Accomplished Billing Specialist and Medical Scheduling Coordinator at Cardiology Associates of Fredericksburg, adept in billing systems like Nextgen and Waystar Clearinghouse. Excelled in insurance verification and customer service, enhancing billing accuracy and patient scheduling efficiency. Streamlined interdepartmental communications, significantly improving operational workflows and compliance with HIPAA standards.
Overview
7
7
years of professional experience
Work History
Billing Specialist
Cardiology Associates of Fredericksburg
12.2019 - Current
Researched billing discrepancies to enable accurate billing while identifying and resolving billing variances to maintain system accuracy and currency
Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
Prepared itemized statements, bills, or invoices and recorded amounts due for services rendered.
Collaborated with the collections team to recover overdue client payments, maintain cash flow, and minimize write-offs.
Maintained detailed records of each account's payment history, providing easy access to information for audit and analysis purposes.
Ensured compliance with industry regulations by staying up-to-date on changes in billing rules and guidelines.
Streamlined interdepartmental and external billing partner communication to ensure the accuracy and completeness of billing information.
Collaborated with the healthcare team to ensure billing codes were accurately applied, optimizing reimbursement from insurance companies.
Responded to customer concerns and questions daily.
Utilized various software programs to process customer payments.
Accurately entered CPT and diagnosis codes for over 300 accounts per day, ensuring compliance with healthcare billing standards and maintaining data integrity.
Billed claims and submitted them to the clearinghouse, proactively identifying and resolving errors to ensure accurate and timely processing.
Verified insurance eligibility, obtained authorizations for testing procedures, and secured referrals for patient appointments, ensuring seamless coordination and timely service delivery.
Medical Scheduling Coordinator
Cardiology Associates of Fredericksburg
07.2018 - 12.2019
Utilized advanced software tools like Excel, Outlook, and scheduling-specific platforms to manage comprehensive appointment calendars effectively.
Proactively identified scheduling issues and developed quick solutions to promote efficiency.
Optimized workflow by prioritizing tasks based on urgency
Fostered a positive work environment by addressing patient schedule concerns promptly and with empathy.
Collaborated closely with a physician team to schedule and coordinate patient appointments, procedures, and follow-up care, ensuring alignment with physicians' availability and patient needs.
Streamlined communication between Hospitals for improved schedule adherence and reduced conflicts.
Managed patient scheduling system and updated records to maintain accuracy and reduce scheduling conflicts or errors.
Acted as the primary point of contact for patients and Hospitals to address inquiries.
Education
Associate of Applied Science -
Germanna Community College
Fredericksburg, VA
05-2017
Skills
Billing systems and Nextgen software
Insurance verification
Customer service
Claims processing and submissions
HIPAA compliance
Payment posting
Medical coding
Data analysis
Waystar Clearinghouse
Languages
Spanish
Native or Bilingual
Timeline
Billing Specialist
Cardiology Associates of Fredericksburg
12.2019 - Current
Medical Scheduling Coordinator
Cardiology Associates of Fredericksburg
07.2018 - 12.2019
Associate of Applied Science -
Germanna Community College
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