Valerie O'Quinn
Bristol,VA
Summary
Insurance and Billing Specialist with over 20 years of experience in claims processing and billing dispute resolution. Expertise in managing insurance claims and resolving discrepancies efficiently. Proven track record of streamlining billing processes and enhancing customer service outcomes. Detail-oriented Insurance and Billing Specialist with extensive experience in claims processing, customer service, and effective communication. Proven ability to resolve discrepancies and ensure accurate billing to enhance operational efficiency.
Overview
21
21
years of professional experience
Work History
Insurance and Billing Specialist
Bristol Surgical
Bristol , TN
04.2005 - Current
- Filed claims electronically
- Corrected claims for refiling
- Claims follow up report
- Posted insurance remittances payments daily
- Processed patient billing inquiries and resolved discrepancies efficiently.
- Coordinated with healthcare providers to obtain necessary billing documentation.
- Reviewed and verified coding accuracy for medical procedures and services.
- Maintained accurate patient account records and updated billing information regularly.
- Worked with team members to identify and develop process improvements.
- Resolved discrepancies between customers' remittances and invoices received.
- Provided support to other departments within the organization as needed.
- Reviewed medical records to ensure accuracy of billing information and patient data.
- Verified insurance coverage and identified third-party payers for billing purposes.
- Calculated billing charges, prepared and submitted claims to insurance companies.
- Performed additional duties as assigned by management team.
- Monitored past due accounts and pursued collections on outstanding invoices.
- Submitted claims to insurance companies.
- Maintained accounting ledgers by verifying and posting account transactions.
- Utilized spreadsheet software to organize and analyze data sets.
- Performed data entry from paper documents, emails, and other sources into computer systems.
- Updated existing records with new or revised information as needed.
- Created spreadsheets to track data entries.
- Scanned documents into appropriate databases for storage purposes.
- Responded to daily inquiries and requests within mandated timeframe to meet deadlines.
Education
Associate of Applied Science - Adminstrative Support Technology
Virginia Highlands Community College
Abingdon, VA12-1998
High School Diploma -
John S. Battle High School
Bristol, VA06-1996
Skills
- Claims processing
- Electronic claims submission
- Customer service
- Data entry
- Insurance payment posting
- Claims follow-up and appeals
- Insurance verification
- Medical coding
- Problem solving
- Attention to detail
- Effective communication
References
References available upon request.
Timeline
Insurance and Billing Specialist
Bristol Surgical
04.2005 - Current
Associate of Applied Science - Adminstrative Support Technology
Virginia Highlands Community College
High School Diploma -
John S. Battle High School