Summary
Overview
Work History
Education
Skills
Timeline
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Carol Whitley

Coopersburg

Summary

Dynamic medical billing and reception professional with extensive experience at Monroe Pediatrics. Expert in insurance verification and electronic claims, achieving a significant reduction in denied claims. Proven multitasker with strong organizational skills, dedicated to enhancing patient satisfaction and optimizing clinic workflow through effective teamwork and collaboration.

Thorough team contributor with strong organizational capabilities. Experienced in handling numerous projects at once while ensuring accuracy. Effective at prioritizing tasks and meeting deadlines.

Overview

17
17
years of professional experience

Work History

Medical Biller

Monroe Pediatrics a Division of Allied Physicians
03.2007 - 02.2024
  • Processed and submitted insurance claims for pediatric services, ensuring compliance with regulations.
  • Trained junior staff on billing procedures and software tools to enhance team performance.
  • Implemented best practices for timely claim submission, reducing denial rates and improving cash flow.
  • Maintained compliance with industry regulations by staying updated on changes to medical billing codes and requirements.
  • Collaborated with healthcare providers to resolve billing discrepancies and improve claim accuracy.
  • Ensured timely payments from insurance providers through submission of accurate and complete claims.
  • Collected payments on patient outstanding bills
  • Reduced instances of denied claims, carefully reviewing and rectifying coding errors before submission.
  • Placed new supply orders, managed inventory and restocked clerical spaces.

Medical Receptionist

Monroe Pediatrics
03.2007 - 02.2024
  • Managed patient scheduling and appointment confirmations to optimize clinic workflow.
  • Assisted in maintaining accurate patient records using electronic health record (EHR) systems.
  • Adhered to strict HIPAA guidelines to protect patient privacy.
  • Coordinated patient scheduling, check-in, check-out and payments for billing.
  • Coordinated insurance verifications and authorizations to expedite patient treatment plans.
  • Managed high call volumes, directing calls to appropriate departments while maintaining a polite and professional demeanor.
  • Reduced administrative errors by consistently verifying insurance information.
  • Maintained strict confidentiality of patient records in compliance with HIPAA regulations.
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff.
  • Obtained payments from patients and scanned identification and insurance cards.
  • Answered phone calls and messages for 6-physician 1 medical facility, scheduling appointments, and handling patient inquiries.
  • Greeted visitors and initiated triage processes for clients to streamline patient flow.
  • Conducted patient intake interviews, recording and documenting relevant information.
  • I did front desk for 5 yrs at another Medical Group where I worked at various departments and facilities. I did front desk reception at Monroe for 2 years before going to do the medical billing

Education

Bible Studies

Florida Bible College
Hollywood, FL
05-1976

Skills

  • Medical billing
  • Multitasking and organization
  • Electronic claims
  • Insurance verification
  • Billing and collection procedures
  • Customer service
  • Data entry
  • Claim submission
  • ICD-10
  • Medical claims submission
  • Teamwork and collaboration
  • Work prioritization

Timeline

Medical Biller

Monroe Pediatrics a Division of Allied Physicians
03.2007 - 02.2024

Medical Receptionist

Monroe Pediatrics
03.2007 - 02.2024

Bible Studies

Florida Bible College

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Carol Whitley