Medical billing professional with strong focus on accuracy and efficiency in processing healthcare claims. Demonstrates thorough understanding of insurance guidelines and billing procedures. A reliable team player who adapts to changing needs and is committed to achieving optimal results through collaboration and attention to detail.
Overview
40
40
years of professional experience
Work History
Medical Biller
American Center For Spine and Neurosurgery
01.2012 - Current
Conducted regular audits of billing records to ensure accuracy and completeness, enhancing overall financial performance for the practice.
Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
Reviewed patient diagnosis codes to verify accuracy and completeness.
Improved patient satisfaction levels with clear explanations of their financial responsibilities and available payment options.
Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
Assisted patients in understanding insurance benefits, leading to a positive experience during their visit.
Adhered to established standards to safeguard patients' health information.
Communicated with insurance providers to resolve denied claims and resubmitted.
Delivered timely and accurate charge submissions.
Collected payments and applied to patient accounts.
Liaised between patients, insurance companies, and billing office.
Posted payments and collections on regular basis.
Facility Manager
DR. MARK TRELKA
01.1997 - 12.2011
Manage and negotiate the facilitation of all insurance agreements and vendor contracts
Create and oversee daily reconciliation to track and document revenue
Develop and implement Financial Annual Plan for facility to remain competitive with market standards
Primary liaison between facility, vendor and customer with resolution of accounts receivables
Assess and authorize monthly P/L inputs for account management team
Organize and prioritize internal procedures and policies to ensure consistent operations and increased efficiencies
Train, coach and mentor staff to ensure smooth adoption of software procedures, SOP's and policies
Led facility management staff and consultants in producing business plan that focused on facility operations.
Oversaw all aspects of equipment installation, maintenance, and repair for both internal and external services.
Account Coordinator
NORTHSHORE TERRACE
01.1987 - 01.1991
Maintained, monitored and processed all residents' accounts to include checking, savings and transaction history, which resulted in optimal account efficiency
Facilitate local and state quality audit, which resulted in corrective action..compliance for violations incurred
Successfully developed and executed a standard library of forms for organization
Patient Service Representative at St Mary's Neurosurgery Center For Brain And SpinePatient Service Representative at St Mary's Neurosurgery Center For Brain And Spine