Terra Swopes
Gardner,KS
Summary
Dynamic medical billing professional with extensive experience at Amblitel, adept at reducing claim denials through meticulous insurance verification and coding practices. Proven track record in enhancing revenue collections and maintaining HIPAA compliance. Skilled in claims processing and customer service, demonstrating strong critical thinking and organizational abilities.
Overview
21
21
years of professional experience
Work History
Medical Biller
Amblitel
08.2016 - Current
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Filed and updated patient information and medical records.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Collected payments and applied to patient accounts.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
- Implemented quality control measures to identify potential errors before submitting claims, reducing rejections significantly.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Maintained compliance with industry regulations by staying updated on changes to medical billing codes and requirements.
- Delivered timely and accurate charge submissions.
- Acted as liaison between healthcare providers and insurance companies; resolved disputes quickly while maintaining positive relationships.
Medical Transcriptionist
Ds Transcription
04.2004 - 08.2012
- Corrected grammar, spelling, and syntax mistakes in medical records.
- Accurately documented medical dictation to record patient care records.
- Maintained high levels of confidentiality with sensitive patient information following HIPAA guidelines.
- Enhanced accuracy of medical records by transcribing detailed physician dictations.
- Followed all HIPAA rules and regulations regarding patient confidentiality.
- Reduced errors in medical reports by reviewing, editing, and proofreading transcripts for clarity and consistency.
- Improved turnaround time for report generation by efficiently managing transcription tasks.
- Demonstrated excellent skills to understand diverse accents and dialects.
Education
Diploma -
Cooper High School
Lubbock, TX05.1989
Skills
- Insurance claims
- Medical billing
- Insurance billing
- Electronic claims
- HIPAA compliance
- Insurance verification
- CPT knowledge
- Patient billing
- Billing and collection procedures
- Customer service
- Accounts receivable
- Insurance claims processing
- Claim submission
- Medicare and medicaid process
- Data entry
- CMS-1500 billing forms
- Denial management
- Claims processing
- Electronic health record software
- Claims review
- Patient account analysis
- Medical terminology expert
- Medical claims submission
- Records management
- Multitasking and organization
- Software use
- Collections management
- Critical thinking
- Proficiency in software
Timeline
Medical Biller
Amblitel
08.2016 - Current
Medical Transcriptionist
Ds Transcription
04.2004 - 08.2012
Diploma -
Cooper High School