Summary
Overview
Work History
Education
Skills
Written References
References
Timeline
Generic

Wendy White

Orangevale

Summary

Detail-oriented Medical Biller with 17 years of experience in claims processing and billing compliance. Proven ability to streamline billing processes and resolve discrepancies, ensuring accuracy and adherence to regulations. Dedicated Medical Billing professional with extensive experience in claims processing and billing compliance. Known for strong problem-solving skills and meticulous attention to detail, contributing to improved billing accuracy and timely claim submissions. Committed to enhancing revenue cycle management.

Overview

2026
2026
years of professional experience

Work History

Medical Biller

Marshall Medical Center
Placerville
07.2008 - Current
  • Processed medical claims for accuracy and compliance with insurance regulations.
  • Reviewed patient accounts to identify billing discrepancies and resolve issues.
  • Communicated with healthcare providers to obtain necessary documentation for claims.
  • Utilized billing software to submit claims efficiently and track status updates.
  • Coordinated with insurance companies to obtain prior authorizations and approvals.
  • Educated patients about their insurance benefits and billing procedures effectively.
  • Maintained organized records of all billing transactions and correspondence.
  • Assisted in training new staff on billing protocols and system navigation.
  • Filed and submitted insurance claims.
  • Assessed medical codes on patient records for accuracy.
  • Reviewed received payments for accuracy and applied to intended patient accounts.
  • Documented and filed patient data and medical records.
  • Maintained up-to-date understanding of insurance payment practices.
  • Expertly assigned charges and payments for medical procedures.
  • Compiled and maintained logs, and statistical or research records to locate requested health data.
  • Reviewed medical records to meet insurance company requirements.
  • Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
  • Handled third-party insurance processing tasks to assist patients.
  • Performed routine quality assurance audits to promote data integrity.
  • Monitored changes in government regulations affecting healthcare reimbursement policies.
  • Reviewed and processed medical claims for accuracy according to insurance guidelines.
  • Resolved denied or rejected claims by submitting appeals to the appropriate payer.
  • Generated regular aging reports detailing accounts receivable balances due from various third party payers.
  • Identified opportunities for improving processes related to medical billing activities.
  • Collaborated with internal auditors during routine audit process.
  • Provided feedback on any identified errors or discrepancies in billing records or invoices.
  • Investigated and responded to inquiries from providers regarding claim status, payments, denials.
  • Assisted in training new staff members on proper coding techniques and billing procedures.
  • Verified patient information, such as demographics and insurance coverage, to ensure accuracy of claim submissions.
  • Worked with other departments within the organization to resolve discrepancies between bills and payments received from insurers.
  • Processed refunds associated with overpayments made by third party payers on behalf of patients.
  • Maintained up-to-date knowledge of third party payers' rules and regulations related to billing practices.
  • Ensured compliance with HIPAA privacy regulations when handling sensitive patient information.
  • Participated in special projects related to developing more efficient methods of processing medical claims. Mostly in the Hearing Department.
  • Performed data entry into computerized systems used for tracking patient encounters, services rendered, charges billed.
  • Coordinated communications between patients, billing personnel and insurance carriers.
  • Distributed or posted financial data to appropriate accounts and prepare simple reconciliations.
  • Answered customer questions to maintain high satisfaction levels.

