Summary
Overview
Work History
Education
Skills
Work Preference
Certification
Accomplishments
Work Availability
Software
Languages
Interests
Timeline
StoreManager
Tristan Plew

Tristan Plew

Lake Tapps ,WA

Summary

Reliable Medical Biller with coding and medical terminology knowledge. Polished and hardworking with a background overseeing accounts, handling records management tasks, and administrative duties. Very team-orientated, with great decision-making skills.

Overview

10
10
years of professional experience

Work History

Medical Biller (Remote)

Jonni Kingery Billing
03.2019 - Current
  • Coordinate, and have experience billing for multiple providers, such as Chiropractic, Psychiatry, and Internal Medicine, while following each of their specific needs, and guidelines explicitly
  • Proficient in AdvancedMD, Office Ally, Optum, Availity, and Healthwind, among other billing software programs
  • Successfully enter charges, submit claims using accurate CPT, and ICD-10-CM codes that are required per Physician
  • Verify patient insurance eligibility and benefits
  • Post payments and adjustments to patient accounts
  • Prepare, and make multiple bank deposits
  • Follow up with insurance companies in regard to non-payments, or denials, to resolve disputes and re-submit claims as necessary
  • Generate reports and provide billing insights
  • Adhere to HIPAA and OIG regulations

Virtual Receptionist & Medical Biller (Remote)

CK NP Psychiatry, PLLC
12.2022 - 09.2024
  • Worked with a team of 4 Psychiatric Nurse Practitioners
  • Gained software knowledge in Headway, Square Pay, Zocdock, and IntakeQ. Expanded my skills in AdvancedMD (EHR), Microsoft Word, Google Office, and Excell
  • Answering, and making, patient phone calls using outstanding interpersonal, and commutation skills. Showing empathy, patience, and positivity to connect with patients on a personal level
  • Stayed focused on attention to details, organization efficiency, and created new ideas for smooth transitions as the practice grew consistently
  • Conducted new patient screening calls for the providers to review and consider
  • Entered patient demographics, scheduled, rescheduled, intake and follow-up appointments for all providers
  • Responded to all emails in a timely, efficient, and cordial manner
  • Ran insurance verifications, gave detailed benefit descriptions to patients, and monitored individual deductible amounts to avoid payment errors.
  • Processed, and posted, patient and insurance payments. Adjusting accounts as needed.
  • Abiding by HIPAA statutes, I provided medical records requests from patients, physicians, and insurance companies, followed by an invoice for services rendered, if applicable
  • Charge entry and submission, ran billing reports, end of day procedures, and follow-up

Customer Service Representative for PSE

Convergent Outsourcing
04.2018 - 03.2019
  • Calling customers to go over the details of their account, while displaying exceptional customer service and support
  • Taking payments and/or setting up payment plans on delinquent accounts
  • Answering incoming calls to assist customers with any questions or concerns
  • Often put in the positing of handling unfamiliar circumstances, troubleshooting issues quickly, and embracing new ways to solve problems

Collections Account Manager & Receptionist

Washington Medical Billing (WMB)
06.2014 - 12.2017
  • Answering, and directing multiple phone lines, in a polite and professional manner
  • Scanning, faxing and filing
  • Opening and distributing mail
  • Bank deposits and post office drop offs
  • Managing the collection process on aged accounts for over 15 different medical groups
  • Making patient phone calls, setting up payment arrangements, running payments, and monitoring regular payments on accounts in question
  • Responding to concerned patients in regard to their account and/or billing
  • Preparing any, and all, pre collection paperwork needed in order for providers to authorize the account be sent to a collection agency
  • Working closely with a team of medical billers to ensure all payments, private and/or insurance, had been posted correctly before proceeding to collections
  • Training new hire employees

Education

GED -

Seattle Central Community College
Seattle, WA
05.2004

Skills

  • Strong communication and interpersonal skills
  • Team player with a collaborative mindset
  • Continuous learning and professional development
  • Conflict resolution and problem-solving
  • Administrative policy development and implementation
  • Revenue cycle management
  • Creative problem-solver with a can-do attitude
  • Diligent medical biller and administrative professional

Work Preference

Work Type

Full TimePart Time

Location Preference

On-SiteRemoteHybrid

Important To Me

Career advancementWork-life balanceCompany CultureFlexible work hoursHealthcare benefitsWork from home optionPaid time off4-day work weekTeam Building / Company RetreatsPaid sick leave401k matchStock Options / Equity / Profit SharingPersonal development programs

Certification

  • Associates of Applied Science (AAS) in Cosmetology

Accomplishments

AAS Degree - Cosmetology

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Software

AdvancedMD

Availity

Office Ally

Optum

Headway

Healthwind Insight

Languages

English

Interests

Arts & Crafts

Card Collecting (Family Hobby): Pokemon & Disney Lorcana

Timeline

Virtual Receptionist & Medical Biller (Remote)

CK NP Psychiatry, PLLC
12.2022 - 09.2024

Medical Biller (Remote)

Jonni Kingery Billing
03.2019 - Current

Customer Service Representative for PSE

Convergent Outsourcing
04.2018 - 03.2019

Collections Account Manager & Receptionist

Washington Medical Billing (WMB)
06.2014 - 12.2017

GED -

Seattle Central Community College
Tristan Plew