Diligent Medical Biller with extensive knowledge in medical billing processes and healthcare administration. Proven track record of ensuring accurate claim submissions and timely reimbursement. Known for effective communication and problem-solving skills, consistently meeting needs of healthcare providers.
Overview
12
12
years of professional experience
Work History
Medical Biller
Healthcare Billing and Bookkeeping Services
01.2013 - Current
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.
Filed and updated patient information and medical records.
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.
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.
Improved patient satisfaction levels with clear explanations of their financial responsibilities and available payment options.
Trained new team members in medical billing software, increasing efficiency within the department.
Prepared billing statements for patients and verified correct diagnostic coding.
Reviewed outstanding balances owed by patients; initiated collection actions if necessary resulting in improved account recovery efforts.
Reviewed patient diagnosis codes to verify accuracy and completeness.
Negotiated with insurance providers to resolve payment disputes, ensuring fair compensation for services rendered.
Cultivated strong relationships with patients contributing to environment of trust and mutual respect.
Maintained accurate records of customer payments.
Inputted new claims in the database to be submitted
Posted payments from both patients, and insurances companies
Education
Medical Billing Certificate - Medical Billing & Coding
Laurus College
San Luis Obispo
07-2012
Skills
Insurance claims
Insurance/Electronic/Patient billing
HIPAA compliance
Insurance verification
Customer service/Patient Collections
Insurance/Patient payment posting
Billing and collection procedures
Insurance claims submission/processing
Medicare/Commercial Processing
Data entry
CMS-1500 billing forms
Timeline
Medical Biller
Healthcare Billing and Bookkeeping Services
01.2013 - Current
Medical Billing Certificate - Medical Billing & Coding