Tricia Helfert
Tennyson,IN
Summary
Efficient billing professional 30+ years of experience in coding, credentialing and medical billing. 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.
Overview
19
19
years of professional experience
Work History
Medical Billing and Collections Specialist
Tri State Orthopaedics
09.2016 - 01.2023
- Compiled and tracked outstanding balances owed to medical facilities.
- Processed billing calls and answered questions from patients and third-party carriers.
- Corrected, completed and processed claims for multiple payer codes.
- Assisted in reconciling deposit and patient collections.
- Handled account payments and provided information regarding outstanding balances.
- Responded to customer concerns and questions on daily basis.
- Monitored outstanding invoices and performed collections duties.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Utilized various software programs to process customer payments.
- Collaborated with customers to resolve disputes.
- Maintained accurate records of customer payments.
- Verified patient insurance and benefits for office visits, MRI's and surgeries.
- Give surgery codes to patients when requested for an estimate of service prices.
Medical Office Assistant
St Vincent Medical Group Lynnville
08.2014 - 09.2016
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Provided prompt, polite and professional in-person and telephone customer service.
- Scheduled appointments and testing at local hospital's and imaging centers.
- All coding, charge entry and billing for this location.
- Assisted in clinical setting when needed.
- Updated patient information and insurance details for accurate electronic medical records.
- Coordinated patient scheduling, check-in, check-out and payments for billing..
- Registered patients and completed associated paperwork for accurate records.
- Gathered forms and copied insurance cards to collect patient information for billing and insurance filing.
- Obtained pre-authorization from insurance companies ahead of medical services.
- Received, recorded and filed medical payments by check, cash, and credit card.
- Reconciled daily payments received and prepared deposits for smooth office finances.
- Performed various administrative tasks by filing, copying and faxing documents.
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
- Managed office logistics by scheduling appointments, maintaining files and collecting payments.
- Obtained payments from patients and scanned identification and insurance cards.
- Completed administrative patient intakes with case histories, insurance information and mandated forms.
- Prepared and processed patient referrals and transfer requests.
- Organized and maintained patient chart filing system to promote quick data finding for staff.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Assisted with medical coding and billing tasks.
- Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
Billing Manager
Advanced Pain Care Clinic
05.2010 - 05.2016
- Reviewed billing problems, researched issues, and resolved concerns.
- Trained and mentored staff on procedures, compliance requirements, and collections techniques.
- Worked with customers to develop payment plans and bring accounts current.
- Evaluated and negotiated contracts to procure favorable financial terms.
- Performed all coding for office visits, in office procedures and hospital based surgical procedures.
- Input all billing charges and payment posting.
- Credentialing all physicians with insurances and hospital's and surgery centers.
- In charge of making sure all physicians were current on all licenses and certifications.
Medical Coder
Dataco
10.2003 - 05.2010
- Responsible for all coding and charge entry for this busy anesthesiologist group. Coding done for 3 hospital's and 2 surgery centers.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Monitored changes in coding regulations to provide recommendations for compliance.
- Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
Education
Associate of Applied Science - Medical Assisting
Ivy Tech
Evansville, IN05.1994
Skills
- Medical Coding
- Medical Billing and Collections
- Data Communications
- Computational Abilities
- Cash Receipt Posting
- HIPAA Compliance
- Organization and Prioritization
- Reconciling Accounts
- Reviewing Patient Information
- Customer Satisfaction
- Customer Experience
- Process Payments
- Administration and Management
- Manual Processing
- Billing Statement Management
- Review Documents
- Organizational Skills
- Billing Data Verification
- A/P and A/R Expertise
- AR Aging Reports
- Updating Customer Accounts
- Fair Debt Collections Practices
- Denial Appeals Process
- Accounts Payable and Accounts Receivable
Timeline
Medical Billing and Collections Specialist
Tri State Orthopaedics
09.2016 - 01.2023
Medical Office Assistant
St Vincent Medical Group Lynnville
08.2014 - 09.2016
Billing Manager
Advanced Pain Care Clinic
05.2010 - 05.2016
Medical Coder
Dataco
10.2003 - 05.2010
Associate of Applied Science - Medical Assisting
Ivy Tech
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