Commercial Insurance Team Lead - Synergy Billing, LLC - Holly Hill, FL
(2022-06 - 2026-08)
Led daily operations for billing processes totaling around $135,000 per month for commercial plans.
- Streamlined workflow to enhance efficiency in billing tasks.
- Implemented best practices for data management in billing systems.
- Analyzed billing discrepancies and resolved issues promptly.
- Facilitated communication between departments to ensure accuracy in billing processes.
- Provided leadership and guidance to team members, ensuring that tasks were completed on time and to a high standard.
- Developed strategies to increase team productivity and improve customer service levels.
- Monitored team progress and enforced deadlines.
- Assisted the manager in setting achievable goals for the team while monitoring progress towards them.
- Ensured compliance with company policies and procedures throughout the team.
- Coordinated training sessions for new staff on billing procedures.
- Trained new staff in relevant processes and procedures.
- Delegated daily tasks to team members to optimize group productivity.
- Delegated tasks appropriately according to individual skillsets.
- Mentored junior team members to improve skills and productivity.
- Supervised team meetings to discuss project updates and challenges.
- Resolved escalated customer complaints or queries promptly and efficiently.
Commercial Insurance Biller - Cherokee Health Systems - Morristown, TN
(2020-01 - 2022-05)
- Supported the manager in developing plans for future projects, initiatives and objectives.
- Collaborated with management team to implement new work procedures or policies.
- Offered training and support to keep team members motivated and working toward objectives.
- Processed billing statements for commercial insurance policies efficiently.
- Managed accounts receivable by tracking payments and outstanding invoices.
- Communicated with clients regarding payment terms and account inquiries.
- Assisted in training new staff on billing procedures and software use.
- Performed quality assurance checks on completed bills prior to submission.
- Conducted research into industry trends related to commercial insurance billing processes.
- Processed payments, refunds, cancellations, adjustments, and other transactions related to commercial insurance billing.
- Reviewed commercial insurance billing documents for accuracy and completeness.
- Provided assistance to colleagues in resolving complex billing problems.
- Prepared reports summarizing financial data such as outstanding balances and payment histories.
- Coordinated with external vendors regarding third-party billings associated with customer accounts.
- Reconciled differences between accounts receivable ledgers and general ledger totals.
- Developed training materials for staff members regarding proper invoice completion techniques.
- Resolved client inquiries regarding billing discrepancies or errors in a timely manner.
- Submitted insurance claims to appropriate companies for processing.
- Monitored past due accounts and pursued collections on outstanding invoices.
- Performed insurance verification, pre-certification and pre-authorization.
No Response Medical Biller - Team Health - Alcoa, TN
(2018-09 - 2020-01)
- Contacted insurance providers to verify information and obtain billing authorization.
- Reviewed patient data for accuracy and compliance with insurance guidelines.
- Processed medical claims using advanced billing software and systems.
- Communicated with healthcare providers regarding claim discrepancies and resolutions.
- Collaborated with insurance companies to verify coverage and payment details.
- Submitted electronic claims to various insurance carriers.
- Reviewed patient insurance information to ensure accuracy and completeness of submissions.
Durable Medical Equipment Biller - AeroCare USA - Morristown, TN
(2016-02 - 2018-09)
- Researched discrepancies between billed charges and payments received from insurers.
- Maintained up-to-date knowledge of healthcare regulations impacting billing practices.
- Applied HIPAA privacy and security regulations while managing patient information.
- Entered updates for patient demographics to ensure accurate records.
- Handled insurance denials through effective communication with carriers.
- Review medical records according to insurance guidelines to qualify patients for durable medical equipment.
- Work denials, aging claims.
- Answer branches and patients billing questions.
- Log prior authorizations for commercial insurance, confirm sales orders for nine locations in TN.
- Processed medical billing claims using industry-standard software systems.
- Communicated with patients regarding billing inquiries and payment options.
- Verified insurance eligibility for patients by calling appropriate parties.
- Participated in training sessions related to new policies and procedures as well as updates on existing ones.
- Performed daily follow-up on outstanding claims to ensure prompt payment from payers.
Office Manager, RidgeGate OBGYN - OBGYN Affiliates-Lone Tree - Lone Tree, CO
(2010-05 - 2011-09)
- Oversaw daily clinic operations to ensure effective workflow across all departments.
- Implemented office policies to enhance workflow and productivity.
