Experience

National Labs Inc

• United States
• Biotechnology Research
• 1 - 100 Employee

• Medical Billing and Insurance Specialist

  • Feb 2023 - Present

  Hayward, California, United States



Staffing Network

• Medical Billing and Insurance Specialist

  • Aug 2022 - Jan 2023

  Hayward, California, United States



Pinehurst Medical Clinic

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

• Insurance Specialist

  • Nov 2015 - Mar 2022

  Pinehurst, North Carolina Area ● Researched, analyzed, corrected, and submitted claims both electronically and on paper. ● Obtained, verified and collected patient and insurance billing information, eligibility, co-pays, deductibles and out-of-pocket expense status’; reconciled and balanced collected monies. ● Performed collections on all accounts receivables for BCBS NC, State Health Plan, BCBS Federal, BCBS out-of-state medical plans and Medicare supplemental insurance in different medical specialties while… Show more ● Researched, analyzed, corrected, and submitted claims both electronically and on paper. ● Obtained, verified and collected patient and insurance billing information, eligibility, co-pays, deductibles and out-of-pocket expense status’; reconciled and balanced collected monies. ● Performed collections on all accounts receivables for BCBS NC, State Health Plan, BCBS Federal, BCBS out-of-state medical plans and Medicare supplemental insurance in different medical specialties while achieving efficient and prompt resolution of patient and insurance company billing inquiries. ● Posted, prepared, and balanced deposits on a daily basis while covering Patient Account Representative position. ● Posted Pulmonary office billing transactions and balanced information daily. ● Assisted in implementation and training of new medical billing software. ● Performed miscellaneous duties as assigned by management and/or providers. Show less



AAA All American Associates in Family Medicine

• Office Manager

  • Mar 2012 - Nov 2015

  Fayetteville, North Carolina Area ● Opened new medical office, transferred provider credentials and insurance contracts, set-up, implemented, and maintained new billing software. ● Researched, negotiated, and maintained contracts with multiple third party vendors (incl. LabCorp and United Allergy Services) for necessary office equipment, medical supplies, vaccines, and medical services. ● Maintained provider credentials for medical board, DEA, malpractice insurance, IPA, CAQH, insurance companies (i.e., HMO, PPO,… Show more ● Opened new medical office, transferred provider credentials and insurance contracts, set-up, implemented, and maintained new billing software. ● Researched, negotiated, and maintained contracts with multiple third party vendors (incl. LabCorp and United Allergy Services) for necessary office equipment, medical supplies, vaccines, and medical services. ● Maintained provider credentials for medical board, DEA, malpractice insurance, IPA, CAQH, insurance companies (i.e., HMO, PPO, Managed Care), and hospitals. ● Created, implemented, and maintained provider scheduling templates. ● Managed front office and back office personnel including hiring, retention, benefits, and performance evaluations. ● Authored, distributed, and updated Employee Handbook and office forms while maintaining OSHA and HIPAA compliance for front and back office personnel. ● Managed monthly patient billing; mailed patient statements and set-up payment arrangements as needed. ● Posted all payments, adjustments, and write-offs; posted hospital and office billing transactions and balanced information daily. ● Posted, prepared deposits on a daily basis, and performed collections on all accounts receivables while achieving efficient and prompt resolution of patient and insurance company billing inquiries. ● Researched, analyzed, corrected, and submitted claims both electronically and on paper. ● Performed end of month reconciliation of receipts and charges. ● Obtained, verified and collected patient and insurance billing information, eligibility, co-pays, deductibles and out-of-pocket expense status’; reconciled and balanced collected money. ● Received, organized, scanned, and archived medical records into a certified EMR system. ● Assisted in answering multi-line phone system and scheduling of appointments. ● Performed miscellaneous duties as assigned by providers. Show less



AA All American Associates in Family Healthcare, PLLC

• Operations Supervisor/Insurance Billing and Collections

  • Jan 2010 - Feb 2012

  Fayetteville, North Carolina Area ● Opened new medical office, transferred provider credentials and insurance contracts, set-up, implemented, and maintained new billing software. ● Researched, negotiated, and maintained contracts with multiple third party vendors (incl. LabCorp and United Allergy Services) for necessary office equipment, medical supplies, and medical services. ● Maintained provider credentials for medical board, DEA, malpractice insurance, IPA, CAQH, insurance companies (i.e., HMO, PPO, Managed Care),… Show more ● Opened new medical office, transferred provider credentials and insurance contracts, set-up, implemented, and maintained new billing software. ● Researched, negotiated, and maintained contracts with multiple third party vendors (incl. LabCorp and United Allergy Services) for necessary office equipment, medical supplies, and medical services. ● Maintained provider credentials for medical board, DEA, malpractice insurance, IPA, CAQH, insurance companies (i.e., HMO, PPO, Managed Care), and hospitals. ● Authored, distributed, and updated Employee Handbook and office forms while maintaining OSHA and HIPAA compliance for front and back office personnel. ● Created, implemented, and maintained provider scheduling templates. ● Supervised staff whose duties were to assist the billing department in administrative tasks. ● Researched, analyzed, corrected, and submitted claims both electronically and on paper. ● Managed monthly patient billing; mailed patient statements and set-up payment arrangements as needed. ● Posted all payments, adjustments, and write-offs; posted hospital and office billing transactions and balanced information daily. ● Posted, prepared deposits on a daily basis, and performed collections on all accounts receivables while achieving efficient and prompt resolution of patient and insurance company billing inquiries. ● Performed end of month reconciliation of receipts and charges. ● Obtained, verified and collected patient and insurance billing information, eligibility, co-pays, deductibles and out-of-pocket expense status’; reconciled and balanced collected money. ● Assisted in answering multi-line phone system and scheduling of appointments. ● Performed miscellaneous duties as assigned by providers. Show less



