Experience

MedAmerica

• Hospitals and Health Care
• 100 - 200 Employee

• Medical Billing Specialist

  • Feb 2017 - Present

  Performs data entry, responsible for billing for our providers professional services in a timely and accurate manner. Contacts insurance companies and patients regarding invoices for services rendered. Performs pre-verifications with insurance companies to determine where to send claim, via the phone or by running on-line eligibility. Determines and assigns financial classification. Receives patient calls and resolves them in a professional manner. Re-processes denied claims and appeals underpaid claims. Reviews Accounts Receivable, Collection and Write-Off Reports to determine and take appropriate action on accounts, i.e., set up payment plan or refer account to collection agency. Must utilize problem solving and critical thinking skills to determine if payer is in violation of contract terms or legal obligation to pay. May be expected to research payments to patient accounts following appropriate payment posting procedures. Additional duties as assigned by leadership for our providers professional services in a timely and accurate manner. Show less



American Medical Response

• Modesto, California

• Patient Business Services Representative

  • Apr 2013 - Jun 2016

  Answer incoming customer service telephone calls and take appropriate action to resolve accounts. Assist with handling escalated patient account issues. Processed payments. Charity intake and processing . Analyze and process patient accounts with accounts receivable billing system. Print claim forms , invoices , and fax or mail correspondence to appropriate billing services. Worked on patient, insurance and healthcare facilities request from customer service database to to distribute to internal and external departments. Back up front desk receptionist. Chair side training for new employees. Show less