AMBER S. YARBROUGH
Kingsland
Summary
Detail-oriented Medical Billing Specialist with extensive experience in insurance claims processing, prior authorizations, and denial management. Skilled in managing full-cycle claims, resolving payer issues, and ensuring timely reimbursements. Strong knowledge of Medicare, Medicaid, and commercial insurance guidelines with proven ability to work independently in remote environments.
Overview
10
10
years of professional experience
Work History
Medical Billing Specialist
Folkston Family Practice
Folkston
10.2021 - Current
- Process full-cycle insurance claims including submission, tracking, and follow-up
- Obtain and manage prior authorizations for procedures, imaging, and specialist referrals
- Verify insurance eligibility and benefits prior to patient services
- Investigate, correct, and resubmit denied or rejected claims
- Communicate with insurance companies to resolve claim and authorization issues
- Ensure claims meet medical necessity and payer requirements
- Maintain accounts receivable and aging reports
- Document all billing activity in EMR systems
Admission / Billing / AR Specialist/Hybrid Remote
Ed Fraser Memorial Hospital
Macclenny
01.2019 - 10.2021
- Submitted and tracked insurance claims for hospital services
- Verified insurance coverage and obtained prior authorizations
- Resolved claim denials through corrections, appeals, and resubmissions
- Posted payments and reconciled patient accounts
- Maintained accurate records of claims, authorizations, and payer communications
- Assisted patients with billing questions and insurance concerns
- Processed claims submissions using electronic medical records systems.
- Processed authorization requests efficiently using electronic health record systems.
- Reviewed patient documentation to ensure compliance with regulatory standards.
- Collaborated with healthcare providers to verify insurance coverage and benefits.
- Coordinated with billing departments to resolve discrepancies in patient accounts.
- Managed authorization workflows to streamline operations and reduce delays.
- Trained new staff on authorization processes and system usage effectively.
- Analyzed data trends to identify areas for process improvement initiatives.
- Communicated with patients regarding authorization status and required information updates.
- Researched patient eligibility, coverage information, and benefit levels.
- Tracked authorization statuses using electronic databases or manual filing systems.
- Performed data entry into various computer systems including but not limited to EMRs and CRMs.
- Verified insurance authorizations with payers via telephone or web-based systems.
- Coordinated communication between providers, patients, payers, and other departments as needed.
- Reviewed authorization requests for accuracy and completeness.
Accounts Payable / Scheduling Coordinator (Remote)
Apex Health Systems
10.2016 - 01.2019
- Verified insurance eligibility and obtained prior authorizations before scheduling services
- Assisted with claims follow-up, denial resolution, and account updates
- Posted payments and supported account reconciliation
- Ensured compliance with insurance authorization requirements
Education
High School Diploma -
Cornerstone Academy
Skills
- Claims Processing & Submission
- Prior Authorizations & Referrals
- Denials Management & Appeals
- Insurance Verification (Medicare, Medicaid, Commercial)
- ICD-10 & CPT Coding Knowledge
- Accounts Receivable (AR) Management
- EMR/EHR Systems
- Claim Corrections & Resubmissions
- Insurance Communication & Follow-Up
- Remote Work & Time Management
- Insurance claims processing
- Prior authorization management
- EMR documentation
Timeline
Medical Billing Specialist
Folkston Family Practice
10.2021 - Current
Admission / Billing / AR Specialist/Hybrid Remote
Ed Fraser Memorial Hospital
01.2019 - 10.2021
Accounts Payable / Scheduling Coordinator (Remote)
Apex Health Systems
10.2016 - 01.2019
High School Diploma -
Cornerstone Academy