Vesna McGlen
Holley,NY
Summary
Detail-oriented, highly accurate Medical Billing Specialist with over 10 years of experience handling wide variety of medical coding and billing tasks. Skilled in healthcare revenue management, insurance processing, and patient account reconciliation. Strong understanding of medical terminology, CPT/HCPCS and ICD coding, Interpreting EOBs and denials, data confidentiality and privacy practices when reviewing patient information to ensure compliance with HIPAA regulations and industry standard.
Overview
11
11
years of professional experience
Work History
Medical Biller (Remote)
TruBridge
05.2021 - 05.2026
- Followed up on claims, reviewing accounts and working A/R aging reports. Processed patient data; ensured correct billing. Accurately completed high-volume work.
- Verified, edited, and processed inpatient, outpatient, and clinic claims, contacted insurance companies, including third-party payers, to ensure proper payment within timely filing restrictions.
- Monitored outstanding balances, ensuring payments from patients and insurance companies; initiated refunds.
- Identified, documented, and reported payer trends to management; actively communicated with insurance companies via email, fax, websites, and phone.
Medical Biller (Partially Remote)
Space Coast Early Steps
01.2019 - 05.2021
- Collected, posted, and managed account payments; resolved discrepancies in accounting records. Effectively managed independent daily workflow.
- Processed claims electronically to insurance carriers; utilized insurance websites to correct claims; billed Medicaid MMA plans accordingly; issued refunds as appropriate.
- Identified, documented, and reported payer trends to management; actively communicated with insurance companies via email, fax, websites, and phone.
Billing Representative
Beachside Physical Therapy
01.2017 - 01.2018
- Prioritized and completed billing and accounting tasks in advance of deadlines.
- Posted payments and adjustments; balanced checks and credit card payments.
- Monitored outstanding balances; ensuring payments from patients and insurance companies.
- Analyzed invoices and resolved invoice discrepancies; performed month-end duties.
Medical Payment Representative
McKesson Corporation
01.2015 - 01.2016
- Posted and reconciled medical payments from patients, insurance carriers, and third-party payers, meeting daily goals in a fast-paced environment.
- Posted high volume of payments to patient accounts with minimal errors.
- Balanced payments to daily deposits.
- Reviewed patient accounts with attention to detail in a fast-paced environment.
Education
Associates Degree - Business Administration
Monroe Community College
Rochester, NYSkills
- Teamwork and collaboration
- ICD-10 proficiency
- Customer service
- Insurance claims processing
Timeline
Medical Biller (Remote)
TruBridge
05.2021 - 05.2026
Medical Biller (Partially Remote)
Space Coast Early Steps
01.2019 - 05.2021
Billing Representative
Beachside Physical Therapy
01.2017 - 01.2018
Medical Payment Representative
McKesson Corporation
01.2015 - 01.2016
Associates Degree - Business Administration
Monroe Community College