Victoria Crosby
Hooks
Summary
Analytical medical biller successful at resolving disputes and billing inquiries. Detail-oriented individual with several years of experience performing intricate billing procedures with undeniable level of detail. Familiar with Medicaid and commercial insurance carriers.
Overview
13
13
years of professional experience
Work History
Medical Biller
Lincare
Texarkana
02.2018 - Current
- Processed medical claims using advanced billing software efficiently.
- Ensured compliance with healthcare regulations and billing guidelines consistently.
- Communicated with insurance companies to resolve billing discrepancies promptly.
- Worked directly with multiple states Medicaid to identify and resolve issues in billing.
- Worked with patients to resolve insurance issues.
- Researched policy of insurances to correct billing issues.
- Worked independently to resolve billing issues through multiple states and insurance companies.
- Reviewed patient accounts for accuracy and completeness before submission.
- Managed patient inquiries regarding billing and insurance matters effectively.
- Coordinated with healthcare providers to obtain necessary documentation for claims.
- Maintained confidentiality of patient information following HIPAA standards strictly.
- Trained new staff on billing procedures and software usage comprehensively.
- Submitted electronic claims to various insurance carriers.
- Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
- Researched discrepancies between billed charges and payments received from insurance companies or other third party payers.
- Applied HIPAA privacy and security regulations while handling patient information.
- Answered incoming calls regarding billing inquiries from patients and and or providers in a professional manner.
- Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Performed follow up activities on unpaid claims with insurance companies or other third party payers by phone or written correspondence.
- Assisted with collection efforts as needed including contacting patients via phone, mail or email for collection of past due balances due to insurance denials or patient responsibility amounts owed.
- Maintained accurate records of all billing activity in accordance with departmental standards.
- Processed refunds requests timely and accurately according to established protocols.
- Compiled and processed data for billing purposes utilizing billing software programs.
- Coordinated communications between patients, billing personnel and insurance carriers.
- Monitored reimbursement from managed care networks and insurance carriers to verify consistency with contract rates.
Assistant Manger, Warehouse Clerk, Store Manager, Warehouse Manger
Vapor Stop
Texarkana
01.2013 - 07.2017
- Direct and supervise employees engaged in sales, inventory-taking, reconciling cash receipts, or in performing services for customers.
- Provide customer service by greeting and assisting customers, and responding to customer inquiries and complaints.
- Inventory stock and reorder when inventory drops to a specified level.
- Hire, train, and evaluate personnel in sales or marketing establishments, promoting or firing workers when appropriate.
- Keep records of purchases, sales, and requisitions.
- Examine merchandise to ensure that it is correctly priced and displayed and that it functions as advertised.
- Plan and prepare work schedules and keep records of employees' work schedules and time cards.
- Review inventory and sales records to prepare reports for management and budget departments.
- Establish and implement policies, goals, objectives, and procedures for their department.
- Confer with company officials to develop methods and procedures to increase sales, expand markets, and promote business.
- Direct and coordinate activities of personnel engaged in buying, selling, and distributing materials, equipment, machinery, and supplies.
- Prepare and process requisitions and purchase orders for supplies and equipment.
- Maintain records of goods ordered and received.
- Administer online purchasing systems.
- Arrange for disposal of surplus materials.
- Control purchasing department budgets.
- Check figures, postings, and documents for correct entry, mathematical accuracy, and proper codes.
- Operate computers programmed with accounting software to record, store, and analyze information.
- Prepare bank deposits by compiling data from cashiers, verifying and balancing receipts, and sending cash, checks, or other forms of payment to banks.
- Classify, record, and summarize numerical and financial data to compile and keep financial records, using journals and ledgers or computers.
- Debit, credit, and total accounts on computer spreadsheets and databases, using specialized accounting software.
- Calculate, prepare, and issue bills, invoices, account statements, and other financial statements according to established procedures.
- Reconcile or note and report discrepancies found in records.
- Access computerized financial information to answer general questions as well as those related to specific accounts.