Surgery Coordinator

Philip Orisek M.D.
Folsom
2005 - 2007
  • Coordinated surgical schedules with surgeons and medical staff daily.
  • Managed patient communications regarding procedure details and preparations.
  • Facilitated pre-operative assessments and documentation for surgical candidates.
  • Ensured compliance with safety protocols and regulatory standards in surgeries.
  • Maintained patient records in accordance with HIPAA regulations and monitored office compliance with all applicable laws.
  • Obtained signatures and collected completed pre-operative consent and HIPAA forms from patients.
  • Organized meetings among OR personnel to discuss changes in protocols or safety issues.
  • Educated patients on at-home surgery preparation requirements and post-operative care process.
  • Coordinated with surgeons, anesthesiologists, nurses, and other medical staff to ensure the smooth running of surgical operations.
  • Scheduled appointments for patients, prepared necessary paperwork, and provided information regarding pre-operative instructions.
  • Facilitated communication between surgeons and other healthcare professionals involved in a patient's care plan.
  • Ordered supplies and equipment needed for surgical procedures.
  • Provided post-operative care instructions to patients prior to discharge from hospital or clinic setting.
  • Managed schedules for multiple surgeons within the same facility.
  • Performed administrative tasks such as filing documents, answering phones, responding to emails.
  • Advised patients on preparation requirements before undergoing a particular type of surgery.
  • Sent H&P form and other patient information to surgery facility.
  • Arranged and scheduled post-operative visits during appropriate timeframe after surgery.
  • Requested Advanced Beneficiary Notice form for procedures not covered by insurance.
  • Communicated effectively with patients to answer questions about their treatment plans and upcoming surgeries.
  • Reported patients' status to doctors and monitored completion of treatment plan.
  • Assessed potential risks associated with each surgical procedure before it was scheduled.
  • Scheduled follow-up appointments as designated by physician.
  • Booked surgeries according to physician volume and maintained prompt turnaround times.
  • Worked with operating facilities to schedule procedures on behalf of surgeons.
  • Collaborated and established strong working relationships with physicians, supervisors and colleagues.
  • Located scheduling barriers and implemented appropriate solutions.
  • Distributed treatment and procedural information to patients.
  • Communicated with patients with compassion while keeping medical information private.
  • Gathered current medical information and reviewed histories to gather details for surgeons.
  • Routed laboratory or diagnostic results to appropriate staff.
  • Transmitted medical records and other correspondence by mail, e-mail, or fax.
  • Collaborated with multi-disciplinary staff to improve overall patient care and response times.
  • Scheduled tests, lab work or x-rays for patients based on physician orders.

Insurance Biller

Mountain Empire Radiology
Johnson City
2000 - 09.2005
  • Processed medical claims for accuracy and compliance with insurance regulations.
  • Reviewed patient accounts to identify billing discrepancies and resolve issues.
  • Communicated with healthcare providers to obtain necessary documentation for claims.
  • Utilized billing software to submit claims efficiently and track status updates.
  • Coordinated with insurance companies to obtain prior authorizations and approvals.
  • Educated patients about their insurance benefits and billing procedures effectively.
  • Maintained organized records of all billing transactions and correspondence.
  • Filed and submitted insurance claims.
  • Assessed medical codes on patient records for accuracy. Working with the coding department.
  • Maintained up-to-date understanding of insurance payment practices.
  • Expertly assigned charges and payments for medical procedures.
  • Reviewed medical records to meet insurance company requirements.

Education

GED -

Casa Roble High
Orangevale
06-1979

Skills

  • Medical coding
  • Claims processing
  • Billing compliance
  • Insurance verification
  • Electronic health records
  • Revenue cycle management
  • Attention to detail
  • Problem solving
  • Time management
  • Quality assurance
  • Data analysis
  • Medical billing
  • Multitasking and organization
  • Account follow-up
  • Knowledgeable in EPIC
  • Teamwork and collaboration
  • Patient account analysis
  • Patient billing
  • Account reconciliation
  • Accounts receivable
  • Insurance claims processing
  • CPT code modifiers
  • Data entry
  • Verbal and written communication
  • ICD-10 coding
  • Billing codes
  • Information inputting
  • Medical terminology
  • HIPAA compliance
  • Chart auditing
  • Claims review
  • Insurance collections
  • Submission of medical claims
  • Information requests
  • Commercial and private insurance
  • Work prioritization
  • Reimbursements

Written References

  • Please see attached references for outstanding work over the past 17 years.
  • Please also see the attached evaluations from Marshall Medical Billing for the past 17 years

References

References available upon request.

Timeline

Medical Biller

Marshall Medical Center
07.2008 - Current

Surgery Coordinator

Philip Orisek M.D.
2005 - 2007

Insurance Biller

Mountain Empire Radiology
2000 - 09.2005

GED -

Casa Roble High

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Wendy White