Highly efficient Medical Biller with experience in family practice, dermatology and nursing home. Excellent multi-tasker and demonstrated team player with positive attitude. Skills in eClinicalWorks programs.
Files and records management
Generally Accepted Accounting Principles (GAAP)
Quality-oriented team player
Training and development
Medical coding understanding
Submission of medical claims
CPT code modifiers
Company Name | City, StateMedical Billing Specialist01/2018 - Current
Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.
Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials.
Contacted patients for unpaid claims for HMO, PPO and private accounts and performed friendly follow-ups to ensure proper payments were made according to contracts.
Reviewed and verified benefits and eligibility with speed and precision.
Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
Completed appeals and filed and submitted claims.
Posted and adjusted payments from insurance companies.
Collaborated closely with other departments to resolve claims issues.
Applied payments, adjustments and denials into medical manager system.
Posted charges, payments and adjustments.
Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
Submitted refund requests for claims paid in error.
Precisely completed appropriate paperwork and system entry regarding claims.
Company Name | City, StateSales Associate02/2021 - 05/2021
Built trusting relationships with customers by making personal connections.
Maintained knowledge of current promotions, exchange guidelines, payment policies and security practices.
Arranged new merchandise with signage and appealing displays to encourage customer sales and move overstock items.
Coached team members on security risks and loss prevention to aid in mitigating store theft.
Worked with fellow sales team members to achieve group targets.
Met merchandise processing standards and maintained organized and accessible work area.
Built and maintained effective relationships with peers and upper management to drive team success.
Answered incoming telephone calls to provide store, products and services information.
Retained product, service and company policy knowledge to serve as resource for both coworkers and customers.
Company Name | City, StateCall Center Agent09/2017 - 02/2018
Delivered fast, friendly and knowledgeable service for routine questions and service complaints.
Corrected issues by giving agents targeted and highly constructive feedback.
Taught agents successful strategies for positively influencing customer experiences, maintaining control of call flow and de-escalating conflicts.
Resolved inquiries to consistently meet performance benchmarks, including speed, accuracy and volume.
Trained new employees on processes to promote efficiency and productivity team-wide.
Met or exceeded call speed, accuracy and volume benchmarks on consistent basis.
Asked probing questions to determine service needs and accurately input information into electronic systems.
Handled customers effectively by identifying needs, quickly gaining trust, approaching complex situations and resolving problems to maximize efficiency.
Company Name | City, StateDeli Associate08/2016 - 09/2017
Followed recipes and customer requests to prepare high-quality, delicious meals.
Received new inventory and rotated stock by dates to keep items fresh and usable.
Made orders by slicing, weighing, packaging and pricing meats and cheeses.
Communicated effectively with deli counter customers to answer questions and make recommendations.
Cross-trained in other kitchen positions to support team and meet customer needs.
Worked with customers placing large or specialized orders, providing samples and recommendations and responding to requests.
Answered telephone inquiries about available menu items, products and services and delivered appropriate information so customers could make valid choices.
Updated displays, cases and other customer-facing areas to increase sales of special items.
Assessed customer needs, including food allergies and suggested additional menu items as appropriate.
Stored perishable food items in freezer or refrigerator to protect from spoilage.
Stayed calm and professional in all situations and resolved conflicts to customer satisfaction.
Sanitized and kept work areas tidy by cleaning surfaces, equipment and floors, removing trash and maintaining machinery.
Education and Training
Cape Fear High School | City, StateHigh School Diploma06/2014
Fayetteville Technical Community College | City, StateAssociate of Applied Science in Criminal Justice 05/2016
Southwestern Community College | City, StateCertification in Medical Billing & CodingExpected in 07/2021
University of North Carolina At Pembroke | City, StateBachelor of Science in Criminal Justice
Sampson Community College | City, StateAssociate of Applied Science in Nursing
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Cape Fear High School
Fayetteville Technical Community College
Southwestern Community College
University of North Carolina At Pembroke
Sampson Community College
Job Titles Held:
Medical Billing Specialist
Call Center Agent
High School Diploma Associate of Applied Science in Criminal Justice Certification in Medical Billing & Coding Bachelor of Science in Criminal Justice Associate of Applied Science in Nursing
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