Breezewood Family Health Care

• United States
• Medical Practices

• Front Desk Supervisor

  • Jan 2009 - Jan 2010

  Fayetteville, North Carolina Area ● Supervised staff whose duties were to assist the billing department in administrative tasks. ● Managed front office personnel including hiring, training, retention, benefits, and performance evaluations. ● Assisted in answering multi-line phone system and scheduling of appointments. ● Performed miscellaneous duties as assigned by Manager and/or providers.

• Claims Resolution Analyst

  • Apr 2008 - Jan 2010

  Fayetteville, North Carolina Area ● Managed monthly patient billing; mailed patient statements and set-up payment arrangements as needed. ● Posted all payments, adjustments, and write-offs as applicable; posted hospital and office billing transactions and balanced information daily. ● Posted, prepared deposits on a daily basis, and performed collections on all accounts receivables while achieving efficient and prompt resolution of patient and insurance company billing inquiries. ● Obtained, verified and collected… Show more ● Managed monthly patient billing; mailed patient statements and set-up payment arrangements as needed. ● Posted all payments, adjustments, and write-offs as applicable; posted hospital and office billing transactions and balanced information daily. ● Posted, prepared deposits on a daily basis, and performed collections on all accounts receivables while achieving efficient and prompt resolution of patient and insurance company billing inquiries. ● Obtained, verified and collected patient and insurance billing information, eligibility, co-pays, deductibles and out-of-pocket expense status’; reconciled and balanced collected money. ● Researched, analyzed, corrected, and submitted claims both electronically and on paper. ● Performed end of month reconciliation of receipts and charges. ● Maintained provider credentials for medical board, DEA, malpractice insurance, IPA, CAQH, insurance companies (i.e., HMO, PPO, Managed Care), hospitals and outpatient surgical facilities. ● Performed miscellaneous duties as assigned by Manager and/or providers.



Visiting Nurse Association of El Paso, Inc. (VNA)

• Financial Specialist

  • Aug 2002 - May 2004

  El Paso, Texas Area ● Maintained all financial records for Home Health patients with private insurance, Thomason Indigent Patients with El Paso 1st Insurance, Private Duty/Home Service clients with private insurances and all Hospice patients to include Medicare, Medicaid, Private Insurance, and those that were Self-Pay. ● Managed monthly patient billing; mailed patient statements and set-up payment arrangements as needed. ● Posted all payments, adjustments, and write-offs and applied charitable funding as… Show more ● Maintained all financial records for Home Health patients with private insurance, Thomason Indigent Patients with El Paso 1st Insurance, Private Duty/Home Service clients with private insurances and all Hospice patients to include Medicare, Medicaid, Private Insurance, and those that were Self-Pay. ● Managed monthly patient billing; mailed patient statements and set-up payment arrangements as needed. ● Posted all payments, adjustments, and write-offs and applied charitable funding as applicable. ● Performed end of month reconciliation of receipts and charges for Home Health patients, Thomason Indigent Patients with El Paso 1st Insurance, Private Duty/Home Service clients with private insurance and all of Hospice. ● Performed collections on all accounts receivables while achieving efficient and prompt resolution of patient and insurance company billing inquiries. ● Obtained, verified and collected patient and insurance billing information, eligibility, co-pays, deductibles and out-of-pocket expense status’; reconciled and balanced collected money. ● Researched, analyzed, corrected, and submitted claims both electronically and on paper. ● Performed miscellaneous duties as assigned by supervisor and CFO. Show less



Healthcare for Women (HCFW)

