Experience

Sunbelt Health Partners

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Claims Resolution Specialist

  • Feb 2023 - Present



Rabbit Ridge Farms

• United States
• 1 - 100 Employee

• Guest Services Associate

  • Jan 2023 - Present



Arkansas Pediatrics Of Conway

• United States
• Mental Health Care
• 1 - 100 Employee

• Billing and Claims Specialist

  • May 2019 - Jul 2022

  ● Oversee insurance claim reimbursements and processes claimsthrough an approved or denied status● Assist providers and other staff with billing inquiries and provideguidance and assurance for accurate and proper codinginformation● Enter procedure codes, diagnosis codes, and patient informationinto an EMR system● Ensure all pertinent details related to insurance, payments, andpatient demographic information information is correct andcurrent● Create and file insurance claims and review aging reports toensure timing filing claim status’● Correspondence with insurance providers to resolve claim issues,denials, and process corrections to ensure we receive payment forour services● Perform insurance verification for daily patient appointmentsand/or claim information● HIPAA Privacy and Security Regulation compliance of medicaland legal requirements● Generate monthly/weekly Aging Reports (accountsreceivable)/Post insurance payments via electronic payments andpaper remittance● Verify Health insurance policies for all major commercialcarriers, as well as government healthcare insurances● Pediatric ICD 10 and CPT coding knowledge● Record keeping of patient account status/maintains patientaccounts (collection status, patient statements)/Responsible forreviewing and submitting delinquent accounts to a collectionagency as appropriate.● Balance the cash drawers and generate reports of daily patientand insurance payments Show less

• Customer Service Representative, Medical Receptionist, & Medical Records Supervisor

  • May 2016 - May 2019

  ● Welcome patients and visitors by greeting patients and visitors, inperson or on the telephone; answering or referring inquiries.● Optimized patients' satisfaction, provider time, and treatment roomutilization by scheduling appointments in person or by telephone.● Kept patient appointments on schedule● Ensured availability of treatment information by filing and retrievingpatient records● Maintained patient accounts by obtaining, recording, and updatingpersonal Welcomed patients and visitors by greeting patients andvisitors, in person or on the telephone; answering or referringinquiries.● Optimized patients' satisfaction, provider time, and treatment roomutilization by scheduling appointments in person or by telephone.● Kept patient appointments on schedule● Ensured availability of treatment information by filing and retrievingpatient records● Verify insurance information● Perform data entry tasks● Recorded and filed patient data and medical records● Carefully verified medical records for accuracy and completedrequests by insurance companies● HIPAA Privacy and Security Regulation compliance of medical andlegal requirements; strictly following all federal and stateregulations for release of information or medical records.● Process patient paperwork for referrals/Provide referrals formultiple locations● eClinicalWorks EMR system knowledge Show less