Medical Biller

• Sep 2021 - Present

Clinical Coordinator

• Nov 2016 - Nov 2021

Coordinate medically necessary supportive documentation in order to properly and successfully submit insurance claims for durable medical equipment. Coordinate medically necessary supportive documentation in order to properly and successfully submit insurance claims for durable medical equipment.

Optician/Billing Specialist

• Sep 2011 - Nov 2016

Process insurance claims in all formats including clearing houses, website direct e-billing, and CMS 1500 forms. Investigate and reconcile patient/insurance aged accounts receivable. Manage patient inquiries concerning eligibility, explanation of benefits navigation and account reconciliation. Acquire prior authorizations and referrals. Complete re-credentialing tasks as needed. Submit post-cataract DME claims. Coordinate benefits with medical and vision plans. Apply lifestyle selling techniques to educate customers, ensuring satisfaction of purchase. Enhance frame selection process I for each patient with individual consultation. Manage company social networking websites and internet journal. Conceptualize and implement creative frame displays. Show less

Brand Ambassador/Promotional Model

• May 2014 - Jan 2015

Promote brand awareness through guerrilla marketing by hanging door hangers, passing out flyers, and running promotional booths for Cricket Wireless. Promote brand awareness through guerrilla marketing by hanging door hangers, passing out flyers, and running promotional booths for Cricket Wireless.

Optician

• May 2006 - Sep 2011

Created new patient accounts. Verified patient eligibility. Ensured office practices are compliant with HIPAA regulations. Processed eyewear and contact lens orders in accordance with vision plans. Assisted in vision insurance billing training process of new and current employees. Exceeded sales goals while keeping the best interest and needs of the patient in mind. Assisted doctors and technicians with exams and testing equipment. Provided individual care to each customer to ensure not only the satisfaction and comfort of their eyewear but also their overall experience with our services. Provided the necessary tools and education for contact lens wearers to maintain healthy utilization of products. Assisted in the training process of new employees. Show less