• Claims Resolution Analyst/Receptionist

  • Jun 2000 - Sep 2001

  Sacramento, California Area ● Prepared and managed monthly patient billing to include mailing patient statements and setting up payment arrangements as needed. ● Posted all payments, adjustments, and write-offs as applicable; posted hospital and office billing transactions and balanced information on a daily basis. ● Performed collections on all accounts receivables while achieving efficient and prompt resolution of patient and insurance company billing inquiries. ● Maintained provider credentials for IPA and… Show more ● Prepared and managed monthly patient billing to include mailing patient statements and setting up payment arrangements as needed. ● Posted all payments, adjustments, and write-offs as applicable; posted hospital and office billing transactions and balanced information on a daily basis. ● Performed collections on all accounts receivables while achieving efficient and prompt resolution of patient and insurance company billing inquiries. ● Maintained provider credentials for IPA and insurance companies (i.e., HMO, PPO, Managed Care), hospitals and outpatient surgical facilities. ● Answered multi-line phone system and scheduled appointments. ● Compiled provider stats on a daily basis and analyzed for accuracy. ● Obtained, verified and collected patient and insurance billing information, eligibility, co-pays, deductibles and out-of-pocket expense status’; reconciled and balanced collected money. ● Researched, analyzed, corrected, and submitted claims both electronically and on paper. ● Performed miscellaneous duties as assigned by supervisor and/or providers. Show less



Sandhills Nephrology & Internal Medicine, P.A.

• Medical Receptionist

  • Feb 1997 - Aug 1998

  Fayetteville, North Carolina Area ● Answered multi-line phone system and scheduled appointments. ● Obtained, verified and collected patient and insurance billing information, eligibility, co-pays, deductibles and out-of-pocket expense status’; reconciled and balanced collected money. ● Researched, analyzed, corrected, and submitted claims both electronically and on paper for Medicare and BC/BS of NC. ● Obtained authorizations for specialty referrals and scheduled specialty tests and procedures (i.e. MRI’s, Bone… Show more ● Answered multi-line phone system and scheduled appointments. ● Obtained, verified and collected patient and insurance billing information, eligibility, co-pays, deductibles and out-of-pocket expense status’; reconciled and balanced collected money. ● Researched, analyzed, corrected, and submitted claims both electronically and on paper for Medicare and BC/BS of NC. ● Obtained authorizations for specialty referrals and scheduled specialty tests and procedures (i.e. MRI’s, Bone Density Scans, Kidney Biopsies). ● Faxed, filed, and maintained medical records and lab results. ● Assisted in preparing monthly patient billing to include mailing patient statements and setting up payment arrangements as needed. ● Posted all payments, adjustments, and write-offs as applicable; posted hospital and office billing transactions and balanced information on a daily basis. ● Posted and balanced dialysis charges on a monthly basis. ● Ordered necessary office supplies from third-party vendors. ● Performed miscellaneous duties as assigned by physician(s). Show less



Marcotte & Associates

• Insurance Billing and Collections Supervisor

  • May 1995 - Feb 1997

  Fayetteville, North Carolina Area ● Prepared and managed monthly patient billing to include mailing patient statements and setting up payment arrangements as needed. ● Posted all payments, adjustments, and write-offs as applicable; posted hospital and office billing transactions and balanced information on a daily basis. ● Performed collections on all accounts receivables while achieving efficient and prompt resolution of patient and insurance company billing inquiries. ● Performed end of month reconciliation… Show more ● Prepared and managed monthly patient billing to include mailing patient statements and setting up payment arrangements as needed. ● Posted all payments, adjustments, and write-offs as applicable; posted hospital and office billing transactions and balanced information on a daily basis. ● Performed collections on all accounts receivables while achieving efficient and prompt resolution of patient and insurance company billing inquiries. ● Performed end of month reconciliation of receipts and charges and physician earnings. ● Supervised staff whose duties were to assist billing department in administrative tasks. ● Obtained, verified and collected patient and insurance billing information, eligibility, co-pays, deductibles and out-of-pocket expense status’; reconciled and balanced collected money. ● Researched, analyzed, corrected, and submitted claims both electronically and on paper. ● Performed miscellaneous duties as assigned by Manager and/or providers. Show less



Healthcare for Women

• 1 - 100 Employee

• Patient Billing Coordinator

  • Sep 1993 - Feb 1995

  Sacramento, California Area ● Obtained, verified, collected and posted patient and insurance billing information, eligibility, co-pays, deductibles and out-of-pocket expense status’; reconciled and balanced collected money. ● Obtained authorizations for inpatient (OB deliveries) procedures. ● Prepared and managed monthly patient billing to include mailing patient statements and setting up payment arrangements as needed. ● Performed collections on accounts receivables while achieving efficient and prompt… Show more ● Obtained, verified, collected and posted patient and insurance billing information, eligibility, co-pays, deductibles and out-of-pocket expense status’; reconciled and balanced collected money. ● Obtained authorizations for inpatient (OB deliveries) procedures. ● Prepared and managed monthly patient billing to include mailing patient statements and setting up payment arrangements as needed. ● Performed collections on accounts receivables while achieving efficient and prompt resolution of patient and insurance company billing inquiries. ● Posted office billing transactions and balanced information on a daily basis. ● Maintained provider credentials for IPA and insurance companies (i.e., HMO, PPO, Managed Care), hospitals and outpatient surgical facilities. ● Performed miscellaneous duties as assigned by supervisor and/or providers. Show less