Medical Billing Specialist
Resume:
GINGER CRAWFORD
Quinlan, TX ***** • 903-***-**** • ************@*****.*** • WWW: Bold Profile
Professional Summary
Motivated and experienced Medical Biller with a strong background in health operations management, billing, and coding. Proficient in analyzing and validating patient information, diagnoses, and billing data. Demonstrates exceptional leadership skills and excels in efficiently processing high volumes of patient information to achieve revenue generation goals. Skills
• Verbal and Written Communication
• Insurance Claims & Processing
• Report Compiling
• ICD-8
• Claims Review
• Client Services
• Microsoft Word
• Balance Reconciliation
• Medical Billing
• Information Requests
Work History
Baker, 01/2023 to Current
Self Employed – Quinlan, TX
• Baker for vending events
• Homemade items
Billing and Collections, 10/2023 to 12/2023
Hunt Regional Patient Services – Greenville, TX
• Processed secondary claims by dispatching them via Certified mail.
• Refined systems for Medicaid adjustments.
• Revised dated Excel workbooks.
• Successfully managed responsibilities in a short-term position. Medicare Billing Specialist, 03/2014 to 03/2015
Orthopedic Specialist – Mesquite, TX
• Billing personnel and insurance carriers
• While handling patient information
• Post all Medicare payments EOB's
• Inhibiting claim payment for corrective action
• Claims/Re-submittal of claims to insurance carriers
• Investigated and resolved denials and rejections within standard billing cycle time frame Healthcare Billing Specialist, 09/2016 to 03/2021
Caris Diagnostic – Garland, TX
• Entered patient demographics
• Researched and replied to insurance, patient, and internal customer inquiries
• Processing of billing for all partnered insurance companies including 3rd party and Workers Comp Medical Billing Clerk, 01/2016 to 06/2018
MDM Medical Management and Billing – Dallas, TX
Maintained strong knowledge of current industry regulations and guidelines, ensuring compliance within all aspects of the medical billing process.
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Conducted regular audits of patient accounts, identifying inaccuracies or discrepancies that required correction or adjustment.
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Collaborated with healthcare providers to ensure proper documentation was submitted for accurate claim processing, reducing denials due to incomplete or incorrect information.
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Managed high volume of daily billing tasks, prioritizing work efficiently in order to meet tight deadlines without compromising accuracy.
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Navigated complex billing situations, working with healthcare providers, insurance companies, and patients to resolve issues in a timely manner.
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Handled sensitive patient information with utmost discretion, maintaining strict confidentiality in accordance with HIPAA regulations.
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Education
Certificate: Medical Terminology
Richland College
Medical Assistance: 10/2003
PCI - Dallas, TX
References
Available upon request.
Contact this candidate