Detail-oriented Medical biller offering 3 years of experience in related roles. Exceptional abilities in conducting research, problem-solving, and prioritizing simultaneous tasks. Leverages resourcefulness, critical thinking skills, and superior work ethic for top job performance.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Billing Specialist, Verification Specialist
Planned Parenthood
02.2023 - Current
Reviewed and informed patients about credits and balances on their accounts
(NextGen)
Scrub and audit charts for corrections and completeness.(NextGen)
Research denied claims and prepared them for corrected claim status.
Reduced errors in financial records by conducting regular audits of billed accounts.
Handled account payments and provided information regarding outstanding balances.
Researched and resolved billing discrepancies to enable accurate billing.
Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
Verified the accuracy of accounts payable payments, resulting in a 60% reduction in payment errors and check reissues.
Medical Billing Specialist
Clinic Service Corporation
04.2021 - 01.2023
Completed appropriate documentation and system data entry regarding claim/encounter information.
Examined patients' insurance coverage, deductibles, insurance carrier payments, and remaining balances not covered under policies when applicable.
Collected payments and applied them to patient accounts.
Initiated insurance appeals for denials of payments for services rendered.
Prepared and submitted claims electronically using PMD(Pay My Doc)
Posted and adjusted payments from insurance companies.
Communicated with insurance providers to resolve denied claims and resubmitted.
Cleaning Technician
NewComb group
08.2020 - 06.2022
Performed inspections and maintenance on the facility.
Carried out deep sanitation to building and other particular cleaning tasks.
Performed deep-cleaning tasks for optimal sanitation levels in high-traffic areas.
Delivered quality customer service to address urgent needs and cleaning requests.
Used time management and efficient cleaning methods to meet deadlines.
Warehouse Technician
Caterpillar
01.2020 - 11.2020
Performed functions to check, receive, and verify accurate parts, locations, and quantities.
Conducted first-line basic quality assessments on parts for damage and defects.
Adhered to safety guidelines consistently, reducing workplace accidents significantly.
Collaborated with team members to achieve daily targets and maintain a high level of productivity.
Pulled and packed shipments to prepare for UPS, FedEx, and freight pickup.
Completed over 20 customer orders each day in a warehouse setting.
Tool Technician
Band-It
09.2016 - 12.2019
Primarily responsible for building and maintaining all IT air-powered tools.
Familiar with tool instruments and calibration devices.
Supported quality control initiatives by performing meticulous and thorough inspections of tools before deployment to job sites, ensuring the highest standards of quality.
Conducted comprehensive assessments of new tools, evaluating their effectiveness in meeting project requirements and making informed recommendations based on findings.
Provided consistent, high-quality customer service by ensuring all tools met established performance standards before use.
Improved tool performance by conducting regular maintenance and repairs on equipment.
Precertification Clerk
National Jewish
04.2014 - 07.2014
Ensured that prior authorizations are in order for scheduled procedures.
Verified insurance coverage in Affinity and Passport One Source.
Utilized strong multitasking skills to manage multiple priorities and tasks, ensuring timely completion of each assignment.
Interacted with customers by phone, email, or in-person to provide information.
Eligibility Specialist
Randstad/Maximums
10.2011 - 05.2013
Determined financial eligibility for government-funded health insurance.
Performed data entry and processed insurance applications accurately and timely with the EDMS system.
Updated the database to reflect changes in circumstances or eligibility status.
Reduced errors in eligibility determinations by maintaining thorough knowledge of program guidelines and regulations.
Resolved discrepancies with client applications to verify eligibility.
Processed and certified documents for accuracy and compliance with government regulations.
Call Center Representative
WellPoint Inc
09.2010 - 07.2011
Processed and analyzed prescription medication plans and benefits.
Multitasking phone lines and data entry.
Determined eligibility for covered medications.
Managed high call volumes while providing exceptional customer support and maintaining professional composure.