ERIN WALSH
Media
Summary
Organized and dependable candidate bringing years of experience in the medical office environment. Previous positions have allowed an accumulation of a unique set of skills that are applicable in many areas of the the Healthcare Industry. A desire to move away from medical billing has me searching for a position that utilizes my skills and allows me to interact with the patients.
Overview
11
11
years of professional experience
Work History
Authorization Specialist
The Moore Eye Institute
02.2024 - Current
- Optimized workflow processes through effective communication between departments regarding authorization needs and statuses.
- Supported clinical staff by providing timely updates on the status of prior authorizations for various services.
- Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
- Contributed to team goals by consistently meeting or exceeding individual productivity targets for processing authorization requests.
- Worked with patients to find copay assistance for their retinal injections that are very costly.
Account Manager
STI Computer Inc RCM Division
07.2021 - 07.2023
- All aspects of the revenue cycle were performed for multiple clients while working remotely.
- Swift and accurate data entry to ensure timely payment of claims.
- Submission of primary and secondary insurance claims both electronically and on paper.
- Posted all incoming payments either electronic or paper.
- Sent appeals for all denials that had a possibility of payment by offering supporting documentation.
- Processed patient statements with close attention to the age of balances.
- Initiated collection proceedings when attempts to collect from patients failed.
- Kept account receivables from insurance companies within an acceptable range.
Accounts Receivable Billing Specialist
Healthmark Foot And Ankle Associates
08.2019 - 05.2021
- Perform accurate and timely follow-up of unpaid claims and continuously monitor defined aging criteria in order to meet or exceed collection targets and minimize write-offs.
- Research claim denials to determine reason for denials allowing corrections and reprocessing of claims in a timely manner.
- Initiate and follow up on appeals always recognizing timeline necessary to have claims reconsidered.
- Perform insurance verifications to assure eligibility and benefits allow for proposed treatments, hospitalizations and procedures. Websites used are Navinet, Novatisphere, Availity, UHC Link, Cigna for HCP and any available websites for smaller insurance companies.
- Perform weekly patient billing with attention to delinquent accounts. When accounts are identified as noncollectable I am responsible for transferring debt to a collections agency.
- Field phone calls from patients with regard to their balances and assist them in understanding how their insurance company processes their claims with regard to co-pays, co-insurance and deductibles.
Medical Biller
Center For Neuroscience
10.2015 - 05.2019
- Responsible for entering a high volume of charges for office, hospitals and senior living facilities.
- Posted insurance and patient payments and continuously monitored A/R to ensure timely payments.
- Submitted appeals to insurance companies when necessary
- Verified patient's insurance
Medical Biller/ Secretary
Philip EP Johnson, MD
11.2013 - 05.2015
- Responsible for entering all charges and payments
- Verified Insurance
- Monitored A/R and claim rejections
- Performed patient billing
- Answered phones and scheduled appointments
Education
Bachelor of Science - Business Administration
Neumann University
Aston Mills, PA06.1990
Skills
- Superior attention to detail
- Multitasking abilities
- Exceptional organization
- Excellent communication skills
- Extremely self-motivated
- Professional demeanor
Timeline
Authorization Specialist
The Moore Eye Institute
02.2024 - Current
Account Manager
STI Computer Inc RCM Division
07.2021 - 07.2023
Accounts Receivable Billing Specialist
Healthmark Foot And Ankle Associates
08.2019 - 05.2021
Medical Biller
Center For Neuroscience
10.2015 - 05.2019
Medical Biller/ Secretary
Philip EP Johnson, MD
11.2013 - 05.2015
Bachelor of Science - Business Administration
Neumann University
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