Detail-oriented billing specialist with expertise in medical billing, accounts receivable management, and denial resolution. Proven ability to streamline billing processes and enhance revenue cycle efficiency.
Overview
16
16
years of professional experience
Work History
Billing Specialist Two
Esse Health
St Louis, MO
08.2022 - 04.2026
work hybrid. Only in office on Thursdays.
computer system NextGen
insurance follow up on outstanding balances
work Trizetto denials
Appealed claims with insurance company.
worked along with doctors office to get claims paid.
worked Essence and UHC outstanding AR.
DId billing for 180 physicians, PCP and specialist. Urology, Allergy, and Gastro
Processed and verified patient billing information for accuracy and compliance with healthcare regulations.
Collaborated with healthcare providers to resolve billing discrepancies and improve revenue cycle efficiency.
Utilized electronic medical record (EMR) systems to streamline billing procedures and enhance data integrity.
Analyzed and reconciled accounts receivable reports to ensure timely collections and minimize outstanding balances.
Maintained up-to-date knowledge of insurance policies and coding requirements to ensure accurate claims submission.
Researched and resolved billing discrepancies to enable accurate billing.
Reduced billing errors, leading to decrease in customer complaints, by conducting regular audits of billing data.
Assisted in transition to electronic billing, reducing paper waste and improving operational efficiency.
Medical Biller and Coder
Ears Nose And Throat Specialist
St Louis, MO
10.2021 - 03.2022
one doctor office Dr Paul Burk worked beside doctor to make sure claims got paid.
worked all insurance, follow up.
office manager /medical biller & coding
Processed medical billing and coding for accuracy in patient accounts.
Reviewed and corrected claims to ensure compliance with healthcare regulations.
Utilized electronic health record (EHR) systems for efficient data entry and retrieval.
Collaborated with healthcare providers to resolve billing inquiries and disputes.
Patient Service Representative (contract0
MMC Group LP
Irving, TX
11.2020 - 01.2021
work from home for a Texas company.
this company was giving free drugs for patients without health insurance
had to verify health insurance on the health insurance websites.
contract temp job. completed the contract.
Medical Biller and Front Desk
West County OBGYN
St Louis, MO
11.2019 - 10.2020
made appointment
answered patient calls
checked eligibility on insurance website.
Processed insurance claims ensuring timely submission and accurate coding.
Reviewed patient records for accuracy and completeness prior to billing procedures.
Collaborated with healthcare providers to resolve discrepancies in patient accounts.
Trained new staff on billing software and compliance regulations, enhancing team efficiency.
system Medical Manager
Medical Biller
St Anthonys Physician Organization
St Louis, MO
12.2009 - 05.2019
Did the billing for 180 physicians (PCP)
Answered patients calls
Called on old AR to all the health insurance
Worked on all Health insurance websites.
Sent Refunds
Sent accounts to collections if needed.
Worked on Trizetto Denials
Processed and submitted medical claims to insurance companies, ensuring accuracy and compliance with regulations.
Resolved billing discrepancies by investigating claims denials and coordinating with healthcare providers for corrections.
Monitored accounts receivable to identify outstanding payments and implemented follow-up procedures to expedite collections.
Trained junior staff on billing software and best practices
Computer System was EClinical works, Medical Manager and EPIC- when Mercy took over.