Efficient billing professional with 20 years of experience. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive.
Overview
21
21
years of professional experience
Work History
Medical Billing Lead
Cleveland Clinic Of Florida
08.2016 - Current
Enhanced revenue by streamlining medical billing processes and improving accuracy in claims submissions.
Updated internal policies as needed to remain current with changing healthcare regulations and industry best practices.
Expedited payment processing with timely follow-ups on outstanding insurance claims.
Mentored junior staff members, fostering professional growth through skill development opportunities and constructive feedback.
Customer Service Phone Representative
Martin Memorial Physicians Corp.
08.2016 - Current
Built rapport with customers using active listening skills, engaging them in conversation while working towards a satisfactory resolution for their concerns.
Promoted customer retention by providing exceptional service experiences that encouraged repeat business and positive word-of-mouth referrals.
Achieved high first-call resolution rates by thoroughly addressing customer concerns and providing accurate information.
Streamlined internal processes through effective communication with other departments, ensuring smooth coordination when addressing customer issues across multiple teams.
Medical Billing Specialist
Cleveland Clinic Florida
08.2016 - Current
Communicated with insurance providers to resolve denied claims and resubmitted.
Posted and adjusted payments from insurance companies.
Communicated effectively and extensively with other departments to resolve claims issues.
Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
Located errors and promptly refiled rejected claims.
Identified and resolved patient billing and payment issues.
Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
Anesthesia Medical Billing
Levin Anesthesia Group
05.2006 - 10.2011
Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
Conducted periodic audits of billing records to identify errors or inconsistencies, ensuring proper documentation for future reference.
Established a positive work environment through open communication channels and active participation in team meetings, fostering a culture of collaboration and growth.
Posted and adjusted payments from insurance companies.
Billing & Equipment Lead
Okeechobee Oxygen
01.2003 - 10.2006
Reduced billing errors through meticulous review of invoices and close collaboration with the accounting team.
Maintained detailed records of client contracts and service agreements, ensuring accurate invoicing based on agreed-upon terms.
Increased accuracy in financial reporting by reconciling billing discrepancies and adjusting entries as needed.
Organized monthly meetings with cross-functional teams to review outstanding receivables and develop action plans for collection efforts.
Education
No Degree - Small Business Administration And Management
I.R.S.C
Okeechoee
01.1990
Skills
Medical Billing Software Proficiency
ICD-10 Knowledge
Claims Processing Proficiency
HIPAA Compliance Understanding
Critical thinking abilities
Collections experience
Organizational abilities
Electronic Health Records Experience
Payment Posting Abilities
Timeline
Medical Billing Lead
Cleveland Clinic Of Florida
08.2016 - Current
Customer Service Phone Representative
Martin Memorial Physicians Corp.
08.2016 - Current
Medical Billing Specialist
Cleveland Clinic Florida
08.2016 - Current
Anesthesia Medical Billing
Levin Anesthesia Group
05.2006 - 10.2011
Billing & Equipment Lead
Okeechobee Oxygen
01.2003 - 10.2006
No Degree - Small Business Administration And Management
Assistant Store Manager- Operations & CFH/Merchandiser at Kohls Department StoreAssistant Store Manager- Operations & CFH/Merchandiser at Kohls Department Store