Detail-oriented Medical Billing Specialist with expertise in ICD-10, CPT, and revenue cycle management. Proficient in denial management and insurance verification, ensuring accurate claims processing and timely resolutions.
Overview
1
1
Certification
27
27
years of professional experience
Work History
Medical Billing Specialist
Evans Medical Clinic, PLLC
Huntingdon
01.2000 - Current
Collaborate with healthcare providers to resolve billing discrepancies and issues promptly.
Communicate with insurance companies regarding claim status and denials effectively. Resolve denied claims by correcting claim or preparing appeals. I work all claim denials and rejection for the practice.
Analyze patient accounts for errors, inaccuracies or discrepancies in billing documentation. Review aging reports on accounts and transfer to collection agency when needed.
Provide customer service support to patients regarding billing inquires.
Post patient payments and insurance payment to accounts. Also post charges when needed.
Identify common denials and work collaboratively with clinic staff to reduce denials.
Reviewed patient records and assigned accurate codes for diagnoses and procedures. Utilize ICD-10, CPT, and HCPCS coding systems to process claims and billing.
Ensured timely filing of all claims within established guidelines.
I worked the front desk in both the Pediatrician and OB/Gyn office where I answered phones, scheduled appointments, accepted payments and entered charges before I took on the roll as medical biller in 2010 for the OB/GYN office and moved to Pediatric office in 2014.
Education
Associate of Applied Science - Office Administration
Jackson State Community College
Jackson, TN
05-1996
Skills
ICD-10 proficiency
CPT knowledge
Denial management
Insurance verification
Billing and collection procedures
Certification
Certified Professional Biller (CPB), AAPC, 2025
Certified Professional Coder (CPC), AAPC, 2026
References
Janice Pettigrew 731-377-9454
Amy Haywood 731-307-8596
Timeline
Medical Billing Specialist
Evans Medical Clinic, PLLC
01.2000 - Current
Associate of Applied Science - Office Administration