Service Representative Billing
Resume:
Michelle Conti
****************@*****.***
** ********** **** ********, ** 03865
OBJECTIVE: To utilize my strong administrative, human resources, communication, and organizational skills in a challenging environment.
SKILLS: Microsoft Word, Excel, and Outlook, Clinicent Billing, Nextgen and Phreesia Patient Information System, Meditech Personnel/Payroll System, Homecare Homebase software
EXPERIENCE: Billing Representative, Arete Rehabilitation, June 2022-Present (per diem)
Reviews and investigates claims for payment and denials on insurance websites and clearing house websites. Obtains necessary documentation for reprocessing claims and rebill claims. Calls insurance companies to resolve billing issues. Creates bills and mails bills to patients. Calls patients for payment.
Medical Office Coordinator, Core Pediatrics, December 2017-June 2022
Greets pediatric patients and their families and checks patients in and out via Phreesia and NextGen Patient Information Systems. Collects copays and overdue balances. Books and confirms appointments daily for four busy pediatric offices. Registers new patients. Processes medical records requests and insurance referrals in a timely manner. Answers phone calls and gathers relevant information for the triage nurse. Verifies insurance online and updates charts.
Insurance Authorization Coordinator, Encompass Home Health Care, November 2014-December 2017
Verified insurance for homecare patients via insurance websites and phone calls to insurance companies. Input insurance information and authorization details into Homecare Homebase. Tracked insurance authorizations in computer system and obtained new authorizations by faxing universal authorization forms to insurance companies and followed up with them for approvals.
Patient Service Representative, Northeast Rehabilitation Hospital, November 2007-November 2014
Greeted patients, collected copays, registered patients in Meditech, obtained insurance authorizations and referrals, created medical record and billing charts, scheduled therapy appointments and verified patients’ insurance benefits online or phone.
Pre-Registration Coordinator, Northeast Rehabilitation Hospital, November 2001-May 2002
Verified patients’ insurance benefits prior to their therapy evaluation online or by phone with various insurance companies. Entered all data into Meditech computer system.
Project Coordinator Outpatient Satellites, Northeast Rehabilitation Hospital, June 1999-May 2001
Compiled weekly, monthly, and annual data regarding outpatient therapy volume and revenue. Generated reports analyzing satellite productivity. Tracked physician referrals to NRH clinics monthly. Researched and identified locations for possible new clinics. Coordinated per diem therapy employee pool and filled vacancies.
Human Resources Representative/Employment Representative, Saints Memorial Medical Center, September 1991-June 1999
Screened, interviewed, and hired candidates for employment. Posted job vacancies on company website and coordinated postings in various printed media. Recruited candidates at job and career fairs. Created employee statistical reports utilizing Meditech personnel computer system. Prepared, distributed, and tracked employee reviews for 600 employees.
Patient Accounts Coordinator, Saints Memorial Medical Center, July 1988-September 1991
Verified and managed insurance benefits for new patient admissions. Executed collection follow-ups on unpaid accounts with patients and insurance companies.
EDUCATION: University of New Hampshire, Bachelor of Science Health Management and Policy; Human Resources Management Certificate
Contact this candidate