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Click here or scroll down to respond to this candidate1320 SE 8th Place, Cape Coral, US,Candidate's Name
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EMAIL AVAILABLEPHONE NUMBER AVAILABLEMEDICAL BILLINGPROFESSIONAL SUMMARYMedical Billing Specialist with 14 years of experience optimizing claims processing and insurance verification. Demonstrates expertise in collections, authorizations, and patient scheduling, ensuring compliance and accuracy. Proven track record in enhancing clinic efficiency and reducing claim rejections through meticulous attention to detail and effective communication.EMPLOYMENT HISTORYMAR 2020 - FEB 2024Charge support/Charge Entry, Millennium Physicians Group, Fort Myers, FloridaReview and correct claims before and after submission to ensure timely filing and reduce delays.Verify correct insurance and plan billing to prevent errors and rejections.Upload documents to patient charts and submit necessary documentation with claims.Enter accurate CPT/ICD10/modifiers for claim submissions, ensuring compliance.Contact insurance providers to resolve denial issues promptly.Maintain open communication with providers for seamless claim processing.Contact clients to gather needed information and clarify patient responsibilities.Collect patient balances and accurately enter payments into accounts.Streamlined claims process by reviewing and correcting submissions, ensuring accurate CPT/ICD10/modifiers, and resolvingdenial issues with insurance providers.Maintained meticulous patient records, uploading documents and verifying insurance plans to optimize billing accuracy andtimely filing.Fostered open communication with providers and clients, addressing inquiries and collecting necessary information tofacilitate smooth claim processing.Improved revenue cycle by managing patient balance collections and accurately entering payments, contributing to financial stability.Acted as a liaison between patients, providers, and insurance companies, ensuring seamless information flow and resolvingcomplex billing issues.Optimized claims process by meticulously reviewing submissions, ensuring accurate coding, and swiftly resolving denials,enhancing operational efficiency.OCT 2016 - FEB 2020Front office, Mackoul Pediatrics, Cape Coral, FloridaManaged physician schedules, patient records, and insurance processes, enhancing clinic efficiency.Implemented new scheduling system, reducing patient wait times and boosting satisfaction.Ensured precise insurance verification and authorization, speeding up reimbursements.Coordinated with medical staff for smooth patient check-ins/checkouts and timely form completions.Addressed patient inquiries compassionately, maintaining a positive clinic atmosphere. FEB 2010 - JUN 2016Front office, Dr. Stephen Nelson, St. Petersburg, FloridaSupported front office operations across three locations, ensuring smooth workflow and patient satisfaction.Managed medical records and completed forms, maintaining accuracy and compliance with regulations.Verified insurance and obtained authorizations, reducing claim denials and expediting patient care.Secured medication authorizations for patients with medical needs, improving treatment timelines.Handled end-of-day close and deposits, ensuring financial accuracy and accountability.Managed front office operations across three locations, ensuring seamless patient flow and efficient record-keeping while handling insurance verifications and authorizations.Streamlined end-of-day procedures, including accurate financial reconciliations and deposits, contributing to improved operational efficiency and financial accuracy.Facilitated medication authorizations for medically needy patients, enhancing access to critical treatments and improving patient care outcomes.Coordinated with medical staff to complete forms and maintain comprehensive patient records, fostering a cohesive team environment and ensuring data integrity.Implemented new front office backup protocols, enhancing cross-location support and minimizing disruptions in patient service delivery.Orchestrated front office operations across three locations, optimizing patient flow and record-keeping while streamlining insurance verifications and authorizations. EDUCATIONMAR 2007 - JAN 2010Associates, St Pete College, St Petersburg Florida AUG 1996 - JUN 2000Northeast High SchoolCOURSESNotary licenseCPR certifiedHIPPA and OSHA certificationSKILLSCharge entryInsurance verificationPatient schedulingMedical recordsCollectionsAuthorizations |
