Yolanda Bateman
Converse
Summary
Hard-working, reliable, and professional healthcare billing specialist who has 20 years of experience who works with integrity and always a team player, who is always looking to learn more and advance in my career.
Healthcare professional with solid background in medical billing. Expertise in managing billing cycles, resolving discrepancies, and ensuring compliance with healthcare regulations. Known for strong team collaboration and adaptability to changing requirements, effectively utilizing attention to detail and communication skills.
Overview
21
21
years of professional experience
Work History
Healthcare Billing Specialist II
Solventum
San Antonio, TX
05.2012 - Current
- Coordinated with Healthcare providers as necessary to resolve unpaid account balances while maintaining professionalism and discretion throughout the process.
- Work refunds for my entire team to resolve payer and patient credit balances.
- Prioritizes high-dollar and aging accounts for prompt resolution efforts.
- Managed appeals process for denied claims, proficiently providing supporting documentation to successfully overturn denial decisions in many cases.
- Collaborated with healthcare providers to reconcile discrepancies, facilitating accurate and timely claim submission.
- I have assisted in training new team members on team responsibilities, such as appeals, payer/patient refunds, authorization process and payer specific trends/issues.
- Monitored outstanding invoices and performed collections duties.
- Assisted with special projects.
- Processed medical billing claims, ensuring compliance with healthcare regulations and payer requirements.
- Resolved discrepancies in billing statements through detailed analysis and collaboration with healthcare providers.
Healthcare Resolution Specialist
Medical Billing Services & Solutions
Houston, TX
06.2009 - 11.2011
- Worked for three client groups and was responsible for resolution of outstanding credits/debit balances.
- Assisted colleagues in navigating challenging situations by sharing expertise and offering guidance when requested.
- Maintained detailed records of all interactions and resolutions for future reference and analysis purposes, improving overall efficiency in handling similar cases down the road.
- Assisted call center with patient calls, pertaining to their accounts.
Workers Compensation Collection Specialist
Global Healthcare Alliance
Houston, TX
07.2008 - 06.2009
- Provided exceptional customer service when contacting patients on information needed in order to submit their claim and also, when contacting employers regarding employee injury dates.
- Delivered exceptional customer service on collection calls and maintained calm and professional demeanor.
- Prioritized account resolution and maintained professionalism throughout interactions with insurance companies, employers and patients.
- Achieved performance goals.
- Achieved timely resolution of delinquent accounts by maintaining and keeping current with my daily worklist.
- Monitored accounts receivable aging reports, proactively initiating collection efforts on past-due accounts to minimize losses.
Accounts Receivable and Billing Specialist
McKesson
Houston, TX
07.2005 - 06.2008
- Responsible for verifying a patients workers' compensation case, which included contacting employers for date of injury, date occurred, location, verifying compensable injury and retrieving the contact information for the insurance company Responsible for claims.
- Responsible for setting up cases for claims submission.
- Responsible for timely follow-up of claims with no response, denied claims, and underpaid claims.
- Trained new team members, contributing to their professional growth and successful integration into the department.
Education
Medical Coding & Billing -
MedVance Institute
Houston, TX07-2005
High-school Diploma - undefined
Stratford High School
Houston, TX05-2002
Skills
- HIPAA Compliance Understanding
- Professionalism and Integrity
- Collections experience
- Continuous Learning Attitude
- Ethical Conduct Awareness
- Healthcare Billing Knowledge
- CPT Coding Familiarity
- Insurance Verification Abilities
- Appeals Process Familiarity
- Teamwork and Collaboration
- Electronic Claims
- Billing and Collection Procedures
- 20 years of Healthcare Billing experience
- HIPAA compliance
- Professionalism and integrity
- Teamwork orientation
- Critical thinking
Timeline
Healthcare Billing Specialist II
Solventum
05.2012 - Current
Healthcare Resolution Specialist
Medical Billing Services & Solutions
06.2009 - 11.2011
Workers Compensation Collection Specialist
Global Healthcare Alliance
07.2008 - 06.2009
Accounts Receivable and Billing Specialist
McKesson
07.2005 - 06.2008
High-school Diploma - undefined
Stratford High School
Medical Coding & Billing -
MedVance Institute