Ciara Coleman
Fredericksburg
Summary
Dynamic Medicare HMO Biller at UHS with expertise in electronic billing and claims processing. Proven ability to resolve discrepancies and enhance patient communication, ensuring accurate claims submission. Recognized for meticulous attention to detail and effective problem-solving skills, contributing to streamlined operations and improved billing accuracy.
Overview
9
9
years of professional experience
Work History
Medicare HMO Biller
UHS (Universal Health Services)
09.2024 - Current
- Completes all third party electronic and manual billing
- Completes all payer specific edits identified through the billing system
- Resolves issues associated with incomplete claims, including follow up of non transmitted claims.
- Attaches appropriate documents when billing manual claims including ER Reports, itemized bills, implant invoices and other medical records
- Work all daily reports, rejections and hold items.
- Works pool account: downgraded bills and rebill claims.
Receptionist
Paramount Senior Living
08.2023 - 11.2024
- Answer phone calls
- Assist visitors and guest
- Assist residence when needed
- Take residence menu change to dining team
- Accept payment for guest for meals
- Make copies for residence when needed
- Create daily Powerpoint for residence and guest
Administrative/Insurance Verification Specialist
Various Assignment thru temp agency
Fredericksburg
08.2018 - 09.2024
- Using Availity, Nextgen, Phreesia, all insurance provider portals, Medicare and VA Medicaid.
- Resolved discrepancies in patient coverage and benefits inquiries.
- Verified patient insurance information for accuracy and completeness.
- Communicated with healthcare providers to gather necessary documentation.
- Processed insurance claims using electronic health record systems.
- Managed daily office operations and maintained organized filing systems.
- Assisted in onboarding new employees and managing training schedules.
- Answered phone calls and emails to provide information, resulting in effective business correspondence.
- Entered data into spreadsheets using Microsoft Excel or other similar programs.
Claims Clerk
Optum “formally” Change Healthcare
Fredericksburg
09.2019 - 08.2023
- Audit for 6 local offices, finding errors with patient insurances or accounts for corrections before billing.
- Creating an excel sheet of errors, using Epic and Phreesia EHR Systems.
Customer Service Representative I
Corvel Corporation
Fredericksburg
06.2016 - 08.2018
- Billing thru caremc
- Creating invoices after billing completed
- Uploading documents and inputting notes in the claims system
- Make phone calls when needed for any billing discrepancies
Education
College Diploma - Medical Billing and Claims
Ashworth College
02.2014
Skills
- Electronic billing
- Claims processing
- Insurance verification
- Data entry
- Patient communication
- Office administration
- Customer support
- Problem solving
- Attention to detail
- Time management
- Billing
- Invoice review
- HIPAA compliance
Awards
Perfect Attendance No days missed for 3 years at Optum/Change Healthcare.
Timeline
Medicare HMO Biller
UHS (Universal Health Services)
09.2024 - Current
Receptionist
Paramount Senior Living
08.2023 - 11.2024
Claims Clerk
Optum “formally” Change Healthcare
09.2019 - 08.2023
Administrative/Insurance Verification Specialist
Various Assignment thru temp agency
08.2018 - 09.2024
Customer Service Representative I
Corvel Corporation
06.2016 - 08.2018
College Diploma - Medical Billing and Claims
Ashworth College