Terri Pinkerton
Patient Account/Billing Specialist
Summary
Detail-oriented and methodical Patient Account/Billing Specialist offering 8 years of experience in related roles. Exceptional abilities in conducting research, problem-solving and prioritizing simultaneous tasks. Leverages resourcefulness, critical thinking skills and superior work ethic for top job performance.
Overview
8
8
years of professional experience
Work History
Billing Specialist
Acadia Healthcare
12.2021 - 02.2024
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Generated and submitted invoices based upon established accounts receivable schedules and terms.
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
- Reviewed and reconciled customer accounts to manage accuracy of payments.
- Worked with multiple departments to check proper billing information.
- Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
- Monitored customer accounts to identify and rectify billing issues.
- Researched and resolved billing discrepancies to enable accurate billing.
- Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
- Audited and corrected billing and posting documents for accuracy.
- Responded to customer concerns and questions on daily basis.
- Monitored outstanding invoices and performed collections duties.
Insurance Billing Specialist
LaSalle Network
07.2020 - 11.2020
- Reconciled accounts receivable to general ledger.
- Monitored outstanding invoices and performed collections duties.
- Responded to customer concerns and questions on daily basis.
- Analyzed EOB's to maximize payment to the medical provider.
Claims Analyst
Arx Healthcare
04.2016 - 03.2020
- Interacted with clients and employees, which helped cultivate positive working relationships.
- Identified key areas not performing well and implemented effective, new processes.
- Maintained strict confidentiality with all personal data as per company guidelines.
- Viewed reports regularly to make sure processing was conducted efficiently.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Maintained claims data in Epic and Cerner systems.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Researched claims and incident information to deliver solutions and resolve problems.
- Examined claims forms and other records to determine insurance coverage.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
Education
High School Diploma -
Mcgavock High School
Nashville, TN 05.2001 -
Skills
Patient Account Management
Billing Systems and Software
Accounts Receivable Management
Research and Due Diligence
Invoicing Proficiency
Data Entry Proficiency
Records Organization and Review
Collection Practices
Collections
Claim Submission
HIPAA Compliance
Insurance Verification
Claims Processing
References
Audrey Fowler
Billing Specialist
(615)624-3881
Kelly Denham
CBO Director
(615) 708-1130
Timeline
Billing Specialist
Acadia Healthcare
12.2021 - 02.2024
Insurance Billing Specialist
LaSalle Network
07.2020 - 11.2020
Claims Analyst
Arx Healthcare
04.2016 - 03.2020
High School Diploma -
Mcgavock High School
05.2001 -