Dynamic Medical Billing Specialist with proven expertise at Wicomico Nursing Home in claims processing and billing reconciliation. Recognized for enhancing cash flow and resolving discrepancies through exceptional customer service and effective communication. Proficient in medical coding and HIPAA compliance, demonstrating strong problem resolution skills and a commitment to patient satisfaction.
Overview
12
12
years of professional experience
Work History
Medical Billing Specialist
Wicomico Nursing Home
06.2018 - 12.2019
Reviewed and verified medical claims for accuracy and completeness
Resolved billing discrepancies through effective communication with healthcare providers
Maintained patient records in accordance with HIPAA regulations
Conducted audits of coding documentation to identify areas for improvement
Provided exceptional customer service to patients, addressing their concerns regarding insurance claims or billing issues with empathy and professionalism.
Developed a comprehensive understanding of ICD-10-CM, CPT, and HCPCS codes to ensure proper use in medical coding assignments.
Reconciled accounts receivable reports to ensure accuracy and consistency.
Supported month-end closing activities by preparing necessary documentation.
Enhanced cash flow by efficiently processing and managing accounts receivable.
Office Administrator
Hanger Clinic
06.2013 - 10.2016
Coordinated patient scheduling to optimize office workflow and reduce wait times.
Managed electronic health record system to ensure accurate and timely documentation.
Streamlined communication between medical staff and patients, enhancing service delivery.
Assisted in billing processes, ensuring accuracy of patient invoices and insurance claims.
Facilitated patient follow-up appointments, improving continuity of care and patient satisfaction.
Received, recorded and filed medical payments by check, cash, and credit card.
Addressed patient inquiries promptly, providing clear explanations about treatment plans, insurance coverage, billing processes, or other concerns as needed.
Reduced errors in billing and insurance claims processing by maintaining accurate patient records and staying updated on industry regulations.
Entered procedure codes and diagnosis codes into medical billing software.
Verified benefits and worked with insurance companies to obtain payments.
Successfully negotiated client contract renewals to create increased revenue.
Accounting Assistant
Peninsula Dermatology Associates
06.2008 - 06.2013
Processed daily accounts payable and receivable transactions for accurate financial reporting.
Assisted in month-end closing procedures to ensure timely financial statements preparation.
Maintained meticulous records of patient billing and insurance claims for efficient reimbursement processing.
Coordinated office communications regarding patient account inquiries to enhance service quality.
Improved cash flow management by closely monitoring accounts receivable, ensuring prompt collection of outstanding balances.
Managed accounts payable and receivable, ensuring timely processing of invoices and payments.
Streamlined accounts receivable processes, improving cash flow with timely billing and collection efforts.
Entered figures using 10-key calculator to compute data quickly.
Certified Nursing Assistant/Certified Medical Technician at Luther Manor Nursing Home/Beth Haven Nursing HomeCertified Nursing Assistant/Certified Medical Technician at Luther Manor Nursing Home/Beth Haven Nursing Home