Rebecca Pond
Sayre
Summary
Detail-oriented medical biller with over 8 years of experience in insurance claim processing and patient billing, recognized for a strong ability to minimize errors while maximizing reimbursements. Proficient in navigating complex billing systems and regulations, ensuring compliance and accuracy in all transactions. Proven track record of enhancing operational efficiency through meticulous attention to detail and effective problem-solving skills. Committed to delivering exceptional service and maintaining positive relationships with healthcare providers and patients.
Overview
17
17
years of professional experience
Work History
RCM Specialist II
Ensora Health
05.2021 - 10.2025
- Remote Medical Billing & Insurance Coordination
- Managed billing operations for mental and physical therapy facilities across the U.S., ensuring accurate and timely claim submissions.
- Proactively contacted insurance companies to resolve unpaid claims and secure reimbursement for services rendered.
- Advocated on behalf of patients to ensure insurance providers fulfilled their financial responsibilities.
- Interpreted and explained complex insurance policies, coverage limitations, and reimbursement procedures to patients.
- Verified patient benefits and eligibility prior to treatment, reducing claim denials and improving billing efficiency.
- Demonstrated in-depth knowledge of CPT codes, ICD-9 and ICD-10 diagnosis codes, authorization protocols, and payer-specific fee schedules.
- Answered incoming calls, triaged inquiries, and routed communications to appropriate personnel with professionalism and efficiency.
- Handled sensitive documentation by faxing, scanning, and securely storing files in digital systems.
- Entered patient demographics, treatment details, and insurance payments into Practice Management Software (PMS) and other billing platforms.
- Processed patient payments received from providers and ensured accurate allocation within financial systems.
- Maintained consistent communication with providers and patients via email and voicemail, resolving issues and providing timely updates.
- Mentored and trained new employees and teammates on billing procedures, software tools, and best practices.
- Facilitated internal and external meetings using Microsoft Teams and Zoom, ensuring clear communication and collaboration across departments.
- Provided ongoing support and guidance to team members, fostering a culture of continuous learning and operational excellence.
- Proficient in customer support platforms such as Zendesk and Salesforce for managing client interactions and service tickets.
- Skilled in Microsoft Office Suite (Excel, Teams, Outlook, Word) and Google Workspace (Chats, Sheets) for documentation, communication, and data analysis.
- Experienced in project management tools including Trello and Monday.com for task tracking and workflow optimization.
- Capable of pulling, analyzing, and interpreting reports from PMS and advanced reporting platforms like Visiquate to inform strategic decisions and improve billing outcomes.
Medical Records Manager
Pivot Physical Therapy
05.2016 - 03.2021
- Process medical records requests from insurance companies, attorney offices, and disability claims for all Pivot PA clinics
- Maintain account records for all Pivot facilities
- Contact insurance companies regarding unpaid claims and pursue resolution
- Apply knowledge of CPT codes, ICD-9 & ICD-10 diagnosis codes, authorizations, and fee schedules
- Advocate for patients by ensuring insurance companies fulfill claim responsibilities
- Explain insurance policies and coverage details to patients
- Manage incoming calls and direct inquiries appropriately
- Fax and scan documents to designated locations and digital files
- Receive and process patient payments over the phone
- Input patient and insurance payment information into the computer system
- Use postage machine to stamp and mail insurance forms
- Sort received checks and payments, and record deposits in Excel for bank submission
Assistant Manager
Dandy Mini Mart
07.2015 - 02.2016
- Managed daily store operations, including calculating earnings, completing paperwork, and entering financial data into the company’s computer system
- Coordinated with external vendors for repairs and merchandise deliveries
- Scheduled employee shifts and maintained staffing coverage
- Conducted interviews and trained new hires to ensure smooth onboarding
- Delivered exceptional customer service and resolved customer issues promptly
- Operated store equipment including cash register, credit card machine, and inventory systems
- Ordered and maintained inventory of store merchandise to meet customer demand
Phlebotomist
Robert Packer Hospital
02.2009 - 11.2009
- Collected blood and specimen samples using venipuncture, finger prick, and other approved methods
- Ensured proper labeling, handling, and transport of specimens to maintain integrity
- Accurately entered patient and specimen data into the hospital’s electronic medical records system
Education
Medical Administrative Assistant - Medical Administration
Penn Foster College
Scranton, PA06.2016
Phlebotomy - Phlebotomy
GST Boces- Bush Campus
Elmira Hts, NY01.2009
Diploma - undefined
Athens High School
Athens, PA06.1999
Skills
- Customer relations
- Expert problem solving
- Analytical thinking
- Documentation management
Timeline
RCM Specialist II
Ensora Health
05.2021 - 10.2025
Medical Records Manager
Pivot Physical Therapy
05.2016 - 03.2021
Assistant Manager
Dandy Mini Mart
07.2015 - 02.2016
Phlebotomist
Robert Packer Hospital
02.2009 - 11.2009
Diploma - undefined
Athens High School
Medical Administrative Assistant - Medical Administration
Penn Foster College
Phlebotomy - Phlebotomy
GST Boces- Bush Campus