PSR at Tenet (2025-09 – Present)
Medical front desk at Rmp (2025-07 – 2025-09)
Reimbursement Specialist at RMPersonal (2024-10 – 2025-02)
I am currently working as a reimbursement specialist. Which pertains to medical billing, payment posting, updating claim information, contact insurance companies for claim information.
- Follow up on claims to Medicare, Medicaid, Commercial, Government and payers of medical claims in the status of processing, pended, approved, or denied within a timely manner until fully resolved by payer and/or patient
- Obtain prior authorization for ambulance services as required
- Research denials and requests/inquiries from insurance payers
- Ensure appropriate supporting documentation is received and complete ensure accurate and timely processing of claims
- Research and perform all secondary billing
- Possess full understanding of EOB's (Explanation of Benefits) to ensure payment accuracy and compliance with contract discount
- Accurately post payer and patient payments within a timely manner
- Review and recommend for adjustment/write off to management
- Follow up on partially paid and unpaid claims within standard billing cycle timeframe - Outbound calls are required
- Submit corrected claims and process claim appeals
- Communicate with payers about re-filing claims that were underpaid due to plan/provider errors. Use tracking system to follow up on re-filed claims with plans to ensure complete resolution. Calling to inquire about medical insurance eligibility, insurance follow up, or general interaction with insurance companies including requesting re-openings, redetermination and appeals
- Communicate with patients about claims or general interaction regarding appeals, re-openings, redeterminations until fully resolved by payer and patient
EMS Medical Biller at Emergent air (2021-06 – 2024-09)
Ambulance Billing Coordinator and Appeals and denial specialist. Responsible for timely follow up, denial review, corrections and appropriate reimbursement for all claims billed for all insurance payers. Duties include identifying all aspects of billing beginning with appropriate entry into the billing system, payment posting, contractual write offs, adjustments, claim follow up and collection of unpaid insurance accounts
- Follow up on claims to Medicare, Medicaid, Commercial, Government and payers of medical claims in the status of processing, pended, approved, or denied within a timely manner until fully resolved by payer and/or patient
- Obtain prior authorization for ambulance services as required
- Research denials and requests/inquiries from insurance payers
- Ensure appropriate supporting documentation is received and complete ensure accurate and timely processing of claims
- Research and perform all secondary billing
- Possess full understanding of EOB's (Explanation of Benefits) to ensure payment accuracy and compliance with contract discount
- Accurately post payer and patient payments within a timely manner
- Review and recommend for adjustment/write off to management
- Follow up on partially paid and unpaid claims within standard billing cycle timeframe - Outbound calls are required
- Submit corrected claims and process claim appeals
- Communicate with payers about re-filing claims that were underpaid due to plan/provider errors. Use tracking system to follow up on re-filed claims with plans to ensure complete resolution. Calling to inquire about medical insurance eligibility, insurance follow up, or general interaction with insurance companies including requesting re-openings, redetermination and appeals
- Communicate with patients about claims or general interaction regarding appeals, re-openings, redeterminations until fully resolved by payer and patient
- Cross train in other areas as needed
Front desk / Ins verification at Professional Radiology (2020-06 – 2021-04)
Front desk and ins verification and authorization
Front Office Manager at Dr. Liptakova pediatrics (2019-04 – 2020-06)
Front desk receptionist, back office medical assistant. Monthly state vaccine inventory. State immunization registry.
Medical Records Clerk at Southwest X-Ray (2016-01 – 2019-04)
Medical records clerk
Pediatric / family practice at Dr. Liptakova (2013-03 – 2014-08)
- Vitalized patients, administered immunizations, did monthly audit of state vaccines, monthly audit of supplies, ran quality checks on all lab equipment, processed therapy referrals, called in medication to pharmacy's, did prior authorization for medications and for therapy's. Scheduled appointments
Front Desk Receptionist at Dr. Aung min (2013-02 – 2013-03)
Front desk receptionist. Processed payments, scheduledling, scheduled left heart catheterizations. Closed the payments for the day. Processed appointments and verified insurance. Answered phone calls.
