Summary
Work History
Education
Skills
Timeline

WENDY TATE

Knoxville,TN

Summary

Organized Medical Biller thoroughly versed in medical coding and HIPAA requirements. Personable professional with 20 years of hands-on experience claiming refunds, reviewing claims and maintaining billing reports. Accommodating and helpful team player proficient in job-related billing software. Organized Medical Biller boasts 20-year career performing difficult multitasking and claims-processing tasks. Works quickly with insurance companies to resolve problematic disputes and handle patient inquiries. Brings can-do attitude to collaborating with medical professionals, insurance providers and clients to handle invoicing within high-traffic office environment.

Work History

Medical Billing Specialist

Baptisit HEALTH EYE
KNOXVILLE, TN
08/20/20 - 05/23/23
  • Posted charges, payments and adjustments.
  • Performed quality control of data entry system to verify proper posting of claims and payments.
  • Confirmed patient demographics, collected copays and verified insurance.
  • Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
  • Prepared and attached referrals, treatment plans or other required correspondence to reduce incidence of denials.
  • Meticulously tracked and resolved underpayments.
  • Tracked and recorded status of delinquent accounts and sent follow-up letters to request payment.
  • Prepared and submitted claims to insurance companies electronically and manually.
  • Entered procedure codes, diagnosis codes and patient information into [Software].
  • Determined customer eligibility for benefit programs and services.
  • Applied payments, adjustments and denials into medical manager system.
  • Completed appeals and filed and submitted claims.
  • Consistently informed patients of financial responsibilities prior to services being rendered.
  • Analyzed and interpreted patient medical and surgical records to determine billable services.
  • Verified proper coding, sequencing of diagnoses and procedures.
  • Submitted refund requests for claims paid in error.

BILLING APPEALS

KOC
Knoxville, TN
05/02/98 - 09/02/20
  • Identified reasons behind denied claims and worked closely with insurance carriers to promote resolutions.
  • Acted as intermediary between insurance companies and customers by researching and assessing information to determine claim validity.
  • Monitored reports to identify claims issues and worked with adjusters to resolve problems.
  • Assisted claimants, providers and clients with problems or questions regarding claims.
  • Checked documentation for appropriate coding, catching errors and making revisions.
  • Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
  • Collected payments, processed receipts and informed policyholders of outstanding balances.
  • Retained strong medical terminology understanding in effort to better comprehend procedures.
  • Transcribed data to worksheets and entered data into computer to prepare documents and adjust accounts.
  • Handled billing related activities focused on medical specialties.

Education

High School Diploma -

Austin East High School/Magnet, Knoxville, TN
08.1985

Skills

  • Accounts Payable
  • Files and Records Management
  • Bill Payment
  • Software Applications Proficiency

Timeline

Medical Billing Specialist - Baptisit HEALTH EYE
08/20/20 - 05/23/23
BILLING APPEALS - KOC
05/02/98 - 09/02/20
Austin East High School/Magnet - High School Diploma,

Similar Profiles

CREATE PROFILE
WENDY TATE