- Trained new staff on office procedures and best practices.
- Maintained medical records in compliance with privacy regulations.
- Facilitated communication between healthcare providers and patients effectively.
- Organized office supplies and equipment to ensure operational readiness.
- Maintained filing system for records, correspondence and other documents.
- Answered phone calls, responded to emails, routed mail and coordinated courier services.
- Managed office inventory and placed new supply orders.
- Tracked invoices and payments to ensure accuracy of accounts receivable and payable information.
- Monitored payments due from clients and promptly contacted clients with past due payments.
- Managed front desk operations including greeting visitors, answering questions or directing them to appropriate personnel.
- Resolved customer inquiries in a timely manner while maintaining positive relationships with clients.
Financial Coordinator - Fort Worth Fertility - Fort Worth, TX
(2009-05 - 2010-04)
- Ordered supplies and equipment to maintain adequate inventory levels.
- Performed general bookkeeping duties such as reconciling bank statements and creating journal entries.
- Maintained impeccable office organization to support efficiency, professionalism and performance objectives.
- Supervised staff members, organized schedules and delegated tasks.
- Reviewed files and records to obtain information and respond to requests.
- Oversaw receiving and organizing correspondence, answering and forwarding calls and creating business letters and records.
- Handled scheduling and managed timely and effective allocation of resources and calendars.
- Managed office budget to handle inventory, postage and vendor services.
- Managed 11 staff members, including 4 physicians and 1 physician assistant.
- Conducted monthly meetings to align staff and physicians on operational goals.
- Submitted payroll through Paychex/QuickBooks and handled monthly and quarterly 401k contributions.
- Oversaw collections at time of service and coordinated month-end allocations with accounting firm.
- Facilitated job postings, hiring processes, and corrective actions for staff management.
- Collaborated with billing company to resolve insurance denials efficiently.
- Processed payments, managed past due accounts, and issued payroll checks in QuickBooks.
- Provided training to new hires on office policies and procedures.
- Developed and implemented office policies and procedures.
- Managed, scheduled and coordinated office functions and activities for employees.
- Created spreadsheets in Excel to track data such as vacation requests, sick days.
- Implemented and maintained company protocols to facilitate smooth daily activities.
- Provided administrative support to management team including preparing reports and presentations.
- Organized company events including holiday parties, team building activities.
- Ensured compliance with applicable laws regarding employment practices.
- Reviewed contracts for accuracy prior to signing off on behalf of the company.
- Automated office operations for managing client correspondence, payment schedules and data communications.
- Responsible for insurance verifications for new patients, schedule appointments.
- Responsible for meeting with all patients to discuss global pricing packages, verify and discuss all insurance benefits with patients.
- File all claims, work accounts receivable, complete aging accounts, process daily deposits.
- Manage patient accounts, review monthly finance charges, add monthly billing charges, set up payment plans, answer all billing related questions.
Physician Practice Specialist III, Meridian Medical Group South - Presbyterian Hospital - Charlotte, NC
(2008-08 - 2009-04)
- Responsible for the processes involved with patient check in/check out in a busy physician practice setting.
- Accountable for total patient management for 7 Dr's.
- Maintain organization and accuracy with the practice's medical records system.
- Answer a 4 line phone system.
Coding Specialist- Supervisor, University Medical Group - Greenville Hospital System - Greenville, SC
(2008-05 - 2008-05)
- Functioned as supervisor for coding department.
- Responsible for working claim denials in order to reduce days in accounts receivable.
- Responsible for keying charges for a thirteen physicians in the realm of 4 areas of women's medicine, GYN, Maternal Fetal Medicine, Urogynocology, and Infertility.
Sterilization Assistant - Dr. Roy Strickland, D.D.S. - Greenville, SC
(2003-08 - 2004-07)
- Responsible for the sterilization of exam rooms and instruments.
- Responsible to total patient management, schedule appts, medical records.
Pharmacy Technician - Wal-Mart Pharmacy - Rogersville, TN
(1999-06 - 2003-06)
- Input prescriptions from physicians, order supplies, stock OTC area and medications.
- Count medications, run cash register, file claims to insurance, process refunds.
- Build displays and end caps, zone, set modulars.
- Process deposits.
Bank Teller - Bank One - Lavallette, WV
(1998-05 - 1999-05)
- Process deposits.
- Balance ATM.
- Cash checks, complete money orders, answer phone calls.
