Summary
Overview
Work History
Education
Skills
Timeline
Generic

Taylor Allen

Frisco

Summary

Dynamic medical billing and coding professional with a proven track record at Methodist McKinney Hospital, skilled in ICD-10 classification and insurance denial analysis. Known for reducing claim denials through meticulous verification and fostering strong provider relationships, enhancing client trust and satisfaction in healthcare navigation. Detail-oriented and results-driven.

Overview

9
9
years of professional experience

Work History

Medical Biller and Coder

Methodist McKinney Hospital
10.2023 - Current
  • Correctly coded and billed medical claims for various hospital and nursing facilities.
  • Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
  • Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
  • Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.

Senior Health Advocate for Me

United Healthcare Group
06.2021 - 08.2023
  • Negotiated payment plan arrangements with medical providers on behalf of clients facing financial hardships due to high medical bills.
  • Established strong relationships with local healthcare providers to streamline referral processes and enhance the continuity of care for clients.
  • Increased client trust through consistent support, advocacy, and proactive problem-solving during their healthcare journey.
  • Helped members navigate enrollment process and choose appropriate options.
  • Resolved problems related to benefits, eligibility and claims.
  • Handled more than 65 daily inbound calls from health plan customers.

Document Triage Specialist/Medical Records Specialist

AccentCare
04.2019 - 05.2021
  • Updated electronic health records systems with accurate patient information, ensuring seamless coordination between healthcare providers and accurate tracking of treatment plans.
  • Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
  • Evaluated patient histories, complaints, and current symptoms.
  • Recorded details regarding therapies to keep patient charts updated.

Fertility Representative

Alliance Rx Walgreens Prime Specialty Pharmacy
10.2017 - 02.2019
  • Increased customer satisfaction by addressing and resolving complaints in a timely manner.
  • Handled customer complaints quickly and professionally to restore customer confidence and prevent loss of business.
  • Enhanced company reputation by providing exceptional customer service and support.
  • Developed and maintained positive customer relations and coordinated with team members to properly handle requests and questions.
  • Exceeded performance targets through diligent work ethic and focus on results-driven tasks.
  • Responded to customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility, and claims.
  • Communicated with clients and customers to gather, provide and share updated information on products and services.
  • Optimized workflow processes, allowing for more efficient use of resources and reduced turnaround times on projects.

Physician Services

Conifer Health Solutions, Value-Based Care
03.2016 - 01.2018
  • Documented interactions using correct format, codes and facility standards for optimal medical care.
  • Integrated patients' files with robust electronic health record system.
  • Remained updated on latest medical advancements through continuous professional development courses and conferences.
  • Educated patients on preventative measures, contributing to a decrease in hospital readmissions.

Education

Certification - Medical Billing And Coding

Penn Foster Career School
Scranton, PA
12-2025

Skills

  • Understanding of HIPAA compliance requirements
  • Accurate payment posting
  • Verification of insurance details
  • ICD-10 classification knowledge
  • Efficient claim documentation
  • Experienced in medical coding practices
  • Appeals review
  • Accuracy in UB-04 form submission
  • Detail-oriented CMS-1500 documentation
  • CPT coding
  • Insurance denial analysis
  • Proficient in medical billing
  • Expertise in HCPCS Level II coding

Timeline

Medical Biller and Coder

Methodist McKinney Hospital
10.2023 - Current

Senior Health Advocate for Me

United Healthcare Group
06.2021 - 08.2023

Document Triage Specialist/Medical Records Specialist

AccentCare
04.2019 - 05.2021

Fertility Representative

Alliance Rx Walgreens Prime Specialty Pharmacy
10.2017 - 02.2019

Physician Services

Conifer Health Solutions, Value-Based Care
03.2016 - 01.2018

Certification - Medical Billing And Coding

Penn Foster Career School

Similar Profiles

CREATE PROFILE
Taylor Allen