Patricia Howell
Hampton
Summary
Seasoned medical billing specialist with over five years of experience working at dedicated medical billing facilities. Bringing a track record of posting charges and private payments into preassigned billing systems, with a special focus on the accuracy of information.
Professional and prepared insurance professional with strong analytical skills, adept at evaluating risk and optimizing insurance coverage. Known for fostering team collaboration to achieve results, adapting quickly to changing needs, and delivering reliable outcomes. Expertise in data analysis, policy assessment, and regulatory compliance, coupled with proactive, results-driven mindset.
Overview
12
12
years of professional experience
Work History
Billing and Insurance Analyst
Tidewater Physicians Multispecialty Group
Newport News, Va
10.2015 - Current
- Provide daily Helpdesk support for patient inquiries via phone and email.
- Post insurance payment information and correspondences to NextGen and other database programs.
- Process Payer Batches weekly and submitted payment reports to the Cash Control Daily database program.
- Reconcile insurance charges with Financial Management staff with possible posting errors are evident.
- Verify patient account, upon intake, for valid insurance and Worker Compensation status.
- Review and researched outstanding accounts by utilizing tasks assigned in NextGen or Aging Reports database programs.
- Assist other employees and office staff with correspondences, such as, but not limited to, patient appeals.
- Maintained compliance with all OSHA, HIPPA, HHC, Privacy Act and confidentiality rules and regulations.
PCA – Personal Care Assistant
Prestige Home Health Care
Newport News, VA
11.2020 - 03.2021
- Provided daily care for patients in home according to daily care plan provided by the company.
- Provided appropriate grooming regimen for patient care.
- Administered medications according to care plan and doctor’s orders.
- Maintained compliance with all OSHA, HIPPA, HHC, Privacy Act and confidentiality rules and regulations.
Manager – Billing and Scheduling Department
Elite Home Healthcare
Newport News, VA
01.2014 - 12.2014
- Responsible for billing facility claims to correct insurance companies in a timely manner, according to insurance and company guidelines.
- Investigated and resolved billing issues for patients and interfaced with medical administrators for a understanding of contractual matters that impacted invoicing of private-pay patients.
- Prepared and processed work in progress and billings to ensure that all client invoices are billed accurately.
- Effectively communicated with patients to advise if more information is needed for their claims or to assist in updating their coordination of benefits.
- Compiled and analyzed data for review by senior management of various reports to measure company performance.
- Provided phone and clerical assistance to front office staff as needed.
- Maintained compliance with all OSHA, HIPPA, HHC, Privacy Act and confidentiality rules and regulations.
Education
Associate of Science -
Everest College
Newport News, VA03-2014
Skills
- Policy analysis
- Reinsurance strategies
- Portfolio management
- Claims management
Languages
English
Full Professional
Timeline
PCA – Personal Care Assistant
Prestige Home Health Care
11.2020 - 03.2021
Billing and Insurance Analyst
Tidewater Physicians Multispecialty Group
10.2015 - Current
Manager – Billing and Scheduling Department
Elite Home Healthcare
01.2014 - 12.2014
Associate of Science -
Everest College