Treatte Males
Nixa,MO
Summary
Healthcare professional with extensive experience in managing reimbursement tasks and resolving billing discrepancies. Proven ability to streamline processes and improve efficiency while maintaining compliance with industry standards. Valued team player who consistently achieves results through effective collaboration and adaptability.
Overview
23
23
years of professional experience
Work History
Reimbursement Specialist II
Trinity Health
Farmington Hills, MI
02.2022 - 07.2025
- Identified trends in reimbursement denials, recommending process improvements to minimize future occurrences.
- Supported company objectives by maintaining compliance with all relevant state and federal regulations governing medical billing practices.
- Advanced internal communication channels by sharing best practices among colleagues, fostering an environment of continuous learning and improvement.
- Delivered timely information to insurance representatives to resolve common and complex issues.
- Managed multiple priorities effectively under high-pressure deadlines without compromising accuracy or quality of work output.
- Demonstrated adaptability and a commitment to ongoing professional development, embracing new software systems and process changes with enthusiasm and ease.
Reimbursement Coordinator II
Mercy Hospitals
Springfield, MO
01.2005 - 10.2021
- Reduced billing errors by implementing a thorough review process, resulting in increased efficiency and accuracy.
- Facilitated communication between patients, providers, and payers to resolve claim discrepancies and expedite payment processing.
- Collaborated closely with medical coders to ensure accurate representation of services provided, resulting in optimized reimbursement potential.
- Increased staff productivity by providing ongoing training and support on relevant software systems and tools.
- Contributed to successful appeals efforts by compiling necessary documentation and presenting persuasive arguments on behalf of patients or providers seeking coverage reconsideration from insurers.
- Managed high-volume workloads through effective prioritization and organization, consistently meeting deadlines while maintaining accurate records.
- Identified areas for improvement in existing processes, recommending enhancements that led to increased efficiency within the department.
HIPAA Compliance Officer/Medical Billing Specialist
Bach Medical Supply
Springfield, MO
09.2002 - 01.2015
- Developed customized solutions for unique client needs, addressing specific concerns surrounding PHI storage and transmission practices.
- Created a solid foundation of trust with patients by consistently demonstrating the company''s commitment to protecting their privacy rights under HIPAA regulations.
- Implemented a comprehensive employee training program for increased awareness of HIPAA regulations.\
- Posted and adjusted payments from insurance companies.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Located errors and promptly refiled rejected claims.
- Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Evaluated new technologies and software solutions for potential adoption within the organization, analyzing their impact on HIPAA compliance efforts.
Education
No Degree - Horticultural Science And Floral Designer
Tulsa Technology
Tulsa, OK11-1989
High School Diploma -
Union High School
Tulsa05-1985
Skills
- Skilled in appeals resolution
- Experience in HIPAA compliance
- Skilled in Microsoft Office applications
- Insurance eligibility verification
- Denial analysis expertise
- Customer service
- Managed healthcare services
- Healthcare billing expertise
- Eligibility assessment
- Medicare knowledge
- Commercial insurance expertise
- Collaborative teamwork
- Service excellence
- Effective multitasking
- Consistent reliability
- Strong verbal communication
- Adaptability to change
- Clear and concise communication
- Strategic decision-making
- Technical documentation proficiency
- Results-driven under deadlines
- Problem-solving skills
- Research documentation
- Effective time management
- Meticulous attention to detail
- Problem-solving abilities
Timeline
Reimbursement Specialist II
Trinity Health
02.2022 - 07.2025
Reimbursement Coordinator II
Mercy Hospitals
01.2005 - 10.2021
HIPAA Compliance Officer/Medical Billing Specialist
Bach Medical Supply
09.2002 - 01.2015
No Degree - Horticultural Science And Floral Designer
Tulsa Technology
High School Diploma -
Union High School