Data Entry Operator and Billing Specialist

Dawn Mosley

Data Entry Operator

973-***-**** • East Orange • ****************@*****.***

SUMMARY

Detail-oriented professional with over 20 years of experience in billing, customer service, and data management. Proven ability to ensure data integrity, accuracy, and confidentiality through meticulous data entry, analysis, and reconciliation. Skilled in managing teams, developing procedures, and utilizing data entry software to achieve operational excellence. Eager to leverage extensive experience in accurate data handling and organizational prowess to support Yexgo's operations as a Virtual Data Entry Operator.

WORK EXPERIENCE

Client Billing Manager for Bioreference Laboratories, Xifin Inc., East Orange Oversee the daily reconciliation of accounts receivable. Analyze, research, and resolve complex client billing issues. Maintain accuracy by updating insurance information and demographic fields on invoices. Process ACH payments.

Review and approve purchase orders (POs).

Generate and review aging reports for offshore team performance analysis and productivity assessments.

Supervise in-house, remote, and offshore teams.

Billing Customer Service Manager, Bio-Reference Laboratories, East Orange Spearhead the analysis, research, and resolution of customer billing inquiries. Conduct thorough research and reconciliation for all billing transactions. Recruit, interview, hire, and train medical billing clerks. Direct a customer service staff of over 20 employees. Develop and implement billing policies, procedures, methods, and guidelines to guide employee actions.

Achieve departmental objectives by monitoring billing performance against strategic plans, enhancing methodologies, and implementing necessary adjustments. Meet operational standards by contributing to strategic planning, implementing production, productivity, quality, and customer service standards, resolving issues, and identifying system improvements.

Manage departmental goals by selecting, training, assigning, scheduling, coaching, counseling, and disciplining employees; communicating job expectations; evaluating job contributions; recommending compensation adjustments; and ensuring adherence to policies and procedures. Approve payroll timecards and PTO requests, and manage team workflow through schedule adjustments to ensure continuous department coverage. Facilitate the onboarding, training, and professional development of new employees. Billing Representative/ Insurance Coordinator, Bio-Reference Laboratories, East Orange Managed high-volume inbound calls from patients, insurance carriers, and physician offices to ensure accurate information processing for billing. Followed up on patient and insurance claims inquiries directed to patients and/or insurance carriers. Submitted payment requests to patients for co-pays, deductibles, and secondary insurance balances.

Addressed patient billing and financial inquiries, escalating to appropriate departments when necessary.

Maintained consistent phone contact with insurance carriers for issue resolution. Investigated unidentified payments from insurance carriers to determine the specific claim processed and ensure accurate posting to the correct bill; initiated electronic refund requests for incorrect payments.

Analyzed Explanation of Benefits (EOBs) denial messages from various insurance carriers to determine and execute appropriate resolution actions. Posted payments and adjustments to patient accounts from multiple insurance companies, consistently meeting production and quality standards. Adhered to Company's Billing Edit procedures using Billing Vertex Software to ensure accurate patient claim billing in compliance with HIPAA guidelines and regulations. Handled incoming calls in a proficient and professional manner. Provided satisfactory answers and assistance to patients regarding their billing inquiries. Documented call conversations concisely and practically on patient invoices. Ensured accuracy by updating insurance information and demographic fields on invoices. Processed faxes from patients and doctor's offices, and reconciled EOBs against the system. Complied with all Billing Operation procedures and policies. Led and trained the Insurance Denials Team.

Customer Service Billing, LabCorp, East Orange

Followed Company's Billing Edit procedures using Billing Software to ensure accurate patient claim billing in compliance with HIPAA guidelines and regulations. Followed up on patient and insurance claims for patients, insurance carriers, Medicare, and Medicaid.

Managed high-volume inbound and outbound customer service calls from patients, insurance carriers, and clients.

Electronically retrieved test requisition forms and lab results via Billing Software to confirm correct patient and insurance information submitted to carriers and patients. Processed payments for co-pays, deductibles, and billed secondary insurances when applicable. Reviewed EOBs to verify accurate insurance payments and adjustments. Contacted insurance companies to verify insurance coverage. Served as acting Group Lead for the Patient Billing Customer Service Department, managing escalated issues and customer complaints.

Performed additional duties as assigned.

EDUCATION

Certification, Medical Secretary, Katherine Gibbs Business School, Montclair 1993 – 1994

Coursework included Office Procedures, Information Processing Concepts, Business Law, Business Communication, Human Resources Procedures, and Secretarial Training. No degree, East Orange High School, East Orange

1986 – 1990

Completed College Preparatory Program.

SKILLS

Data Entry Attention to Detail

Organizational Skills Time Management

Data Entry Software Independent Work

Data Integrity Confidentiality

Data Security Reporting

Data Analysis

CERTIFICATES

HIPAA Compliance and OSHA Certified

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