Experience

Singulex

• United States
• Biotechnology Research
• 1 - 100 Employee

• Medical Billing Specialist II

  • Apr 2013 - Present

  Identify and resolve billing issues. Manage accounts receivable as assigned. Correct edits from clearinghouses. Perform various collection actions, including contacting patients by phone and correcting and resubmitting claims to third-party payers. Perform the day-to-day processing of billing system transactions to ensure that they are maintained in an effective, up-to-date, and accurate manner. Respond to billing questions from patients, medical offices, and insurance… Show more Identify and resolve billing issues. Manage accounts receivable as assigned. Correct edits from clearinghouses. Perform various collection actions, including contacting patients by phone and correcting and resubmitting claims to third-party payers. Perform the day-to-day processing of billing system transactions to ensure that they are maintained in an effective, up-to-date, and accurate manner. Respond to billing questions from patients, medical offices, and insurance companies. Process payments from insurance companies and patients and balance daily batch posting. Assist with month-end processes Show less Identify and resolve billing issues. Manage accounts receivable as assigned. Correct edits from clearinghouses. Perform various collection actions, including contacting patients by phone and correcting and resubmitting claims to third-party payers. Perform the day-to-day processing of billing system transactions to ensure that they are maintained in an effective, up-to-date, and accurate manner. Respond to billing questions from patients, medical offices, and insurance… Show more Identify and resolve billing issues. Manage accounts receivable as assigned. Correct edits from clearinghouses. Perform various collection actions, including contacting patients by phone and correcting and resubmitting claims to third-party payers. Perform the day-to-day processing of billing system transactions to ensure that they are maintained in an effective, up-to-date, and accurate manner. Respond to billing questions from patients, medical offices, and insurance companies. Process payments from insurance companies and patients and balance daily batch posting. Assist with month-end processes Show less



Stanislaus Surgical Hospital

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

• Collector

  • Dec 2010 - Mar 2011

  Worked in a team environment and responsible for follow-up calling, sent appeals, worked aging reports. Researched and resolved accounts by following-up and collecting on outstanding insurance claims. Answered incoming calls from insurance companies, who were requesting detailed additional information. Responsibilities included: processing aging reports and sending appropriate letters to involved persons. Worked in a team environment and responsible for follow-up calling, sent appeals, worked aging reports. Researched and resolved accounts by following-up and collecting on outstanding insurance claims. Answered incoming calls from insurance companies, who were requesting detailed additional information. Responsibilities included: processing aging reports and sending appropriate letters to involved persons.



Community Hospice & Health Services

• United States
• Hospitals and Health Care
• 100 - 200 Employee

• Medical Billing Specialist I

  • Feb 2007 - Dec 2007

  Follow up and collect on outstanding insurance claims Process daily and other special reports Perform outgoing calls to patients and insurance companies for accurate billing information Answer incoming calls from insurance companies requesting additional information and/or checking status of billings

• Medical Billing Specialist

  • Feb 2007 - Dec 2007

  Provided team leadership and exercised sound business decisions while developing team to resolve issues. Regularly conducted outgoing calls to clients and insurance companies to ensure accurate billing data. Experienced to give/receive feedback and applied a team based approach to complex decision-making.



American Medical Response

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Private Insurance Coordinator, Customer Service Representative

  • May 2003 - Feb 2007

  Review, prepare, and match attachments and bill group/insurance claims accurately Review assigned electronic claim submission (ECT) reports Resolve and resubmit rejected ECT claims as necessary Follow up and collect on outstanding insurance claims Research and resolve accounts in assigned queues Process daily and other special reports Document bankruptcy claims and process bankruptcy write offs on appropriate accounts File creditors’ claims against deceased estates with… Show more Review, prepare, and match attachments and bill group/insurance claims accurately Review assigned electronic claim submission (ECT) reports Resolve and resubmit rejected ECT claims as necessary Follow up and collect on outstanding insurance claims Research and resolve accounts in assigned queues Process daily and other special reports Document bankruptcy claims and process bankruptcy write offs on appropriate accounts File creditors’ claims against deceased estates with county courts for reimbursement Take customer service calls and use appropriate action to resolve account Answer questions and process information obtained from patient Edit and release accounts for billing Send appropriate letters to patients Input any obtained information relating to the account into AM2000

• Private Insurance Coordinator/CSR

  • May 2003 - Feb 2007

  Developed other CSRs and the team to solve routine operational and performance issues. Motivated the team to achieve established performance targets and coached them on improvements to processes. Reviewed, prepared, and matched available attachments and billed group/insurance claims accurately. Documented accurate bankruptcy claims and processed bankruptcy write offs on appropriate accounts. Administered policies and practices and motivated other team members to achieve operational… Show more Developed other CSRs and the team to solve routine operational and performance issues. Motivated the team to achieve established performance targets and coached them on improvements to processes. Reviewed, prepared, and matched available attachments and billed group/insurance claims accurately. Documented accurate bankruptcy claims and processed bankruptcy write offs on appropriate accounts. Administered policies and practices and motivated other team members to achieve operational goals.



Orangeburg Medical Group

• Insurance Coordinator

  • Jan 2001 - Mar 2003

  Follow up and collect on outstanding insurance claims Perform outgoing calls to patients and insurance companies for accurate billing information Send appropriate letters to patients Bill insurance companies Update patient’s accounts Collect Co-payments

• Insurance Coordinator

  • Jan 2001 - Mar 2003

  Duties included: sending appropriate letters, billing insurance companies, and collecting insurance claims. Verified accuracy in billing information by performing outgoing calls to clients and insurance companies. Inputted any updated information obtained relating to the account into Misys Healthcare EMR system.