Organized Medical Biller thoroughly versed in medical coding and HIPAA requirements. Personable professional with 3 years of hands-on experience claiming refunds, reviewing claims and maintaining billing reports. Accommodating and helpful team player proficient in job-related billing software.
Education and Training
Expected in 09/2020
Certification: Medical Assisting TIdewater Medial Training - Hampton, VA, GPA:
Expected in 03/2017
Certification : Medical Administrative Assistant New Horizons Regional Institute - Hampton, VA, GPA:
Expected in 05/2012
High School Diploma: Auburn High School - Rockford, IL, GPA:
Skills
Chart Auditing
Medical Transcription
Multitasking and Organization
Clerical Support
Billing and Collection Procedures
Verbal and Written Communication
HIPAA Compliance Certification
Medical Terminology
Information Confidentiality
Commercial and Private Insurance
Claims Processing
Billing and Invoicing
Signature Verification
Itemized Statement Preparation
Billing Data Verification
Customer Contact
Relationship Building
Statement Distribution
Adding, Calculating and Billing Machines
Experience
01/2022 to Current
Medical Billing AssistantIndependent Living Services – Conway, AR,
Contacted insurance providers to verify insurance information and obtain billing authorization.
Leveraged EMR software to post payments received for medical services.
Applied HIPAA privacy and security regulations while handling patient information.
Answered customer questions to maintain high satisfaction levels.
Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
Submitted claims to insurance companies.
Organized information for past-due accounts and transferred to collection agency.
Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
Managed all payments processing, invoicing and collections tasks.
Checked claims coding for accuracy with ICD-10 standards.
Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
Performed insurance verification, pre-certification and pre-authorization.
Participated in workshops, seminars and training classes to gain stronger education in industry updates and federal regulations.
Coordinated communications between patients, billing personnel and insurance carriers.
Assessed billing statements for correct diagnostic codes and identified problems with coding.
Processed invoice payments and recorded information in account database.
Distributed or posted financial data to appropriate accounts and prepare simple reconciliations.
09/2018 to 05/2019
Patient Access RepresentativeNorthern Arizona Healthcare – Sedona, AZ,
Verified demographics and insurance information to register patients in computer system.
Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
Documented patient counters in hospital system and initiated follow-up actions.
Optimized provider time and treatment room utilization with appropriate appointment scheduling.
Cultivated positive relationships with patients to help facility meet satisfaction scores and patients obtain best possible care.
Communicated financial obligations to patients and collected fees at time of service.
Organized timely and accurate referrals to help patients obtain health care services and access available resources.
Applied HIPAA privacy and security regulations while handling patient information.
Explained various admission forms and policies, acquiring signatures for consent.
Applied knowledge of payer requirements and utilized on-line eligibility systems to verify patient coverage and policy limitations.
Processed patient responsibility estimate determined by insurance at pre-registration.
Organized and maintained records by updating and obtaining both personal and financial information from patients.
Kept patient appointments on schedule by notifying providers of patients' arrival and reviewing service delivery compared to schedule.
Verified patients' insurance and payment methods during admissions or check-in processes.
Obtained necessary signatures for privacy laws and consent for treatment.
Completed registration procedures for patients, expertly inputting information to meet provider, facility and legal requirements.
Registered patients by completing face-to-face interviews to obtain demographic, insurance and medical information.
Obtained informed consent and payment documentation from patients and filed in system.
01/2023 to 07/2023
Patient Service RepresentativeHealth Quest – New Windsor, NY,
Explained policies, procedures and services to patients.
Cultivated positive relationships with patients to help facility meet satisfaction scores and patients obtain best possible care.
Registered patients by verifying records to update computer system and patient charts.
Verified documentation methodically to avoid critical errors impacting care delivery and payments for services.
Answered patient questions and fielded complaints to resolve issues.
Supported hospital and clinic operations using customer service skills and detailed system knowledge.
Coordinated with patients and healthcare professionals to meet patient needs.
Obtained informed consent and payment documentation from patients and filed in system.
Counselled patients on potential financial liabilities and payment requirements.
Utilized technology and specialized software to maximize productivity.
Instructed patients on policies and required actions for different types of appointments and procedures.
Verified patients' insurance and payment methods during admissions or check-in processes.
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