Tammy Owens
Medical Biller/Collections
Bush,LA
Summary
Hard working highly motivated Medical Biller/ Coder, Collections. I am a team player and a fast learner. Willing to learn new things.
Overview
13
13
years of professional experience
Work History
Medical Biller and Coder
P&N Consultants
Covington, LA
08.2020 - Current
- Streamlined billing processes by implementing efficient coding practices, resulting in reduced errors and improved revenue generation.
- Increased accuracy in medical claims submissions by conducting thorough reviews of patient records and insurance information.
- Enhanced compliance with industry regulations by staying up-to-date on changes to medical billing and coding guidelines.
- Collaborated with healthcare providers to ensure accurate documentation, leading to timely reimbursements for services rendered.
- Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
- Expedited payment processing by promptly addressing any discrepancies or issues raised by insurance carriers.
- Developed effective communication channels with insurance companies to facilitate prompt resolution of claim inquiries and disputes.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Communicated with insurance companies to research and resolved coding discrepancies.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Input data into computer programs and filing systems.
- Scanned and uploaded medical records into electronic medical records system.
- Contributed to team efficiency by maintaining organized records of patient accounts, billing statements, and payment statuses.
- Ensured continuous improvement in billing processes through regular audits of medical codes and charge entries for accuracy.
- Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
- Maintained high levels of customer satisfaction through prompt resolution of disputes related to charges on patient accounts or insurance claims.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Maintained compliance with industry regulations by staying updated on changes to medical billing codes and requirements.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Implemented quality control measures to identify potential errors before submitting claims, reducing rejections significantly.
- Negotiated favorable payment terms with third-party payers, improving overall revenue collection rates.
- Established strong relationships with insurance representatives, facilitating prompt resolution of billing issues.
- Reviewed outstanding balances owed by patients; initiated collection actions if necessary resulting in improved account recovery efforts.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Collected payments and applied to patient accounts.
- Posted payments and collections on regular basis.
- Liaised between patients, insurance companies, and billing office.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Delivered timely and accurate charge submissions.
- Generated reports and analyzed trends to maximize reimbursement and reduce claim denials.
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
- Collaborated with customers to resolve disputes.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
Medical Biller- Collections
HealthCare Development System
Metairie, LA
01.2015 - 08.2020
- Streamlined billing processes by implementing efficient procedures to improve accuracy and reduce errors.
- Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Trained new team members in medical billing software, increasing efficiency within the department.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Implemented quality control measures to identify potential errors before submitting claims, reducing rejections significantly.
- Established strong relationships with insurance representatives, facilitating prompt resolution of billing issues.
- Conducted regular audits of billing records to ensure accuracy and completeness, enhancing overall financial performance for the practice.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Posted payments and collections on regular basis.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Liaised between patients, insurance companies, and billing office.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Generated reports and analyzed trends to maximize reimbursement and reduce claim denials.
- Responded to customer concerns and questions on daily basis.
- Audited and corrected billing and posting documents for accuracy.
- Collaborated with customers to resolve disputes.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
Medical Biller Collections
Nephrology Associates
Metairie, LA
01.2011 - 01.2015
- Streamlined billing processes by implementing efficient procedures to improve accuracy and reduce errors.
- Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Trained new team members in medical billing software, increasing efficiency within the department.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
- Collected payments and applied to patient accounts.
- Posted payments and collections on regular basis.
Education
Certified Medical Assistant Billing Collection - Medical
Eastern College of Health
Metairie, LA05.1989
High School Diploma -
Bonnabel Magnet Academy High School
Kenner, LA05.1983
Skills
- Disability Claims Process
- Diagnostic Coding
- Anatomy and Physiology
- Organizational Skills
- CMS-1500 Form Completion
- Time Management
- Payment Posting
- Patient Account Management
- CPT Coding Knowledge
- Critical Thinking
- Workers' Compensation Billing
- Appeals Processing
- Claim Submission
- Commercial Insurance Billing
- Electronic Health Records
- Medical Billing Procedures
- Insurance Verification
- Medical Terminology
- Attention to Detail
- Data Entry Accuracy
- Denial Management
- Medical Coding Expertise
- Problem Solving
- Medicare and Medicaid Billing
- ICD-10 Proficiency
- HCPCS Level II Familiarity
- HIPAA Compliance
- Procedural Coding
- Proficiency in [Software]
- Insurance Claims Analysis
- Insurance Coding (ICD-9 and CPT)
- Data Entry
- Knowledgeable in [Software]
- Coding Error Resolution
- Medical Claims Coding
- Epic Systems
- Medical Billing Processing
- Insurance Billing
- Workers' Compensation Forms
- Microsoft Excel
Timeline
Medical Biller and Coder
P&N Consultants
08.2020 - Current
Medical Biller- Collections
HealthCare Development System
01.2015 - 08.2020
Medical Biller Collections
Nephrology Associates
01.2011 - 01.2015
Certified Medical Assistant Billing Collection - Medical
Eastern College of Health
High School Diploma -
Bonnabel Magnet Academy High School