Billing Specialist Data Entry
Resume:
Tiffany Poindexter
Macedonia, OH
***********@****.***
I am a highly motivated and results-driven customer service professional with experience in the customer service and medical field. I have over 15 years of experience in the healthcare setting where planning, organizing, and effective communication was critical. I also have over 5 years of experience in customer service in a fast-paced and high-volume customer support environment with a proven track record of driving customer adoption, retention, and satisfaction. I am skilled in training and educating others, leading a team, collecting data, analyzing data, tracking growth, strong written and verbal communication, addressing customers' needs, and having a solid understanding of customer success best practices. I am excited about helping members be successful, and I am committed to providing an excellent customer experience.
Experience
2017- 2023
Medical Billing Specialist/Medical Service Company, Cleveland, OH
Medical Billing Specialist/Verifies patient insurance coverage of services, checks applicable codes and verifies if state licensor or other accreditations are required for treatment. Utilizes all available resources to obtain and enter insurance coverage information into the patient’s file. Follows up and resolves accounts receivables; collects payments from patients for self-pay or co-pay/deductible accounts. Performs data entry with accuracy and timeliness. Collaborate with the department to ensure claims are satisfied in a timely manner. Accurately input codes and abstract data into the current Electronic Health Record (EHR) system.Experienced working remotely processing claims. Review claims in the current EHR system that are stalled in the revenue cycle due to coding issues. entering patient and account data by inputting alphabetic and numeric information on the keyboard or optical scanner according to screen format, verifies entered customer and account data by reviewing, correcting, deleting or reentering data, purges files to eliminate duplication of data, relay information such as work orders or other messages to and from work crew, ICD-10 & ICD-9 coding, creating insurance claims, determine member’s eligibility if in question, manually calculate and/or apply pricing to each claim when necessary, monitor pending claims, examine claim to correct and/or update data so claim can properly adjudicate, place follow-up calls and respond to inquiries from patients and/or healthcare providers, as necessary.
2008-2017
Medical Billing Specialist/Spectrum Diagnostic, Cleveland, OH
Coordinate the completion of outstanding reports and other documentation within the medical record as necessary for collections. Submit necessary documentation for payment of invoices. Verify completeness and accuracy of medical records and charges prior to sending bills to clients. Assist customers with billing questions and payments. Review documentation and perform audits to determine billing accuracy and gaps. Also analyze, identify, and resolve billing issues that may cause payment delays. Work with management in identifying, researching, and resolving issues which may lead to inaccurate or untimely filing of claims, claim rejections, and/or other billing and collections issues which may arise. Ensure accuracy of posting by balancing deposit totals to system generated reports.
2005- 2008
Medical Billing and Authorization Specialist/Advantage Diagnostics
Ensure all claims are submitted daily with a goal of zero errors. Timely follow up on insurance claim status. Corrected demographics and updated insurance information. Reading and interpreting an EOB (Explanation of Benefits). Respond to inquiries by insurance companies. Obtained prior authorizations for medical procedures. Assist customers with billing questions and payments. Communicated with Billing Manager/Supervisor to discuss and resolve reimbursement issues or billing obstacles. Printed and submitted claims daily to insurance companies. Any additional duties as requested by management.
Skills
Type 96 WPM • Proficient with Workday Customer Service •Team Player •Excellent Time Management and Multitasking Skills• Conflict Management • Public Speaking • Data Analyst
Education
High School Diploma/Bedford High School, Bedford, OH
Cuyahoga Community College, Warrensville, OH
Google Certified Level 1
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