cross-checking system.
  • Contributed to team success by actively participating in staff meetings, offering insights into improving workflows within the department.
  • Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
  • Communicated with insurance companies to research and resolved coding discrepancies.
  • Reviewed patient charts to better understand health histories, diagnoses, and treatments.
  • Correctly coded and billed medical claims for various hospital and nursing facilities.
  • Interacted with physicians and other healthcare staff to ask questions regarding patient services.
  • Generated reports to identify coding trends and discrepancies.
  • Followed up with medical staff regarding missing information in patient records.
  • Verified accuracy of patient information in medical records.
  • Scanned and uploaded medical records into electronic medical records system.
  • Developed and implemented new filing system for medical records to improve efficiency.

Education

Certified Medical Biller And Coder - Medical Technology

Medvance Instute
Houston, TX
06-2011

Skills

  • Insurance Verification
  • Appointment Scheduling
  • Healthcare Industry Knowledge
  • Patient confidentiality
  • Acute, Long-Term, Rehabilitative Care
  • Office Administration
  • Electronic Records Management
  • Customer Service
  • Patient Care
  • Patient documentation
  • Medical Terminology
  • Quality Assurance
  • HIPAA Compliance
  • Regulatory Compliance
  • Policy compliance
  • Patient Care Coordination
  • Payment Collection
  • Claims Processing
  • Insurance Practices
  • Follow-up care
  • HIPAA protocol adherence
  • Insurance verifying
  • Gathering Information from Patients
  • Medical Billing
  • Caring and Empathetic

Timeline

Patient Coordinator

Cleartone Hearing Center
09.2023 - Current

Medical Coding and Billing Specialist

Senior Psych Care Houston, Tx.
09.2012 - 09.2023

Certified Medical Biller And Coder - Medical Technology

Medvance Instute

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Symetress Richardson