Robin Brown

Los Angeles, CA *****

Contact details - 310-***-****/ad39zt@r.postjobfree.com

Summary

20+ years of experience in medical billing with 12 years of experience in hospital billing.

Addressed and responded to staff and client inquiries regarding CPT and diagnosis codes.

Applied HIPAA privacy and security regulations while handling patient information.

Used EPIC for hospital billing.

Coordinated communications between patients, billing personnel and insurance carriers.

Contacted insurance providers to verify insurance information and obtain billing authorization.

Maintained billing software by updating rate change, cash spreadsheets and current collection reports.

No RTO in near future.

Skills

Hospital Billing

Collection

EPIC

EMR

Denials

Appeals

Knowledge of State and Federal rules and regulations related to billing Insurance Claims and self-pay collections

CPT, ICD9, ICD 10, HCPCS

UB04, UB1500

Insurance Verification

Prior Authorization

Education

Sierra High School, Whittier, CA

High School Diploma

Work Experience

UCLA Medical Center, Los Angeles, CA Dec 2012 - Present

Senior Hospital Biller

Addressed and responded to staff and client inquiries regarding CPT and diagnosis codes.

Applied HIPAA privacy and security regulations while handling patient information.

Used EPIC for hospital billing.

Completed and submitted appeals for denied claims.

Reviewed claims for coding accuracy.

Input details into accounts and tracked payments.

Coordinated communications between patients, billing personnel and insurance carriers.

Contacted insurance providers to verify insurance information and obtain billing authorization.

Reviewed account information to confirm patient and insurance information is accurate and complete.

Distributed or posted financial data to appropriate accounts and prepare simple reconciliations.

Leveraged EMR software to post payments received for medical services.

Submitted appeals using provider portals and phone communication.

Monitored reimbursement from managed care networks and insurance carriers to verify consistency with contract rates.

Maintained billing software by updating rate change, cash spreadsheets and current collection reports.

Communicated with insurance representatives to complete claims processing or resolve problem claims.

Interpreted medical terminology and pharmacological information to translate information into coding system.

Organized information for past-due accounts and transferred to collection agency.

Handled billing, waivers and claims for private and commercial clients.

Coordinated payment with insurance companies and discussed dental benefits with patients.

Called insurance companies to verify patient benefits.

Utilized various security techniques to maintain confidentiality of client data.

Ortho Pros, Santa Monica, CA Jun 2008 - Jun 2014

Billing Collector

Used excellent verbal skills to engage customers in conversation and effectively determine needs and requirements.

Answered customer questions regarding account discrepancies or problems.

Accepted and processed customer payments and applied toward account balances.

Arranged debt repayment or established schedules for repayment based on Experience customer's financial situation.

Performed administrative functions for assigned accounts, recorded address changes and purged records.

Contacted customers with delinquent accounts to solicit payment.

Spoke with customers to learn reasons for overdue payments and to review terms of credit contract.

Completed month-end and year-end closings, kept records audit-ready and monitored timely recording of accounting transactions.

Investigated billing discrepancies and implemented effective solutions to resolve concerns and prevent future problems.

Recorded information about status of collection efforts.

Received payments and posted amounts to customer accounts.

Contacted insurance companies to check status of claim payments.

Advised delinquent customers on strategies for debt repayment.

Worked closely with delinquent account holders to collect and reconcile accounts through approved channels.

Monitored overdue accounts using automated information systems.

Encouraged customers to pay due amounts on credit accounts, claims or overdrawn checks.

Negotiated credit extensions and waivers when necessary.

Dr Keith Feder, Manhattan Beach, CA May 2001 - Jul 2008

Medical Billing Collector

Updated account status records and collection efforts.

Researched delinquent accounts to identify key contact details, current phone numbers and email addresses.

Updated company's database daily with new details regarding collections and activity on delinquent accounts.

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