Senior Billing Specialist with extensive expertise in patient confidentiality, data security, and HIPAA compliance. Demonstrates a strong track record in managing Medicaid projects, updating ICD-9 codes, and resolving billing discrepancies to enhance accuracy and efficiency. Highly motivated to leverage profound knowledge in patient needs assessment and revenue forecasting to drive innovative billing solutions.
Overview
7
7
years of professional experience
Work History
Senior Billing Representative
Accredo
10.2023 - Current
Update ICD-9 codes per federal/state changes, enhancing compliance
Code claims from EOMB's and EOB's, ensuring accuracy
Resolve incorrect insurance payments and EOB denials, reducing outstanding accounts
Review and convert outpatient records to CPT codes, improving billing accuracy
Proactively resolve incorrect insurance payments and EOB denials, significantly decreasing outstanding accounts and improving cash flow efficiency
Implement advanced coding techniques, streamlining the billing process
Develop efficient strategies to handle complex cases, improving overall productivity
Patient care advocate
Cigna
10.2021 - 10.2023
Guided patients in accessing financial and legal support, ensuring essential resources were available
Reviewed and negotiated medical bills, resolving disputes and ensuring billing accuracy
Communicated with healthcare providers to gather information and advocate effectively for patients
Resolved conflicts between patients and insurance companies, enhancing overall satisfaction
Provided compassionate service, addressing patient questions and concerns with care
Liaised between patients, healthcare providers, and insurance companies to streamline communication and resolve conflicts, ensuring optimal patient outcomes
Registrar
Stormont Vail hospital
05.2019 - 10.2021
Directed patients to appropriate locations, ensuring timely and accurate access, enhancing patient flow
Validated patient identities and demographic information per hospital policy, maintaining data integrity
Calculated patient liabilities for scheduled services, providing precise estimates and improving financial transparency
Updated comprehensive data sets, confirming details with patients or their representatives, ensuring accuracy and compliance
Personal Baker
Central national bank
10.2018 - 05.2019
Opened new checking and savings accounts for customers, ensuring compliance with banking regulations
Processed money orders, bank checks, direct deposits, and electronic payments efficiently
Assisted clients with loan applications, coordinating with loan officers to facilitate approvals
Recruited, trained, and led a team of four new hires, enhancing team performance and customer service
Senior Billing Representative at Temple University Kornberg School of DentistrySenior Billing Representative at Temple University Kornberg School of Dentistry