Developed skills in fast-paced financial environment, focusing on accuracy and efficiency in billing processes. Demonstrates expertise in managing accounts and ensuring timely and accurate billing. Looking to transition into new field, leveraging financial acumen and strong organizational abilities.
Overview
12
12
years of professional experience
1
1
Certification
Work History
AR Billing Department
Golden Valley Health Centers
10.2021 - Current
Enhanced billing accuracy by diligently reviewing and correcting discrepancies in patient accounts.
Identified trends in billing issues by analyzing claim denials and implementing corrective actions to prevent future occurrences.
Assisted Manager in Training of new employees and other temps working NextGen system and EPIC sharing knowledge of AR best practices and specific company procedures.
Maintained strong relationships with insurance providers through effective communication to ensure timely reimbursement for services rendered.
Reduced overdue payments by consistently following up on unpaid claims within standard billing cycle timeframe.
Contributed to a positive work environment with open communication channels for addressing questions or concerns related to AR tasks.
Demonstrated adaptability during periods of high volume or increased workload demands without sacrificing accuracy or efficiency in task completion.
Sent out electronic claims and paper claims as well as file and dispute claims,Submitting large amounts of appeals and CIFS, Making necessary Adjustments to Accounts such as applying payment and insurance write offs using EPIC for all 46 offices.
Working claims for Vision code, Medical, Dental,
Behavioral health, chiropractor,Behavioral health and various other specialty's.
Insurance Coordinator and Biller
Dr. Thomas E. Lequia, DDS & Dr. Robert L. Hill, DD
03.2019 - 12.2019
Verified insurance and communicated coverage to staff and patients.
Managed inbound calls, promptly resolving issues while providing accurate information on policies and procedures.
Assisted Patients with understanding complex insurance policies, effectively addressing concerns or questions.
Obtained data such as patient, insurance ID, insurance provider and dental codes to properly file insurance claims.
Filed and tracked insurance claims and communicated claims status to patient as well as file and dispute claims and or file appeals, enter large insurance payments/Checks and post to patients accounts, send out monthly statement's.
Obtained prior authorization and precertification for outpatient procedures.
Prepared insurance claims for submission to clearinghouses or insurance companies.
Referenced monthly aging reports to follow up on unpaid claims and obtain maximum reimbursement.
Achieved revenue goals by managing collections and accounts receivables, referral process, and insurance billing.
Prepared patient for orthodontist and performed simple tasks such as tightening braces and conducting preliminary examinations.
Demonstrated strong communication skills while educating patients on oral hygiene practices specific to their orthodontic treatments.
set patients up for x-rays, photographs, take mold impressions and 3D impressions using ITero, rayware software, easy Rx, Make retainers, Orthodontic appliances such as, Nance’s, RPE, Bite Plates, Lingual hold arch ,sterilize tools, and assist in any other office duties..
Provided exceptional chairside assistance to orthodontist during complex procedures such as bracket placement and adjustments, aligner fittings, and appliance installations.
Handle patient paperwork, Check in/ Check out patients, Verify Insurance coverage and coordination of patient benefits ,send out electronic claims and paper claims as well as file claims and schedule patient for appointments.
Patient Care Coordinator
South Valley Pediatric Dentistry
03.2015 - 11.2017
Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
Kept reception area clean and neat to give visitors positive first impression.
Confirmed appointments, communicated with clients, and updated client records as well as Check in/ Check out patients helped in Scheduling patients Coordinate with Hospital for patient appointments.
Verify Insurance coverage and coordination of patient benefits and present treatment plans work EOB Denials.
Apply payments to accounts and Check daily reports for credit cards processed and manage merchant accounts.
Assist with Sealants or rooming patients
Receptionist
West Coast Radiology Center
09.2013 - 05.2014
Greeted incoming visitors and patients professionally and provided friendly, knowledgeable assistance.
Confirmed appointments, communicated with clients, and updated client records.
Answered phone promptly and directed incoming calls to correct offices.
Provided clerical support to company employees by copying, faxing, and filing documents.
Took patient Copays, Processed intake paperwork
Schedule appointments for all departments in radiology such as MRI,Ultrasound,X-rays.
Receptionist
Utah Pain Treatment Center
09.2012 - 07.2013
Answered incoming calls, directing clients to individuals addressing specific needs.
Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
Kept reception area clean and neat to give visitors positive first impression.
Supported physical therapists with thorough preparation of treatment rooms and equipment maintenance.
Checked patient insurance, demographic, and health history to keep information current.
Coordinated patient scheduling, check-in, check-out and payments for billing.
Helped patients complete necessary medical forms and documentation.