Customer Advocate

Anita Parkinson, Credit and Collections Representative

Johnson City, Texas, United States, 512-***-****, *********@*****.*** PROFILE Results-driven Medical Biller, Coder, and Credentialing Specialist with over 20 years of experience in healthcare billing and coding. Enhanced claim processing efficiency, achieving a 95% dispatch rate of held claims while ensuring compliance with ICD-10 and CPT standards. Demonstrated expertise in verifying insurance, managing patient communications, and developing effective payment plans, significantly reducing outstanding balances. Unique ability to streamline administrative processes and re- SKILLS Medical Billing Expert

Medical Coding Expert

ICD-10 Expert

CPT Coding Expert

Insurance Verification Expert

Accounts Receivable Expert

Revenue Cycle Management Expert

Patient Communication Expert

Documentation Review Expert

EMPLOYMENT HISTORY

Apr 2022 — Jul 2022 Credit and Collections Representative, Children's National Hospital

Managed accounts receivable reports for pediatricians. Provided patient support via phone, processed payments, rebilled claims, and dispatched statements. Entered new insurance information, checked claim statuses, initiated refund processes, and investigated returned mail.

• Streamlined patient payment processes, reducing outstanding balances.

• Improved claims follow-up efficiency, enhancing revenue recovery.

• Enhanced patient communications, fostering trust and satisfaction. Nov 2021 — Jan 2022 Medical Billing Specialist, Quince Orchard Psychotherapy Managed insurance verification, informing patients of benefits, copays, and deductibles. Achieved daily dispatch of 95% of held claims, significantly boosting revenue. Reviewed A/R reports each morning, consistently exceeding minimum goals. Conducted coding and chart audits, identifying and correcting hard-to-detect errors.

• Increased claim processing efficiency by 95% daily.

• Surpassed minimum A/R goals consistently.

• Improved accuracy through thorough audits and corrections. Jan 2021 — Jun 2021 Billing and Coding Specialist, Howard University Hospital Managed billing and coding processes, ensuring accuracy in claims submissions. Corrected exceptions, invalid claims, and inaccurate information, including ICD-10 codes and referring physician details. Generated end-of-day reports to track performance and submitted revised claims for processing.

• Rectified discrepancies in billing information.

• Ensured compliance with coding regulations.

• Streamlined claims submission process.

• Improved accuracy of end-of-day reporting.

Sept 2019 — Apr 2021 Charge Poster for Mental Health Providers, LRF & Associates Managed data entry for mental health visits for children and adults. Processed 100-500 claims weekly, ensuring timely submissions and maintained 98% accuracy.

• Achieved high accuracy rate in data entry.

• Streamlined claim processing to enhance efficiency.

• Supported billing team with accurate documentation. Sept 2017 — Jul 2020 Payment Recovery Specialist, Capital Digestive Care Verified insurance coverage, ensuring patient understanding of responsibilities. Scrubbed and resubmitted 100% of claims daily. Submitted appeals to insurance companies. Collaborated with patients to establish affordable payment plans, minimising potential revenue loss. Followed up on unpaid claims through calls and appeal letters.

• Enhanced patient understanding of insurance benefits.

• Achieved daily resubmission of all claims.

• Improved revenue through effective payment plan strategies.

• Successfully pursued unpaid claims via persistent follow-up. Mar 2017 — Sept 2017 Payment Poster/Billing Specialist, Dr. Jolan S. Rhodes Managed patient insurance eligibility verification and communicated financial responsibilities. Corrected EOB denials and resubmitted claims promptly. Coded Super Bills with accurate CPT and ICD-10 codes, entering charges efficiently. Posted EOBs to patient accounts and followed up on denials with insurance companies, providing requested information and appealing claims.

• Verified insurance eligibility and informed patients of financial responsibilities.

• Corrected denials and resubmitted claims efficiently.

• Coded Super Bills accurately, ensuring compliance.

• Followed up on denials, facilitating timely claim resolutions. Oct 2016 — Mar 2017 Administrative Assistant/Credentialing Specialist, The Women’s Wellness Center

Oversaw administrative functions and credentialing processes. Redefined practice forms for clarity and ease of use. Developed marketing materials, enhancing patient acquisition. Organised and promoted successful open house events. Managed all communications with the Administrator.

• Revamped forms, improving usability and readability.

• Created advertising materials, increasing new patient influx.

• Coordinated open house, boosting community engagement.

• Credentialed nurse practitioners with multiple insurance providers. Apr 2014 — Oct 2016 Insurance Call Center Representative (Remote), Insurance 321, LLC

Managed high-volume inbound calls from customers seeking personal or business car insurance. Connected clients with agents, brokers, or carriers to facilitate purchases. Returned calls to customers who left messages. Maintained an 8-hour work schedule, 5 days a week.

• Streamlined call routing processes to enhance customer experience.

• Achieved high customer satisfaction through effective communication.

• Documented customer interactions for continuous service improvement. EDUCATION Certification

Associate of Science

Associate in Science (AS)

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