Vicki Fulwiley
Fayetteville,AR
Summary
Detail-oriented professional with extensive experience in insurance claims processing and denial management. Proven track record in HIPAA compliance and collaboration, dedicated to enhancing client satisfaction and streamlining billing inquiries.
Overview
26
26
years of professional experience
Work History
Financial Advocate, Surgery
Highlands Oncology Group
Rogers, AR
09.2024 - Current
- Assisted patients in understanding financial options for cancer treatment and managing costs.
- Facilitated communication between patients and insurance providers to resolve billing inquiries.
- Coordinated with healthcare teams to streamline patient access to financial resources.
- Maintained accurate records pertaining to client interactions and progress, allowing for effective collaboration with other support services.
- Assisted clients in developing achievable financial goals and provided ongoing guidance and encouragement as they worked towards these objectives.
Hospice Billing Coordinator
Washington Regional Medical Center
Fayetteville, AR
01.2024 - 09.2024
- Coordinated billing processes to ensure timely invoicing and payment collection.
- Managed patient accounts, verifying insurance eligibility and coverage details.
- Processed billing adjustments and corrections to maintain accuracy in records.
- Developed training materials for new team members on billing procedures and software usage.
- Completed appeals of denied claims on patient bills.
- Coordinated with clients to resolve outstanding balances, resulting in a higher percentage of on-time payments.
Billing Coordinator
Valley Behavioral Health Sys
Barling, AR
06.2022 - 09.2023
- Processed billing inquiries, ensuring accuracy and timely resolution of discrepancies.
- Collaborated with clinical staff to verify patient insurance information and coverage details.
- Implemented enhancements in billing procedures, reducing processing times and increasing efficiency.
- Monitored accounts receivable reports, identifying trends and addressing outstanding claims proactively.
- Trained new team members on billing software and operational protocols for improved onboarding experience.
Business Office Specialist
Millwood Hospital
Arlington, TX
02.2000 - 06.2022
- Coordinated billing inquiries and resolved discrepancies to enhance revenue cycle efficiency.
- Developed correspondence letters, memos, and emails.
- Processed behavioral health claims over the age of 151 days and/or remittance advice/EOB for insurance carrier.
- Researched and responds to incoming patient, payor, and inquiry by telephone and or mail same day or within 24 hours.
- Documented all actions taken on account in MS4 daily.
- Worked with insurance carriers to solve problems with coverage and payments.
- Handled sensitive information with discretion while maintaining strict confidentiality protocols throughout daily operations in the business office setting.
- Maintained accurate records of all business transactions to ensure compliance with financial regulations and company policies.
- Established single case agreements for all non-par insurance carriers.
- Responsible for denied and underpaid accounts to obtain full reimbursement for services provided.
Education
High School Diploma -
Noxapater High School
Noxapater, MSSkills
- Insurance Claims Review & Processing
- Policy Coverage & Benefit Verification
- Explanation of Benefits (EOB) Interpretation
- Claim Denial Management & Resolution
- Data Entry & Claims System Navigation
- Coordination of Benefits
- HIPAA Compliance and Patient Confidentially
- Medicare, Medicaid & Commercial Insurance
- Claim Payment Authorization
- Insurance Billing Procedures
- Internal Audit Support & Reporting
- Reimbursement Calculations
Timeline
Financial Advocate, Surgery
Highlands Oncology Group
09.2024 - Current
Hospice Billing Coordinator
Washington Regional Medical Center
01.2024 - 09.2024
Billing Coordinator
Valley Behavioral Health Sys
06.2022 - 09.2023
Business Office Specialist
Millwood Hospital
02.2000 - 06.2022
High School Diploma -
Noxapater High School