Angela Labon

Reviewed EOBs and adjusted commercial insurance claims according to payer policies and regulatory guidelines. Researched and resolved claim denials, discrepancies, and reimbursement issues appeals and other. Applied knowledge of ICD-10, CPT, and HCPCS coding systems to ensure accurate claims processing.

Medical Claims Processor - Ensemble Health Partners - Remote

(2024-12 - 2025-11)

• Reviewed EOBs and adjusted commercial insurance claims according to payer policies and regulatory guidelines.
• Researched and resolved claim denials, discrepancies, and reimbursement issues appeals and other.
• Applied knowledge of ICD-10, CPT, and HCPCS coding systems to ensure accurate claims processing.
• Managed high-volume workloads while maintaining productivity and quality (KPIs) standards.
• Worked with UB-04 and CMS-1500 claim forms and Revenue Optimization team workflows.
• Utilized claims processing software and Microsoft Office applications to track and document claim activity.
• Investigates and follows-up on unresolved Veterans' Affairs claims and its affiliates.

Customer Service Representative - ResultsCX - Remote

(2024-04 - 2024-11)

• Assisted customers with healthcare-related inquiries and technical support requests.
• Resolved customer concerns efficiently through phone and system-based support.
• Adapted communication styles to provide exceptional customer experiences.
• Used multiple systems simultaneously to research and deliver real-time solutions.
• Collaborated with team members to achieve departmental performance goals.

Billing Specialist - Blue Cross Blue Shield of Kansas City - Remote

(2023-11 - 2024-03)

• Managed revenue cycle functions including claim billing, denial resolution, payment posting, and accounts receivable follow-up. To achieve daily and monthly key performance indicators (KPIs).
• Investigated claim denials, appeal denials and corrected clearinghouse rejections for resubmission.
• Reviewed EOBs and patient records to ensure coding accuracy and billing compliance.
• Worked extensively with ICD-10, CPT coding, Epic PM/EHR software, Excel, Outlook, and Microsoft Office applications. Work closely with Revenue Optimization team to support reimbursements.
• Maintained billing accuracy while meeting productivity standards.
• Investigates and follows-up on unresolved Veterans' Affairs claims and its affiliates

Medical Records Specialist I - CIOX Health - Remote

(2023-03 - 2023-07)

• Processed release of information (ROI) requests accurately and within required turnaround times.
• Ensured compliance with HIPAA regulations and company policies regarding patient information.
• Organized, filed, retrieved, and digitized patient health records and documentation.
• Entered and updated patient information in Electronic Health Record (EHR) systems (MIDAS/Cerner/AS400).
• Maintained confidentiality while delivering high-quality customer service.

Medical Records Specialist - CIOX Health - Remote

(2022-06 - 2022-09)

• Processed release of information requests while ensuring HIPAA compliance and data accuracy.
• Retrieved, scanned, transmitted, and maintained patient medical records according to established procedures.
• Protected patient confidentiality and ensured only authorized disclosures were completed.
• Experience working with electronic health records (EHR) systems (MIDAS/Cerner/AS400).

Medical Biller - Pandya Medical Center - Remote

(2020-05 - 2022-06)

• Verified insurance eligibility and benefits through insurance carrier portals.
• Managed revenue cycle functions including claims processing, denials, EOB review, and AR follow-up.
• Processed electronic and paper insurance claims and maintained billing documentation.
• Performed electronic and manual cash posting and maintained revenue tracking systems.
• Utilized ICD-10, CPT coding, Athena Microsoft Office (Excel, Word, and Outlook).

Medical Billing Specialist - Pro-GeneX Laboratories - Remote

(2020-05 - 2022-06)

• Prepared, reviewed, and submitted electronic and paper insurance claims. Revenue Cycle processing aged claims.
• Managed claim denials, appeal denials, payment posting, rebilling, and insurance follow-up activities.
• Verified insurance eligibility and monitored claim statuses using online payer resources.
• Submitted appeals with supporting documentation for denied claims.
• Processed secondary and tertiary insurance billing while maintaining HIPAA compliance.
• Utilized ICD-10 and CPT coding knowledge to ensure billing accuracy.

Release of Information Specialist - ScanSTAT Technologies - Remote

(2019-11 - 2021-02)

• Processed medical record release requests using ScanSTAT software.
• Reviewed medical records, forms, and authorizations to ensure compliance and accuracy.
• Maintained confidentiality and compliance with HIPAA regulations.
• Organized records and completed ROI requests in a timely and efficient manner in electronic health records (EHR) systems (MIDAS/Cerner/AS400).
• Assisted in resolving HIPAA-related release issues.

Associate in Science (AS) - Medical Office Administration - Virginia College (2014-12)