Medical Billing & Payment Posting Specialist

Pamela Simmons

West Palm Beach, FL

561-***-**** ***********@*****.***

Authorized to work in the U.S. Willing to Relocate Professional Summary

Detail-oriented Billing Specialist and Medical Payment Poster with 10+ years of experience in healthcare billing, payment posting, verification of benefits, claim denial resolution, reconciliation, and insurance verification. Skilled in processing EFTs, interpreting EOBs/ERAs, resolving billing discrepancies, and maintaining accurate financial records. Experienced working in fast-paced healthcare environments with strong knowledge of HIPAA compliance, EMR systems, accounts receivable, and patient account management.

Core Qualifications

• Medical Billing & Payment Posting

• Verification of Benefits (VOB)

• EFT, ERA & EOB Processing

• Insurance Verification & Authorizations

• Claim Denials & Appeals

• Accounts Receivable & Reconciliation

• Denial Resolution & Claims Follow-Up

• HIPAA Compliance

• EMR & Practice Management Systems

• QuickBooks & NetSuite

• Microsoft Excel, Word & Outlook

• Payroll & Bookkeeping

• Data Entry & Auditing

• Team Training & Office Support

Professional Experience

Medical Payment Poster United Clinical Laboratory – West Palm Beach, FL Aug 2023 – Present

• Post EFTs, insurance payments, patient payments, and checks accurately into practice management systems

• Review and interpret EOBs and ERAs to ensure accurate payment application

• Reconcile daily deposits and balance accounts with bank records

• Research and resolve payment discrepancies, claim denials, and rejected claims

• Maintain accurate patient account documentation and audit-ready financial records Front-End Billing Specialist Precision Diagnostics Inc. – West Palm Beach, FL May 2020 – Jul 2023

• Verified insurance eligibility and completed verification of benefits for patients

• Obtained prior authorizations and updated insurance information accurately

• Processed patient charges and resolved billing and claim denial issues

• Assisted patients with billing questions, payment collections, and account balances

• Trained new billing staff on workflow procedures and compliance standards

• Coordinated scheduling and maintained efficient billing department operations Bookkeeper / Office Manager United Pharmacy – West Palm Beach, FL Apr 2017 – Feb 2020

• Managed accounts payable and accounts receivable functions

• Performed account reconciliations and prepared financial reports

• Processed invoices, bank deposits, payroll transactions, and payment tracking

• Maintained accurate bookkeeping records using QuickBooks

• Assisted with office administration and inventory management Office Manager East Coast Nuclear Pharmacy – Palm Beach Gardens, FL Feb 2015 – Apr 2018

• Managed billing, collections, payroll, and office operations

• Performed insurance verification, verification of benefits, and patient co-pay collections

• Assisted with claim denial follow-up and payment resolution

• Handled invoicing, payment posting, and financial data entry

• Maintained vendor accounts and office records using QuickBooks and Bio RX Office Manager YourLife Recovery – Boynton Beach, FL Dec 2012 – Feb 2015

• Managed payroll, collections, insurance verification, and verification of benefits

• Assisted with billing follow-up and claim denial resolution

• Maintained compliance records contributing to successful JCAHO accreditation

• Processed payments and maintained financial records using QuickBooks and Oasis

• Assisted with employee onboarding, scheduling, and HR documentation Human Resources Manager Footsteps to Freedom Recovery Center – Royal Palm Beach, FL May 2010 – Feb 2012

• Managed onboarding, employee records, and HR procedures

• Conducted recruitment and orientation for new hires

• Verified insurance benefits and assisted with billing and collections

• Maintained confidential records and compliance documentation Education & Certifications

Registered Pharmacy Technician — Expires March 2026 MCI Institute of Technology – Certification

Academy for Nursing & Health Occupations – Certification High School Diploma / GED

Contact this candidate