Substitute Teacher
Sub Teach USA
Paragould
03.2013 - 03.2014
- Provide extra assistance to students with special needs, such as non-English-speaking students or those with physical and mental disabilities.
- Supervise students in classrooms, halls, cafeterias, school yards, and gymnasiums, or on field trips.
- Enforce administration policies and rules governing students.
- Assist in bus loading and unloading.
- Instruct and monitor students in the use and care of equipment and materials to prevent injuries and damage.
- Present subject matter to students under the direction and guidance of teachers, using lectures, discussions, or supervised role-playing methods.
- Distribute tests and homework assignments and collect them when they are completed.
- Prepare lesson materials, bulletin board displays, exhibits, equipment, and demonstrations.
- Take class attendance and maintain attendance records.
- Distribute teaching materials such as textbooks, workbooks, papers, and pencils to students.
- Use computers, audio-visual aids, and other equipment and materials to supplement presentations.
- Collect money from students for school-related projects.
- Monitor classroom viewing of live or recorded courses transmitted by communication satellites.
Assistant Manger
Family Dollar
Texarkana
02.2012 - 12.2012
- Direct and supervise employees engaged in sales, inventory-taking, reconciling cash receipts, or in performing services for customers.
- Monitor sales activities to ensure that customers receive satisfactory service and quality goods.
- Inventory stock and reorder when inventory drops to a specified level.
- Hire, train, and evaluate personnel in sales or marketing establishments, promoting or firing workers when appropriate.
- Assign employees to specific duties.
- Perform work activities of subordinates, such as cleaning and organizing shelves and displays and selling merchandise.
- Plan and prepare work schedules and keep records of employees' work schedules and time cards.
- Receive payment by cash, check, credit cards, vouchers, or automatic debits.
- Issue receipts, refunds, credits, or change due to customers.
- Maintain cage security according to rules.
- Count money and audit money drawers.
- Reconcile daily summaries of transactions to balance books.
- Assist customers by providing information and resolving their complaints.
- Count money in cash drawers at the beginning of shifts to ensure that amounts are correct and that there is adequate change.
- Greet customers entering establishments.
- Answer customers' questions, and provide information on procedures or policies.
- Furnish change persons with a money bank at the start of each shift.
- Process merchandise returns and exchanges.
- Stock shelves, and mark prices on shelves and items.
- Pack and unpack items to be stocked on shelves in stockrooms, warehouses, or storage yards.
- Verify inventory computations by comparing them to physical counts of stock, and investigate discrepancies or adjust errors.
- Verify the contents of inventory loads against shipping papers.
- Load and unload trucks, vans, or automobiles.
Education
Cna and other classes - Nursing
Mid-South Community College
West Memphis, AR12.2009
High School Diploma -
Texas High School
Texarkana, TX05.2004
Associate of Applied Science - Nursing
Arkansas State University
Jonesboro, ARSkills
- Customer and Personal Service
- Time Management
- Computers and Electronics
- Clerical
- Service Orientation
- Administration and Management
- Judgment and Decision Making
- Mathematics
- Learning Strategies
- Instructing staff
- Management of Financial Resources
- Management of Material Resources
- Production and Processing
- Sales and Marketing
- Claim processing
- Billing software
- Insurance verification
- Regulatory compliance
- Patient communication
- Problem resolution
- Financial reconciliation
- Customer service
- Staff training
- Time management
- Team collaboration
- ICD-10 coding
- Billing and collection procedures
- Claim review
Timeline
Medical Biller
Lincare
02.2018 - Current
Substitute Teacher
Sub Teach USA
03.2013 - 03.2014
Assistant Manger, Warehouse Clerk, Store Manager, Warehouse Manger
Vapor Stop
01.2013 - 07.2017
Assistant Manger
Family Dollar
02.2012 - 12.2012
Cna and other classes - Nursing
Mid-South Community College
High School Diploma -
Texas High School
Associate of Applied Science - Nursing
Arkansas State University