Highly motivated and committed Medical Billing Specialist with proven history of superior performance at individual, team and organizational levels. Strong ability to multitask and prioritize workloads with little or no supervision. Detail oriented professional looking to bring medical background and team building skills to deadline-driven environment.
Overview
2026
2026
years of professional experience
Work History
Financial Clearance Team Lead
US Eye
Sarasota, FL
10.2023 - Current
Led cross-functional teams to enhance patient care quality and operational efficiency.
Developed training programs to mentor staff on best practices in eye health services.
Analyzed performance metrics to identify areas for improvement and drive strategic initiatives.
Trained new team members by relaying information on company procedures.
Served as a role model for the team by demonstrating commitment to excellence, professionalism, and adherence to company values at all times.
Held weekly team meetings to inform team members on company news and updates.
Coached team members in techniques necessary to complete job tasks.
Collaborated with other department leads to streamline workflows, improve interdepartmental coordination, and achieve business goals collectively.
Evaluated employee skills and knowledge regularly, training, and mentoring individuals with lagging skills.
Established clear performance metrics for the team which helped in tracking progress towards set targets effectively.
Improved staffing during busy periods by creating employee schedules and monitoring call-outs.
Established team priorities, maintained schedules and monitored performance.
Checked eligibility for upcoming patient appointments and obtained authorizations.
Financial Clearance Team Lead
Eye Health America
09.2020 - 10.2023
Check eligibility and benefits for upcoming patient surgeries.
Create patient estimations for all upcoming cataract evaluations.
Obtain insurance authorizations for all facility only patients.
Create patient estimations for all facility only surgeries.
Call patients to collect on all upcoming surgeries.
Assisted in recruitment of new team members, hiring highest qualified to build team of top performers.
Communicate insurance benefits to patients.
Evaluated employee skills and knowledge regularly, training, and mentoring individuals with lagging skills.
Monitored team performance and provided constructive feedback to increase productivity and maintain quality standards.
Mentored and guided employees to foster proper completion of assigned duties.
Held weekly team meetings to inform team members on company news and updates.
Monitored time and attendance, enforcing compliance with company procedures relating to absenteeism.
Medical/Office Coordinator
Heart 4 Kids Therapy
01.2019 - 09.2020
Liaised between patients, insurance companies and billing office
Communicated with insurance providers to resolve any denied claims and resubmit
Participated in workshops and other training opportunities to remain current on billing procedures, regulations and industry updates
Assisted patients by determining financial assistance available and setting up payment plans
Guarded against fraud and abuse by verifying all coded data accurately reflected services provided
Posted payments and collections on regular basis
Obtained insurance authorizations for all Medicaid patients
Ensured timely and accurate charge submissions utilizing Clinic Source
Maintained current accounts through aged revenue reporting
Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement
Orchestrated day-to-day operations of billing department, including medical coding, payment posting, accounts receivables and collections
Complied with all HIPAA Privacy and Security Regulations to protect patients' medical records and information
Medical Billing Specialist/Receptionist
Dr. Stephen G. Nelson Pediatrics
1 2017 - 12.2018
Professionally and courteously verified appointment times with patients
Adeptly managed a multi-line phone system and pleasantly greeted all patients
Verified patients’ eligibility and claims status with insurance agencies
Prepare daily cash deposits
Posting insurance checks, patient checks and credit card payments
Enter newborn charges and daily office charges
Work AR aging report, follow up with denied or unpaid claims. File corrected claims or appeals if needed
Provided ample support to team members, providing creative solutions to complex challenges regarding scheduling, conflict resolution and medical care
Reviewed and sent medical records to other physicians upon request
Maintained patient databases and updated information in alignment with HIPAA protocols
Medical Billing Specialist
Bay Surgical Specialists
04.2013 - 02.2017
Correctly coded and billed medical claims for inpatient and outpatient admissions and surgeries. As well as, office visits, procedures and ultrasounds
Precisely completed appropriate claims paperwork, documentation and system entry
Verified patients’ eligibility and claims status with insurance agencies
Obtained authorizations and referrals from primary care providers and insurance companies for future office visits, ultrasounds, procedures and surgeries
Maintained strict patient and physician confidentiality
Actively maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third party requirements regarding billing
Responded to correspondence from insurance companies
Identified and resolved patient billing and payment issues
Confidently and adeptly handled claim denials and/or appeals
Examined patients’ insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable
Customer Service/Administrative Assistant
MP Direct, Inc
04.2008 - 04.2013
Received inbound customer service calls
Evaluate customer concerns, troubleshoot, and provide solutions
Input order requests to database
Process returns and credits
File freight claims
Assist human resources with projects as needed
Education
Associate of Science - Health Information Management
St. Petersburg College
St. Petersburg, FL
2014
Skills
ICD-10 (International Classification of Disease Systems) and CPT
Outpatient and inpatient surgery coding specialist
Familiar with Medicaid and private insurance carriers
Insurance and collections procedures
Excellent problem solver
Resourceful and reliable worker
Close attention to detail
Excellent verbal communication
Excellent computer skills
Payment processing
Case Management
Medical office administration
Timeline
Financial Clearance Team Lead
US Eye
10.2023 - Current
Financial Clearance Team Lead
Eye Health America
09.2020 - 10.2023
Medical/Office Coordinator
Heart 4 Kids Therapy
01.2019 - 09.2020
Medical Billing Specialist
Bay Surgical Specialists
04.2013 - 02.2017
Customer Service/Administrative Assistant
MP Direct, Inc
04.2008 - 04.2013
Medical Billing Specialist/Receptionist
Dr. Stephen G. Nelson Pediatrics
1 2017 - 12.2018
Associate of Science - Health Information Management