Adept Billing Specialist with a proven track record at Steinberg Diagnostic Medical Imaging, enhancing billing operations and customer satisfaction through expert claims processing and problem-solving. Skilled in HIPAA compliance and team collaboration, I significantly improved claims resolution efficiency and fostered a supportive work environment.
Investigated billing discrepancies and implemented effective solutions to resolve concerns and prevent future problems.
Encouraged customers to pay due amounts on credit accounts, claims or overdrawn checks.
Took billing calls, questions and concerns from patients and third party carriers.
Researched and responded promptly to customer inquiries concerning billing disputes.
Recorded information about status of collection efforts.
Collaborated with other departments within the organization to resolve any billing issues.
Sent incomplete or incorrect claims to supervisors for proper adjudication.
Corrected, completed and processed claims for payer codes.
Received payments and posted amounts to customer accounts.
Worked with insurance companies to ensure timely reimbursement of claims.
Answered customer questions regarding account discrepancies or problems.
Reviewed and processed patient accounts for collections purposes.
Performed data entry tasks related to patient account information updates.
Wrote appeal letters to insurance companies for denial of claims.
Documented all conversations between patients and staff related to collections activities.
Contacted insurance companies to check status of claim payments.
Negotiated payment plans with patients based on their financial abilities.
Processed claims and forwarded information to Medicare, Medicaid and commercial insurance companies.
Accepted and processed customer payments and applied toward account balances.
Used excellent verbal skills to engage customers in conversation and effectively determine needs and requirements.
Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
Completed day-to-day duties accurately and efficiently.
Demonstrated strong problem-solving skills, resolving issues efficiently and effectively.
Provided excellent service and attention to customers when face-to-face or through phone conversations.
Identified needs of customers promptly and efficiently.
Provided support and guidance to colleagues to maintain a collaborative work environment.
Authorization Specialist
Pueblo Medical Imaging
Las Vegas
12.2021 - 09.2023
Explained eligibility details and affordability options to patients with kindness and respect.
Reviewed authorization requests for accuracy and completeness.
Conversed with people from different cultures daily, providing high level of respect and patience with each interaction.
Entered client information and files into databases for further review and tracking.
Created spreadsheets utilizing Microsoft Excel for tracking authorization status updates from payers.
Processed prior authorization requests in accordance with departmental guidelines.
Responded to client inquiries and concerns and escalated complex problems to department supervisors.
Tracked authorization statuses using electronic databases or manual filing systems.
Researched patient eligibility, coverage information, and benefit levels.
Participated in meetings with staff members from other departments such as billing and coding teams to provide clarification on policies related to authorizations.
Verified insurance authorizations with payers via telephone or web-based systems.
Approached customers and engaged in conversation through use of effective interpersonal and people skills.
Completed day-to-day duties accurately and efficiently.
Provided support and guidance to colleagues to maintain a collaborative work environment.
Demonstrated strong problem-solving skills, resolving issues efficiently and effectively.
Collaborated closely with team members to achieve project objectives and meet deadlines.
Managed time effectively to ensure tasks were completed on schedule and deadlines were met.
Provided excellent service and attention to customers when face-to-face or through phone conversations.
Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
Education
High School Diploma -
Oasis Independent Studies
Gilroy
06-1999
Skills
Payment posting
Fiscal reporting
Business operations support
Billing cycle management
Statement processing
Billing best practices
Deductible management
Procedure development
Claims processing
Problem-solving
Denial management
Multitasking and organization
Team collaboration
Medical billing and collections
HIPAA compliance
Data entry proficiency
Affiliations
traveling
attending music concerts
Languages
Spanish
Professional
References
References available upon request.
Timeline
Billing Specialist
Steinberg Diagnostic Medical Imaging
10.2023 - 03.2025
Authorization Specialist
Pueblo Medical Imaging
12.2021 - 09.2023
High School Diploma -
Oasis Independent Studies
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