Experienced medical billing specialist skilled in processing claims and verifying insurance coverage. Successfully managed accounts receivable and resolved billing issues, leading to increased revenue. Strong communicator with a focus on collaboration with healthcare providers to optimize billing outcomes.
Overview
18
18
years of professional experience
Work History
Medical Billing Specialist
Athelas/Commure (formerly Advanced Medical Billing
Jenkintown
12.2013 - Current
Multi-task across various companies and specialties in different states
Communicated with insurance providers to resolve billing discrepancies, ensuring timely payment and reducing delays.
Resolved billing discrepancies with insurance companies and patients.
Clarified patient payment responsibilities by resolving collection inquiries directly, enhancing patient understanding and satisfaction.
Followed up on unpaid or denied claims in a timely manner.
Processed medical claims using billing software to ensure accurate submissions.
Analyzed account receivables aging report to identify delinquent accounts.
Investigated past due invoices and delinquent accounts to recover outstanding revenues and minimize financial losses.
Collaborated with healthcare providers to gather necessary documentation for claims.
Verified patient insurance eligibility and coverage for medical services rendered.
Identified discrepancies and carrier issues regarding billing and reimbursements.
Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
Collaborated closely with other departments such as clinical staff and front desk personnel to ensure accurate coding of services provided.
Verified accuracy and integrity of motor vehicle and workers' compensation claims through careful research and analysis.
Coordinated with attorney offices on settling bills associated with workers' compensation, auto accidents, and slip and fall injuries.
Accounts Receivable and Collection Specialist
Sunrise Home Health Care
Warminster
12.2007 - 12.2013
Communicated with insurance companies to resolve claim status and discrepancies, expediting payment processes.
Reviewed patient accounts to ensure accuracy and completeness, minimizing errors in billing.
Collaborated with clinical staff to obtain necessary documentation for accurate claims processing, enhancing overall workflow efficiency.
Approached customers and engaged in conversation through use of effective interpersonal and people skills.
Assisted patients in selecting the best equipment to meet their individual needs.
Coordinated delivery schedules with third-party vendors for timely shipping of orders.
Education
Certificate - Medical Billing And Front Office
Bucks County Community College
Newtown, PA
01-2006
Associate of Arts -
Bucks County Community College
Newtown, PA
05-2004
Photography
Antonelli Institute of Photography
Erdenheim
Skills
Medical coding and review
Claim processing
Insurance verification
Billing software proficiency
Accounts receivable management
Revenue management
Payment reconciliation
Timeline
Medical Billing Specialist
Athelas/Commure (formerly Advanced Medical Billing