Hard working, proactive and reliable multitasker with excellent organization skills and ability to prioritize daily work tasks. Highly motivated with passion for learning and seeking growth opportunities.
Overview
8
8
years of professional experience
Work History
Billing Specialist
Greater Lowell Pediatrics
02.2022 - Current
Filed and updated patient information and medical records.
Posted payments and collections on regular basis.
Communicated with insurance providers to resolve denied claims and resubmitted.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Verified insurance of patients to determine eligibility.
Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
Reviewed patient diagnosis codes to verify accuracy and completeness.
Prepared billing statements for patients and verified correct diagnostic coding.
Adhered to established standards to safeguard patients' health information.
Audited and corrected billing and posting documents for accuracy.
Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
Created improved filing system to maintain secure client data.
Intake Coordinator
Mass General Brigham
07.2019 - 01.2022
Completed intake assessment forms and filed clients' charts.
Answered phone calls and provided new clients with required paperwork to initiate service.
Collected, verified, recorded and processed client demographics, insurance payments, and referral information.
Communicated with referral sources, physicians, and associated staff to check documentation for proper signatures.
Documented patient medical information, case histories, and insurance details to facilitate smooth
Following HIppa State Law regulations
appointments and payment processing.
Organized paperwork such as charts and reports for office and patient needs.
Explained eligibility requirements, application details, payment methods, and applicants' legal rights during intake assessment.
Enhanced office productivity by handling high volume of callers per day.
Supported office staff and operational requirements with administrative tasks.
Built relationships with community agencies for timely service referrals.
Maintained accurate, up-to-date client records for reliable reference and communications.
Call Center Representative/Medical Receptionist
Derry Medical Primary Care
10.2015 - 01.2019
Following Hippa State Laws when handling patient information
Responded to customer calls and emails to answer questions about products and services.
Adhered to company policies and scripts to consistently achieve call-time and quality standards.
Processed debit and credit card and electronic check payments.
Attended telephone skills and program information training sessions to boost aptitude.
Sought out extra training opportunities to enhance customer relationship management abilities.
Approved and terminated customer contracts upon request.
Compiled status and performance reports for team leaders to address company strengths and weaknesses.
Investigated and resolved customer inquiries and complaints quickly.
Education
High school diploma -
Londonderry Senior High School
Skills
Ability to simultaneously manage several projects at the same time in an accurate manner
Confident and decisive under stressful situation
Reliable worker with the ability to quickly learn new concepts and skills, organized and meet
Deadlines and goals
Demonstrate a positive team player and passion for helping others
Proficient in
Microsoft Office, Microsoft Outlook, Internet Explorer and Excel
Medical Billing
Billing Dispute Resolution
Coding Proficiency
Claim Processing
Maintain Records
Extensive knowledge of HIPPAA rules and regulations regarding patient privacy