Claims Specialist

• Nov 2021 - Present

AR Specialist/ Biller

• Aug 2018 - Jun 2020

Billing Specialist - Revenue Cycle

• Jul 2017 - May 2018

Billing and Accounts Receivable Specialist

• Mar 2013 - Apr 2017

Oversee daily accounts receivable functions, including medical coding, charge entry, claims, payment posting, and reimbursement management. Verify patient eligibility and resolve any problems, contact customers to verify insurance information, and contact insurance companies to resolve payment issues. Identify areas for improvement within the billing department, work to decrease A/R totals to industry standards, and identify payor trends and work to resolve. Correct claims for re-submission. Managed the posting of all payments from insurance carriers to patient’s accounts. Document patient data and medical records, and perform routine medical record audits to comply with insurance company requirements. Show less

Medical Billing Specialist

• 2005 - 2011

Responsible for daily billing department functions, including medical coding, charge entry, claims, payment posting, and reimbursement management. Examine patients’ encounter forms to verify diagnosis codes, and reconcile codes against services rendered. Accurately input procedure and diagnosis codes into billing software to generate invoices. Used electronic charge capture practices such as billing and account receivables (BAR) system and medical billing clearinghouse accounts to submit codes and invoices on time. Follow up on past due invoices and delinquent accounts to reduce number of unpaid and outstanding balances. Document patient data and medical records, and perform routine medical record audits to comply with insurance company requirements. Uphold and reinforce compliance with hospital policies and federal regulations such as HIPAA. Show less

Preschool Teacher

• 2003 - 2005

Innovated and applied formal teaching methods and developed children's vocabulary. Taught children in pronouncing letters and identifying different shapes and colors. Developed schedules and routines that included physical activity, respite, and playtime. Identified signs and resolved emotional and developmental problems in children. Kept records of student's medical, attendance, and progress records. Respected and provided equal learning opportunity to special needs children. Innovated and applied formal teaching methods and developed children's vocabulary. Taught children in pronouncing letters and identifying different shapes and colors. Developed schedules and routines that included physical activity, respite, and playtime. Identified signs and resolved emotional and developmental problems in children. Kept records of student's medical, attendance, and progress records. Respected and provided equal learning opportunity to special needs children.

Assistant Preschool Teacher

• 1999 - 2003

Making friendship with children and parents and planning daily learning activities. Building trust and familiarizing children with the school environment. Communicating with children and introducing them to the learning concepts. Planning and participating in fun activities and developing motor skills and basic learning skills. Introducing children to social skills, singing them songs, and telling interesting anecdotes. Making friendship with children and parents and planning daily learning activities. Building trust and familiarizing children with the school environment. Communicating with children and introducing them to the learning concepts. Planning and participating in fun activities and developing motor skills and basic learning skills. Introducing children to social skills, singing them songs, and telling interesting anecdotes.