Efficient billing professional with 10+ years of experience. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
28
28
years of professional experience
Work History
Executive Billing Specialist
Elite Senior Care, LLC
01.2021 - 04.2024
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.
Collected payments and applied to patient accounts.
Ensured timely payments from insurance providers through submission of accurate and complete claims.
Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
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.
Resolved discrepancies in accounts receivable reports, contributing to improved cash flow management.
Established strong relationships with insurance representatives, facilitating prompt resolution of billing issues.
Reviewed patient records, identified medical codes, and created invoices for billing purposes.
Evaluated current coding practices and provided recommendations for improvements which led to increased efficiency.
Lecturer
Community College Of Rhode Island
03.2006 - 10.2014
Maintained the production and distribution of confidential transcript, verifications and other records in accordance with federal and institution policy.
Perform a variety of clerical and routine administrative duties in support of the department, processing academic/financial forms and documents; updating and maintaining database records and paper files
Cultivated critical thinking skills through challenging assignments that required analysis, synthesis, and evaluation of information from various sources.
Research and respond to questions or concerns and appropriately documents interactions regarding admissions and financial aid.
Educate and counsel students on financial aid obligations and assist with the completion of financial aid: opportunities, issues, and procedures
Assist students as they exercise their rights under the Family Educational Rights and Privacy Act to review their records. Provide service to individuals who have received appropriate permission to view student records
Mentored and advised students to explore career pathways based and amplify knowledge, skills and strengths.
Interacted with colleges, departments, and other University administrative units on matters pertaining to transcripts and certifications
Resolved complaint and or issues promptly and professionally, fostering positive relationships and promoting loyalty to the business.
Community Service Coordinator
Community College Of Rhode Island
09.2003 - 12.2006
Coordinated team efforts, leading to increased productivity in addressing community needs.
Managed budgets and resources, ensuring successful completion of community events within financial constraints.
Enhanced community engagement by organizing and executing various service initiatives.
Implemented data-driven decision-making processes to better allocate resources towards high-impact programs.
Maintained detailed records of events, participants, and outcomes for reporting purposes and organizational improvement efforts tp evaluate program effectiveness, implementing changes as necessary to better serve the community's needs.
Streamlined communication channels between team members, improving overall efficiency in project execution.
Improved community outreach with the implementation of informative workshops and presentations.
Lead Receptionist
X-Ray Associates
12.1999 - 03.2002
Trained new receptionists on company policies, software systems, and best practices for exceptional client service delivery.
Effectively managed multiple phone lines including transferring calls appropriately or taking detailed messages when needed.
Provided exceptional customer service through effective communication skills via telephone, email correspondence or face-to-face interactions with clients.
Managed inventory of office supplies, placing orders as necessary to maintain optimal stock levels while minimizing costs.
Supported management with accurate data entry, report generation, and record-keeping tasks to ensure smooth daily operations.
Assisted team members with administrative duties, contributing to a collaborative work environment and increased productivity.
Reduced errors significantly by meticulously reviewing data entries before submission.
Resolved client issues promptly and professionally, fostering positive relationships and promoting loyalty to the business.
Collected payments, processed transactions and updated relevant records.
Handled assignments independently with good judgement and critical thinking skills.
Interacted with vendors, contractors and professional services personnel to receive orders, direct activities, and communicate instructions.
Administrative Assistant
Roger Williams Medical Center Department Of Medicine
01.1996 - 11.1998
Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
Maintained confidentiality of sensitive information by adhering to strict privacy policies and implementing secure filing systems.
Delivered excellent customer service through prompt responses to patient inquiries, addressing concerns effectively, and building strong relationships.
Ensured accurate record-keeping with diligent data entry and database management for vital the hospital information system
Promoted a positive work environment through effective communication skills and fostering professional relationships among colleagues.
Optimized calendar management for executives by scheduling appointments strategically while considering priorities and minimizing conflicts.
Scheduled office meetings and client appointments for the outpatient department that consisted of Occupational/Speech and Physical Therapy teams.
Developed and updated spreadsheets and databases to track, analyze, and report on performance productivity.
Organized office events such as holiday parties or team-building activities, promoting a positive company culture and boosting employee morale.
Managed filing system, entered data and completed other clerical tasks.
Managed phone and email correspondence and handled incoming and outgoing mail and faxes.
Managed paper and electronic filing systems by routing various documents, taking messages and managing incoming and outgoing mail.
Created and maintained detailed administrative processes and procedures to drive efficiency and accuracy.
Education
Bachelor of Science - HealthCare Administration
University of Arizona Global Campus
San Diego, CA
05.2012
High School Diploma -
Blytheville High School
Blytheville, AR
1988
Skills
E-Transcripts
FAFSA
Banner
Authenticare EVV/fiserv
AxisCare
Timeline
Executive Billing Specialist
Elite Senior Care, LLC
01.2021 - 04.2024
Lecturer
Community College Of Rhode Island
03.2006 - 10.2014
Community Service Coordinator
Community College Of Rhode Island
09.2003 - 12.2006
Lead Receptionist
X-Ray Associates
12.1999 - 03.2002
Administrative Assistant
Roger Williams Medical Center Department Of Medicine