Experienced Medical Billing and Records Auditor

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TIMOTHY WELCH

Medical Billing Specialist

PROFESSIONAL SUMMARY

Medical billing and administrative professional with over 10 years of experience in healthcare office environments, specializing in insurance billing, patient records management, and customer service. Proven ability to manage multiple administrative tasks efficiently and ensure compliance with healthcare regulations. EMPLOYMENT HISTORY

HEALTHCARE DOCUMENTATION AUDITOR OFFICE OF INSPECTOR GENERAL HOSPICE AND HOME HEALTHCARE TEAM

Sep 2021 - Present

Present Performant San Angelo

COURIER/PATIENT EDUCATOR Apr 2019 - Aug 2021

Performance Biomedical, Inc. Hazleton, PA

PATIENT CARE ASSOCIATE Oct 2018 - Apr 2019

LifeSpring Home Care, Inc. Whitehall, PA

LOCATION MANAGER Oct 2017 - Oct 2018

Performance Biomedical, Inc. Shenandoah, PA

Managed the Shenandoah DME location. Job duties included: marketing/promotion, delivery, order entry, insurance billing, customer service: phones, computers, mail.

EDUCATION

DIPLOMA: MEDICAL TRANSCRIPTION/INSURANCE BILLING SPECIALIST Feb 2008 - Sep 2008 Allied Medical & Technical Institute Forty Fort, PA Relevant Coursework: Computerized Insurance Billing, Medical Transcription & Specialty Terminology, Bookkeeping/Financial Management, Insurance Techniques/Coding, Office Procedures 10-Week Externship Experience: Billing Specialist with Apria Healthcare. SKILLS

Excellent customer service, Communication skills, Computer skills, Keyboarding skills (Expert), Microsoft Word, Internet, Type 80 words/minute, CPR/first aid certified, Artistic/creative ability, Strong interpersonal skills, Attention to detail, Problem solving, Adaptability.

Reviewed prepayment and postpayment billing documentation for government and commercial claims to ensure compliance and accuracy.

Examined medical records to verify billed services and confirm required documentation and clinical information were present.

Collaborated with the Audit team to identify case vulnerabilities and potential abusive billing patterns. Documented review findings in the audit platform, citing relevant policies and providing clear rationale for determinations. Designed patient-friendly setup guides and demonstration routines for durable medical devices, improving first-use confidence and reducing follow-up clarification needs. Performed all clerical functions in the office, including answering phones, managing fax communications, and assisting walk- in clients, averaging over 30 calls per day.

Processed payroll and completed data entry for patient records, ensuring 100% accuracy and timely submissions each pay period.

Managed referral intake and insurance verification for an average of 20 new patients weekly, supporting efficient patient onboarding.

Generated weekly and monthly reports for the office administrator, facilitating informed decision-making. ADDITIONAL INFORMATION

VOLUNTEER

Assistant Cub Master Pack 17

Assistant Cub Master Pack 17 local Cub Scouts 2010. HONORS

Allied Medical & Technical Institute

Elected Student of the Module.

4.0 GPA - High Honors Award.

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