Regina Ingram
St. Louis
Summary
Healthcare insurance specialist with a strong track record in claims reimbursement for medical and dental services. Expertise in data analysis and interpretation of insurance policies supports a focus on reducing aged accounts receivable and enhancing claim reimbursement rates through effective communication.
Overview
19
19
years of professional experience
Work History
Bus Monitor
St. Louis Special School District
10.2024 - Current
- Supervised students during bus rides, ensuring safety and well-being.
- Enforced seatbelt use, enhancing student safety during bus rides.
- Administered first aid to ill or injured students, supporting their recovery and well-being.
- Supported students with homework and lesson review to enhance their understanding.
Medical Biller / Account Receivable Rep.
Hopewell Center
10.2022 - 09.2024
- Conducted comprehensive reviews to verify production data was complete and correctly coded, collaborating with field staff, coding, and registration to resolve aged accounts receivable.
- Reconciled labor hours and aging reports, conducted in-house audits, and followed up on consumable usage to ensure accurate end-of-month balancing.
- Executed data entry and utilized pivot tables to identify key performance indicators, enhancing accuracy in medical and dental billing.
Medical Biller/ Account Receivable Rep. Reimbursement Specialist
Nextgen
05.2020 - 01.2021
- Investigated claim denials and identified timely appeal options, securing reimbursement on accounts.
- Collected outstanding balances on member accounts through proactive communication with insurance companies, ensuring compliance with contract stipulations.
- Communicated with insurance companies to resolve claim denials efficiently.
- Processed and submitted medical claims for various healthcare providers.
- Reviewed patient records for accuracy and completeness, facilitating accurate and efficient billing processes.
Medical Biller / Accounts Receivable Rep.
Affinia Healthcare
10.2016 - 01.2020
- Reviewed aged accounts receivable to ensure production data was complete, accurate, and correctly coded, collaborating with field staff, coding, registration, and physicians to streamline processes.
- Reconciled labor hours and aging reports, conducted in-house audits, and followed up on consumable usage to support accurate end-of-month balancing based on project managers' field reports and revenue cycle analytics.
- Applied pivot tables for efficient data entry and identification of key performance indicators (KPIs) in medical and dental billing.
- St. Louis Mo
Customer Services / Claims processor
Essence Healthcare
04.2007 - 07.2014
- Handled inbound and outbound calls for members, providers, and healthcare professionals, resolved escalated issues, and ensured compliance with federal and state healthcare regulations.
- Processed claims accurately to facilitate timely resolution of correspondence.
- Executed data entry and processed doctor referrals in Facets system, supporting timely patient care.
Education
High School -
Aliceville High School
Aliceville, AL01-1984
Skills
- Child supervision
- Student supervision
- Emergency response
- First aid
- Safety training
- Record keeping
- Spreadsheet Management
- Microsoft Office
- Conflict resolution
Proficiencies
- CPT
- ICD9-CM
- ICD-10 CM
- AS400 systems
Timeline
Bus Monitor
St. Louis Special School District
10.2024 - Current
Medical Biller / Account Receivable Rep.
Hopewell Center
10.2022 - 09.2024
Medical Biller/ Account Receivable Rep. Reimbursement Specialist
Nextgen
05.2020 - 01.2021
Medical Biller / Accounts Receivable Rep.
Affinia Healthcare
10.2016 - 01.2020
Customer Services / Claims processor
Essence Healthcare
04.2007 - 07.2014
High School -
Aliceville High School