Taccarra Bolden
Middle River,MD
Summary
Proven expertise with over 10 years of experience in Medical Billing and Coding honed at the University of Maryland, Faculty Physicians Inc. Excelled in a Hybrid position while streamlining the billing process, and achieving significant improvements in A/R cycles. Demonstrated extensive knowledge in revenue cycle and multitasking abilities, adept at working independently and accuracy in medical billing.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Patient Account Representative III
by University of Maryland, Faculty Physicians Inc.
05.2023 - 10.2023
- Worked remotely while completing all job duties efficiently.
- Performs billing, collections, third-party reimbursements, computer data entry, and retrieval.
- Completed month-end and year-end closings, kept records audit-ready, and monitored timely recording of accounting transactions.
- Notifies physician when discrepancies are identified for correction.
- Reads and interprets insurance explanation of benefits; responds to insurance payer edits, rejections, and denials; identifies cause of rejections and chooses most appropriate methods to resolve them.
- Reviews trends specific to denials, root causes, and A/R impact.
- Attend weekly meetings with team leads, and management.
- Completed daily goal of 60 accounts or more per day.
- Creates detailed, well-versed typed letters to insurances and patients.
- Processed claims for workers comp, Tricare, Auto Insurance, Medicaid, Medicare, and Commercial per guidelines.
- Performs charge and payment entry; also performs coding and ensures accurate completion of coding for all assigned physician specialties.
- Creates reports/spreadsheets for identification of problem areas and utilizes critical thinking skills to determine appropriate actions to resolve problem.
- Verified insurance of patients to determine eligibility.
- Monitored changes in insurance policies, keeping abreast of updates affecting medical billing procedures and informing staff accordingly.
- Assisted patients in understanding their medical bills, addressing concerns, and clarifying any confusion regarding charges or insurance coverage.
- Conducted periodic audits of billing records, identifying discrepancies and implementing corrective measures promptly.
Patient Account Specialist II
Numotion
04.2015 - 10.2018
- Maintained high levels of data accuracy with meticulous attention to detail in processing insurance claims and updating patient records.
- Electronically submitted bills according to compliance guidelines.
- Collaborated with interdisciplinary teams to optimize billing procedures and ensure timely reimbursements from insurance providers.
- Expedited claim resolutions by skillfully navigating complex insurance policies, regulations, and guidelines.
- Posted payments and processed refunds.
- Completed daily goal of 60 accounts per day.
- Assisted patients in understanding their financial responsibilities by explaining healthcare benefits, coverage limitations, and out-of-pocket costs clearly and concisely.
- Reads and interprets insurance explanation of benefits; responds to insurance payer edits, rejections, and denials; identifies cause of rejections and chooses most appropriate methods to resolve them
- Worked with requesting referrals and authorization.
- Creates effective appeal packages to submit to insurances.
Patient Account Specialist
Planned Parenthood Of Maryland
08.2010 - 03.2015
- Investigated billing discrepancies and implemented effective solutions to resolve concerns and prevent future problems.
- Worked closely with delinquent account holders to collect and reconcile accounts through approved channels.
- Received payments and posted amounts to customer accounts.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Contacted insurance companies to check status of claim payments.
- Worked closely with delinquent account holders to collect and reconcile accounts through approved channels.
- Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
- Maintained high levels of data accuracy with meticulous attention to detail in processing insurance claims and updating patient records.
- Collaborated with interdisciplinary teams to optimize billing procedures and ensure timely reimbursements from insurance providers.
- Worked with outside entities to resolve issues with billing, claims, and payments.
- Utilized computer programs to create invoices, letters and other documents.
Education
No Degree - Medical Billing And Coding
TESST College of Technology - Alexandria
Baltimore, MD11.2010
GED -
General Education Development Diploma
Baltimore, MD06.2008
Skills
- HIPAA Compliance
- Insurance Verification
- Epic, GE, Practice Insight, Nextgen Healthcare, Advanced-MD
- Payment Processing
- Analytical and Critical Thinking
- Microsoft Office
- Data entry proficiency
- Medical terminology knowledge
- Verbal and written communication
- Multitasking Abilities
- Reliability
- Task Prioritization
Certification
Medical Billing and Coder
Timeline
Patient Account Representative III
by University of Maryland, Faculty Physicians Inc.
05.2023 - 10.2023
Patient Account Specialist II
Numotion
04.2015 - 10.2018
Patient Account Specialist
Planned Parenthood Of Maryland
08.2010 - 03.2015
No Degree - Medical Billing And Coding
TESST College of Technology - Alexandria
GED -
General Education Development Diploma
Medical Billing and Coder
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