Well qualified in customer service and as a billing manager proficient in handling complex customer issues and promoting positive experiences . Efficiency -driven team and strong leadership skills with achieving company and personal set goals. I have 23 years over all work experience in the medical billing field.
Overview
13
13
years of professional experience
Work History
Follow Up Supervisor
Medical Billing Management
PO Box 879 Dunlap Tn. 37397
04.2020 - Current
Oversaw daily operations of the department, ensuring smooth workflow and timely completion of tasks.
Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
Improved customer satisfaction with timely response to inquiries, addressing concerns, and finding effective solutions.
Investigate the reasons for claim denials and work to resolve for payment including resubmission with corrected information or appeals
Communication with Payers regarding claim status
Review and work claims rejections
Review patient statement before sending out for payment
Client Collections
Customer Service Advocate
Cigna
Chattanooga , TN
09.2018 - 04.2020
Enhanced productivity by staying on top of call scripts and maintaining control over direction of conversations
Evaluated customer information to explore issues, develop potential solutions and maintain high-quality service
Achieved and consistently exceeded revenue quota through product and service promotion during routine calls
Educated customers how to use company systems, complete forms and obtain desired services
Educated customers on current promotions, upgrades or new offerings available under current plan
Documented and detailed calls and complaints using call center's CRM database
Resolved customer complaints and addressed emergency requests and needs
Medical Billing Manger
Chattanooga Eye Institute
Chattanooga , TN
01.2014 - 09.2018
Evaluated employee performance monthly and coached and trained accordingly, increasing quality of work and employee retention
Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees
Ensured confidential budget reports remained up-to-date for Practice Administer
Account Receivable Report
Post patient and insurance payments
Data Entry
Process Medical Claims
Financial Advisor /Collections
Front Desk
Billing Specialist
Southeast Eye Specialists Pllc
Chattanooga, TN
05.2013 - 01.2014
Communicated effectively and extensively with other departments to resolve claims issues
Printed and reviewed monthly patient aging report and solicited overdue payments
Accurately posted and sent out all medical claims
Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls to ensure proper payments were made according to contracts
Precisely evaluated and verified benefits and eligibility
Posted and adjusted payments from insurance companies
Trained new employees on multiple medical billing programs and data entry software
Collection
Customer Service
Medical Billing Specialist
Chattanooga Spine And Nerve Institute
Chattanooga, TN
01.2012 - 05.2013
Posted and adjusted payments from insurance companies
Maintained and updated collections tracking spreadsheet to help organize payment information
Precisely evaluated and verified benefits and eligibility
Accurately posted and sent out all medical claims
Collection
Customer Service
Account Receivable Reports
Managed and educated staff on working all reports
Education
Associate of Applied Science - Electronic Health Records
Miller Motte College
High School Diploma -
Sequatchie High School
Dunlap, TN
06.1990
Skills
Claim processing
Medical billing
Team leadership
Goal oriented
Problem-solving
Account reconciliation
Customer service
Problem solving
Attention to detail
Timeline
Follow Up Supervisor
Medical Billing Management
04.2020 - Current
Customer Service Advocate
Cigna
09.2018 - 04.2020
Medical Billing Manger
Chattanooga Eye Institute
01.2014 - 09.2018
Billing Specialist
Southeast Eye Specialists Pllc
05.2013 - 01.2014
Medical Billing Specialist
Chattanooga Spine And Nerve Institute
01.2012 - 05.2013
Associate of Applied Science - Electronic Health Records