Tracey Erath
Mcdonald
Summary
Detail-oriented Billing Specialist with extensive experience. Adept at invoice processing and claims management. Proven track record in reducing claim denials through meticulous insurance verification and effective communication. Strong decision-making skills and a commitment to HIPAA compliance enhance operational efficiency and accuracy in billing practices.
Overview
7
7
years of professional experience
Work History
Billing Specialist
Allegheny Golf Cart
12.2015 - 2025
- Processed invoices and billing statements for accuracy and compliance.
- Assisted in resolving billing inquiries and discrepancies effectively.
- Maintained records of transactions using billing software systems.
- Collaborated with team members to streamline billing procedures.
- Provided administrative support during audits and financial reviews.
- Adapted quickly to new tools, enhancing efficiency in billing operations.
- Researched and resolved billing discrepancies to enable accurate billing.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
Medical Biller
Frazier Hart Cardiovascular
06.2010 - 10.2015
- Processed insurance claims with attention to detail, ensuring compliance with industry regulations.
- Maintained accurate patient records and billing information in electronic health record systems.
- Collaborated with healthcare providers to resolve billing discrepancies and improve accuracy.
- Reviewed charges for services rendered, identifying and correcting errors before submission.
- Assisted in training new staff on billing procedures and system navigation.
- Implemented best practices for claim submissions, reducing denial rates significantly.
- Led initiatives to improve workflow processes, increasing overall departmental productivity.
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Collected payments and applied to patient accounts.
- Posted payments and collections on regular basis.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
- Liaised between patients, insurance companies, and billing office.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Maintained compliance with industry regulations by staying updated on changes to medical billing codes and requirements.
- Delivered timely and accurate charge submissions.
- Collaborated with healthcare providers, ensuring accurate documentation for seamless billing operations.
- Acted as liaison between healthcare providers and insurance companies; resolved disputes quickly while maintaining positive relationships.
Kindred Hospital
Medical Biller and COB Admin
08.2008 - 06.2010
- Processed invoices and billing statements for accuracy and compliance.
- Assisted in resolving billing inquiries and discrepancies effectively.
- Maintained records of transactions using billing software systems.
- Collaborated with team members to streamline billing procedures.
- Provided administrative support during audits and financial reviews.
- Adapted quickly to new tools, enhancing efficiency in billing operations.
- Researched and resolved billing discrepancies to enable accurate billing.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
Education
Associate of Arts - Business Administration
Sawyer Business School
Pittsburgh, PA06.1991
Business
Fort Cherry High Scho
McDonald, PA06.1988
Skills
- Billing systems and software
- Insurance verification
- Invoice processing
- Customer service and support
- Claims management
- Data entry proficiency
- Decision-making skills
- HIPAA compliance
- Account reconciliation
Additional Information
Nadine, UPMC, Medicare and Medicaid verification experience extensive
Timeline
Billing Specialist
Allegheny Golf Cart
12.2015 - 2025
Medical Biller
Frazier Hart Cardiovascular
06.2010 - 10.2015
Kindred Hospital
Medical Biller and COB Admin
08.2008 - 06.2010
Associate of Arts - Business Administration
Sawyer Business School
Business
Fort Cherry High Scho
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