Haidy Louka
San Ramon
Summary
Detail-oriented professional with focus on deadlines and skilled in handling medical billing without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information. Certified Medical Billing Specialist with 3 years of experience in fast-paced, multiple-client medical billing company serving large private practice conglomerates and outpatient clinics. Researched denied claims and submitted appeals. Familiar with health billing and collections.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Medical Billing Specialist
Abbott
01.2020 - Current
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Located errors and promptly refiled rejected claims.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Identified and resolved patient billing and payment issues.
- Posted and adjusted payments from insurance companies.
- Collected payments and applied to patient accounts.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Follows up on submitted claims and patient billing; resubmits claims or correct inaccuracies.
- Calling insurance company regarding any discrepancy in payments if necessary.
- Reviewing EOBs, patient bills for accuracy and completeness and obtain any missing information.
- Interact with Supervisor, Account Manager and other departments on any claims issues.
- Ensure accurate entry of work into designated billing system.
- Working with different applications (Waystar, Patient Connect, Carevoyent, Xifin)
- Preparing and submitting patient bills for both insurance and private pay insuring accurate billing.
- Monitor overall claim statuses and prioritize denials and rejections for a better accepted rate
- Greeting and checking in patients
- Collecting patients co-payment and answer any questions they might have
- Maintain a high level of hygiene and cleanliness for the practice and the visiting patients
Quality Control Specialist
Comcast
04.2017 - 04.2019
- Inspected finished goods to verify conformance with customer specifications and company quality standards.
- Provided regular updates to team leadership on quality metrics by communicating consistency problems or production deficiencies.
- Created and maintained several databases to track statistical data.
- Updated inspection journals and daily summary logs with quality-related data.
- Structural Engineering Quality assurance for Comcast internet installments by 3rd party contractors
- Manage, prioritize and delegate the jobs queue submitted by 3rd party contractors
- Preparing and implementing quality assurance policies and procedures.
- Performing routine inspections and quality tests.
- Identifying and resolving workflow and production issues.
- Ensuring that standards and safety regulations are observed.
- Addressing and discussing issues and proposed solutions with superiors.
- Documenting quality assurance activities and creating audit reports.
- Making recommendations for improvement.
- Creating training materials and operating manuals.
Centro Global Solutions
American Call Center
03.2009 - 03.2016
- Recommended new products and services to customers.
- Resolved customer issues quickly and efficiently to enhance overall customer satisfaction ratings.
- Scheduled appointments for further services.
- Conducted troubleshooting and diagnostic procedures on customer devices.
- Handle all the company CEO Calendar schedule
- Arrange with the company press vendors all the printings needed for the success of my Company
- Deal with new candidates applying for vacancies
- Acted as a source of information for all the company’s different sections and employees
- Arrange all company sponsored events like job fairs and holiday events
- Played the Public Relation role for a long period of time for the company
- Helped H.R Department with all new employees data entry and update old data for them too
- Handling all customers calling for services regarding their carrier
- Work over a collaborative intranet system with supervisors and colleges
- Achieved high scores in customer satisfaction and handling Angry customers.
Education
Bachelor of Arts - Archeology
Cairo University
Egypt06.2008
Skills
- Bill Payment
- Medicare and Medicaid Process
- Disability Claims Process
- Accounts Payable
- Billing and Collection Procedures
- Medical Transcription
- Clerical Support
- Critical Thinking
- Invoice Processing
- Customer Service
- Payment Posting
Certification
- Medical billing and collections | Las Positas College | August 2021
- Medical front office procedures | Las Positas College | July 2021
- Office Ally Training | Las Positas College | August 2021
Timeline
Medical Billing Specialist
Abbott
01.2020 - Current
Quality Control Specialist
Comcast
04.2017 - 04.2019
Centro Global Solutions
American Call Center
03.2009 - 03.2016
Bachelor of Arts - Archeology
Cairo University
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