Summary
Overview
Work History
Education
Skills
Timeline
Generic

Charity Rogers

Southwick,MA

Summary

Dedicated and detail oriented insurance billing specialist with comprehensive knowledge in insurance billing processes and regulations. Skilled in claims management, policy analysis, and customer service. Strong focus on team collaboration, adaptability, and achieving results. Reliable with expertise in navigating complex billing software and resolving discrepancies efficiently.

Overview

20
20
years of professional experience

Work History

Insurance Billing Specialist

Northeast Orthopaedic Alliance
10.2017 - Current
  • Process insurance claims accurately to ensure timely reimbursements.
  • Review patient billing statements for discrepancies and resolve issues promptly.
  • Coordinate with healthcare providers to verify insurance coverage and eligibility.
  • Train new staff on billing procedures and best practices for compliance.
  • Assist colleagues during peak workload periods, demonstrating strong teamwork and commitment to overall departmental success.
  • Assist patients in understanding their coverage benefits, providing clear explanations and addressing any concerns or questions.
  • Stay up-to-date with industry developments and changes in insurance policies to ensure ongoing compliance and adaptability in billing practices.
  • Maintain up-to-date knowledge of insurance policies and changes, ensuring accurate billing practices.
  • Increase recovery of aged receivables, devising targeted strategies for follow-up on long-standing unsettled claims.
  • Respond to customer concerns and questions on daily basis.

Pharmacy Billing Specialist

Partners HealthCare
06.2008 - 10.2017

Billing adjudication for 5000 bed pharmacy

  • Researched and resolved billing discrepancies to enable accurate billing.
  • Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
  • Data entry of medical records and prescriptions
  • Extensive knowledge of Framework and Docutrack
  • Customer service contact for all prior authorizations
  • Liaison for all Directors of Nursing to assist with completion of Non-Formulary medication forms
  • Extensive knowledge of Medicare Part D plans and contact for insurance companies
  • Omnicell and Pyxis coordinator, run usage reports for facilities, assist with trouble shooting console problems
  • Coordinator of CT Return and Reuse program, work with Long term care facilities to approve medication returns for facility credit

Pharmacy Billing Specialist

Kindred
07.2005 - 06.2008
  • Processed account payable for over 50 vendors
  • Managed monthly billing for 2000 beds long term care nursing facilities
  • Liaison for billing managers for Nursing facilities, assisting them with any issues and making corrections with their facility bills
  • Assisted pharmacy with data entry of prescriptions as needed

Education

High School Diploma -

Southwick-Tolland Regional High School
Southwick, MA
05.1992

Skills

  • Medical billing software proficiency
  • ICD-10 knowledge
  • HIPAA compliance
  • Microsoft Excel
  • Microsoft Word
  • Athena
  • Intergy
  • Outlook

Timeline

Insurance Billing Specialist

Northeast Orthopaedic Alliance
10.2017 - Current

Pharmacy Billing Specialist

Partners HealthCare
06.2008 - 10.2017

Pharmacy Billing Specialist

Kindred
07.2005 - 06.2008

High School Diploma -

Southwick-Tolland Regional High School
Charity Rogers