Tammy King
Colorado City,CO
Summary
Certified Medical Billing Specialist with years of experience. Worked with large private practice conglomerates and outpatient clinics. Researched denied claims and submitted appeals. Familiar with health billing and collections. Detail oriented professional with focus on deadlines and skilled in handling medical billing without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information.
Overview
7
7
years of professional experience
Work History
Medical Billing Specialist
Rev Rehab
Colorado Springs, CO
01.2023 - 09.2024
- Initiated collection efforts on unpaid accounts by contacting insurance companies or patients directly via phone or mail.
- Provided customer service support to patients who had questions about their bills or payments due.
- Researched complex billing issues involving multiple providers or services rendered over a period of time.
- Generated monthly invoices for patients based on services provided according to established fee schedules.
- Assisted with the reconciliation of accounts receivable ledgers at month-end close process.
- Submitted appeals for denied claims when appropriate according to the insurance company's criteria.
- Updated patient accounts with information obtained from internal departments or external sources.
- Processed credit card payments from patients in accordance with office policy.
- Monitored aging accounts receivable balances ensuring timely resolution of outstanding balances.
- Worked closely with clinical staff to ensure accurate coding practices were followed.
- Ensured HIPAA compliance by maintaining confidentiality of all patient information.
- Reviewed patient records for accuracy and completeness of information in medical billing system.
- Created and processed claims to third-party payers using specific coding guidelines.
- Verified the accuracy of claim data prior to submission to insurance carriers.
- Analyzed rejected claims and corrected errors as necessary before resubmitting them for payment.
- Maintained detailed records of all billing activities including denials, adjustments, and payments received.
- Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
- Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Posted charges, payments and adjustments.
- Collaborated closely with other departments to resolve claims issues.
Medical Biller
Tri-Med Billing
Colorado Springs, CO
01.2018 - 07.2020
- Skilled at working independently and collaboratively in a team environment.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Posted payments and collections on regular basis.
- Adhered to established standards to safeguard patients' health information.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Collected payments and applied to patient accounts.
- Audited and corrected billing and posting documents for accuracy.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
- Responded to customer concerns and questions on daily basis.
- Handled account payments and provided information regarding outstanding balances.
- Generated monthly billing and posting reports for management review.
- Maintained accurate records of customer payments.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Delivered timely and accurate charge submissions.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
Education
Medical Billing And Coding
Allied Medical & Health Services, Inc.
Glendale, CA01-2012
Skills
- Accounts Payable
- Insurance Verification
- Payment posting
- Patient Billing
- Commercial and Private Insurance
- Electronic Claims
- Medicaid and Medicare Knowledge
- ICD-10
- Submission of medical claims
- Medical Billing
Timeline
Medical Billing Specialist
Rev Rehab
01.2023 - 09.2024
Medical Biller
Tri-Med Billing
01.2018 - 07.2020
Medical Billing And Coding
Allied Medical & Health Services, Inc.
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