Committed and motivated administrative professional with exceptional customer service and decision making skills. Posessing strong work ethic, enthusiastic demeanor and great initiative. A prepared, devoted and determined individual who is willing and able to provide extraordinary service in any and all aspects with an emphasis on quality to clients and fellow employees. Client-focused Customer Service Representative with 20+ years of providing a variety of services to customers. Solid understanding of the values of providing excellent customer service. High-performing, multi-task oriented administrative professional who is comfortable working under pressure. Broad industry experience includes Healthcare, Finance and insurance. Knowledge of personal computers, Windows and Internet Explorer, as well as practice management systems. Knowledge of medical terms, carrier networks, IPAs, MSOs, HMOs, PCP and contract affiliations including managed care contracts and compliance. 400,000+ monthly for a durable medical equipment company. Results-oriented Medical Biller with excellent organization, communication and relationship-building skills.Quality-focused billing professional successful at settling patient and insurance accounts.
Accurately reported, documented and resolved collective issues which led to profits.
Microsoft Excel skills to develop inventory tracking spreadsheets.Detail-oriented professional with strong technical skills and the ability to learn concepts quickly.
Coding, ICD-9, My Learning Certification - Wellmont Durable Medical Equipment Training Certification - Pulmacare
Software: Brightree, Epic, NextGen, Medinformatix, (Electronic Medical Records), Windows 7, Microsoft Office Suite
Madison Heights, VA, 10/2013 - Current
- Maintained a professional presence at all times.
- Managed incoming phone calls and immediately processed mail.
- Applied computer skills to specific job duties.
- Maintained current knowledge of insurance and third party billing practices /reconciliation.
- Resolved accounts to expedite payments and maximize system cash flow.
- Completed follow ups on all daily work file accounts or as deemed appropriate by department leadership.
City, STATE, 01/1 - 10/2013
- Performed data entry into practice mgmt system, including any applicable copays taken at time of service.
- Completed coding verifications up to and including CPT, ICD-9 and modifiers.
- Performed patient registration of information as needed.
- Completed Workers Compensation charges and printed out applicable claim forms to attach all corresponding medical records.
- Posted patient and insurance payments.
- Followed up on unresolved billing issues/denials.
- Worked closely with other individuals handling daily billing.
- Provided customer service assistance to patients/clients involving billing and any other issues.
City, STATE, 06/2006 - 07/2010
- Served in a supervisory position over an orthopedic physician front office.
- Performed data entry.
- Reconciled charges and monies at days and months end.
- Scheduled diagnostic tests and obtained prior authorizations.
- Provided patient check- in and check-out, reconciled daily balance sheet for charges, credits and payments, settled a cash drawer, registered patients, and provided general clerical and greeting duties.
City, STATE, 05/2005 - 01/2006
- Assisted in various aspects of insurance billing and collections.
- Resolved customer and patient issues.
- Provided customer service as a home healthcare agency.
City, STATE, 11/2004 - 05/2005
- Provided direct patient care and support services to the provider under the supervision of the clinical coordinator, office manager, and/or practice manager.
- Input patient information in system.
- Worked closely with physicians involved with patient care throughout an office setting.
- Including patient check- in and check-out, reconciled daily balance sheet for charges, credits and payments, settled a cash drawer, registered patients, and provided general clerical and greeting duties.
- Scheduled diagnostic tests and obtained prior authorizations.
- COMMUNITY INVOLVEMENT AND ACTIVITIES Cancer Walk-a-thon, Kingsport, TN, 2013 Gold Star Fitness (fitness training), Kingsport, TN 2006-Present Relay for Life, Rogersville, TN 2010, 2012
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School Attended
- East Tennessee State University (ETSU)
Job Titles Held:
- Single Billing Office/Financial Counselor
- Billing Specialist/Customer Service Representative
- Front Office Assistant
- Billing Specialist/Customer Services Representative
- Medical Assistant/Front Office Assistant
Degrees
- Bachelor of Science
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