Detail-oriented Medical Billing Specialist with expertise in claim processing and insurance verification. Skilled in ICD-10 coding and effective communication, ensuring accurate billing and timely reimbursement.
Overview
18
18
years of professional experience
Work History
Medical Billing Specialist
Express Medical Billing
Arnold
11.2022 - 10.2025
Processed medical claims using industry-standard software and tools.
Reviewed patient accounts for accuracy and completeness of information.
Communicated with healthcare providers to resolve billing discrepancies.
Managed claim submissions to ensure timely reimbursement from insurers.
Maintained up-to-date knowledge of insurance policies and regulations.
Collaborated with team members to improve billing procedures and efficiency.
Handled patient inquiries regarding billing statements and payment options.
Contacted insurance providers to verify insurance information and obtain billing authorization.
Adhered to HIPAA regulations when handling confidential patient information.
Posted charges, payments and adjustments.
Completed appeals and filed and submitted claims.
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Maintained detailed records of all billing activities including denials, adjustments, and payments received.
Analyzed rejected claims and corrected errors as necessary before resubmitting them for payment.
Submitted appeals for denied claims when appropriate according to the insurance company's criteria.
Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
Provided customer service support to patients who had questions about their bills or payments due.
Submitted refund requests for claims paid in error.
Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
Ensured HIPAA compliance by maintaining confidentiality of all patient information.
Resolved discrepancies between insurance companies and patients regarding payment of bills.
Maintained timely and accurate charge submission through electronic charge capture, including billing, and account receivables (BAR) system and clearing house.
Verified the accuracy of claim data prior to submission to insurance carriers.
Reviewed and verified benefits and eligibility with speed and precision.
Accurately coded diagnostics and prepared billing statements for patients.
Reviewed patient records for accuracy and completeness of information in medical billing system.
Assisted with the reconciliation of accounts receivable ledgers at month-end close process.
Prepared daily reports summarizing payments received from insurers or other sources.
Front Desk Receptionist
Pain Management Clinic
Festus
02.2018 - 10.2022
Greeted patients and visitors with professionalism and warmth.
Managed appointment scheduling using electronic health record systems.
Answered phone calls, addressed inquiries, and directed calls appropriately.
Collected patient information and verified insurance details efficiently.
Assisted medical staff by coordinating patient flow and managing waiting times.
Handled medical records with confidentiality and adherence to regulations.
Provided excellent customer service by responding quickly to inquiries via phone or email in a professional manner.
Handled payment processing and provided customers with receipts and proper bills and change.
Assisted with scheduling appointments for clients and visitors.
Provided administrative support such as filing documents, photocopying and scanning materials.
Handled cash transactions accurately, balancing the register at the end of each shift.
Explained policies and procedures to visitors.
Prepared daily shift close reports and balanced cash register to accurately reflect transactions.
Input customer data into reservation systems and updated to reflect room changes.
Prep Cook
Cracker Barrel
Herculaneum
06.2007 - 12.2017
Prepared ingredients by chopping, slicing, and measuring for menu items.
Maintained cleanliness and organization of kitchen workstations and equipment.
Assisted chefs in cooking meals according to Cracker Barrel recipes and standards.
Monitored inventory levels and reported shortages to management for timely reordering.
Followed food safety guidelines to ensure proper handling and storage of ingredients.
Supported training of new staff on kitchen procedures and best practices for efficiency.
Cleaned and sanitized work areas and equipment to ensure food safety standards.
Prepped vegetables and ingredients by washing, chopping and dicing.
Measured ingredients accurately using measuring cups and spoons.
Communicated effectively with fellow staff members regarding meal preparations.
Stocked kitchen with necessary supplies, including food items and utensils.
Retained consistent quality and high accuracy when preparing identical dishes every day.
Sanitized workstation at end of shift to minimize risk of salmonella and other food-borne illnesses.
Medical Biller, Accounts Receivable at Ashron Billing INC, Medical Billing Concepts INCMedical Biller, Accounts Receivable at Ashron Billing INC, Medical Billing Concepts INC