Valerie Brooks
Stony Creek
Summary
Adept at insurance billing and enhancing patient satisfaction, I significantly improved revenue collections at Saratoga Spine. My expertise in medical billing technology and exceptional customer service skills led to a marked increase in successful claim reimbursements. Demonstrated ability to resolve complex insurance issues, ensuring compliance and securing patient trust.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Medical Biller/Receptionist
Saratoga Spine
09.2010 - Current
- 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.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Collected payments and applied to patient accounts.
- Posted payments and collections on regular basis.
- Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Delivered timely and accurate charge submissions.
- Supported efficient scheduling practices by verifying patient eligibility and coverage prior to appointments.
- Organized filing system for patient records, expediting access to essential documents when needed.
- Adhered to established standards to safeguard patients' health information.
- Assisted patients in understanding insurance benefits, leading to a positive experience during their visit.
- Improved patient satisfaction by providing clear explanations of billing procedures and addressing billing inquiries promptly.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
Lead Medical Receptionist
Hudson Headwaters Health Network
07.2002 - 09.2010
- Fielded concerns surrounding patients and care, liaising between physician, patient, and insurance company.
- Verified and updated demographic and other personal information for clients with respect to personal boundaries when asking for important details.
- Used computer programs and registration systems to schedule patients for routine and complex procedures.
- Offered ample support to team members with creative solutions to complex challenges regarding scheduling, conflict resolution, and medical care.
- Completed clerical duties and tasks for clinic administration.
- Remained aware of provider schedules and scope of practice on evolving basis to organize and schedule appropriate care.
- Referred and screened patients to make best use of resources, triage staff, and serve community members.
- Enhanced patient experience by streamlining check-in processes and maintaining accurate records.
- Ensured compliance with HIPAA regulations, safeguarding confidential patient information at all times.
- Increased patient satisfaction by promptly resolving any concerns or issues related to appointments or billing matters.
- Coordinated referrals for specialist consultations, obtaining authorization from insurance carriers when necessary.
- Effectively communicated appointment reminders to patients through phone calls or email notifications, contributing to a decrease in noshows.
- Assisted in the training and development of new reception staff members, increasing office efficiency.
- Provided exceptional customer service to patients, addressing their needs promptly and professionally while demonstrating empathy and understanding.
- Checked patient insurance, demographic, and health history to keep information current.
- Transcribed phone messages and relayed to appropriate personnel.
- Supported office staff and operational requirements with administrative tasks.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
- Processed medical insurance claims and payments for several different specialty physician.s.
Education
High School Diploma -
Hadley Luzerne Central School
Lake Luzerne, NYSkills
- Insurance claims
- Insurance billing
- Medical billing
- Electronic claims
- Insurance verification
- Customer service
- CPT knowledge
- Patient billing
- Insurance claims processing
- Claim submission
- Data entry
- Denial management
- Payment posting
- ICD-10
- ICD-10 proficiency
- Medical terminology expert
- Medical claims submission
- Multitasking and organization
- Critical thinking
- Teamwork and collaboration
- Patient collections
- Clerical support
- Medical terminology
- ICD-9
- Medical record security
- Records maintenance
- Medical billing technology
Certification
- [Area of certification]
Timeline
Medical Biller/Receptionist
Saratoga Spine
09.2010 - Current
Lead Medical Receptionist
Hudson Headwaters Health Network
07.2002 - 09.2010
High School Diploma -
Hadley Luzerne Central School
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