Dedicated and adaptable professional with a proactive attitude and the ability to learn quickly. Strong work ethic and effective communication skills. Eager to contribute to a dynamic team and support organizational goals.
Overview
11
11
years of professional experience
1
1
Certification
Work History
AR/AP Processor 2
CenterWell Home Health
08.2023 - 02.2026
Handled the maintenance and reconciliation of home health claims and invoices.
Utilized a specific billing system on a work-issued computer to ensure timely follow-up on denied, short-paid, and overpaid claims with insurance companies and patients.
Meet weekly and monthly goals provided by supervisor.
All activities performed followed the Equal Employment Opportunity laws, HIPAA, ERISA, and other regulations, as appropriate.
Knowledgeable in using Homecare Home Base application, Palmetto GBA Home Health Prospective Payment System, Availity, Inovalon (RevConnect), Alpha Collector, CloudDocs and Workday.
Insurance Biller
Phoebe Sumter Medical Center
10.2017 - 08.2023
Managed billing process for Commercial Insurance UB-04 and HCFA-1500 claims, ensuring accuracy and compliance.
Operated a specific billing system on a work computer by submitting claims both electronically and hardcopy.
Achieved weekly and monthly performance goals set by supervisor, contributing to departmental objectives.
Operated a specific billing system on a work computer by submitting claims both electronically and hardcopy.
Ensured compliance with Equal Employment Opportunity laws, HIPAA, ERISA, and other regulations.
Knowledgeable in using Quadax, Epremis, Availity and GAMMIS.
Completed CPAR 2018
Billing Specialist
Middle Flint Council on Aging
08.2015 - 10.2017
Processed denied claims and resolved issues with meal logs and prior authorization required by the State, facilitating timely payments.
Entered payments for home delivered meals through GAMMIS portal (Medicaid), ensuring accuracy and compliance.
Verified and created claims by collaborating with Customer Service Representatives and Case Managers to ensure completeness.
Data entry requirements met for proficiency and accuracy in a timely manner.
Trained new employees on billing and data entry.
Demonstrated proficiency in ICD-10 coding to ensure accurate medical billing.
Handled incoming calls, maintained filing systems, and completed computer-based tasks to ensure efficient workflow.
Assessment Coordinator
Middle Flint Council on Aging
11.2014 - 08.2015
Processed yearly assessment forms for Georgia members eligible for meal benefits, ensuring timely access to necessary resources.
Entered and researched client information in CAREeVantage software.
Entered numerical data into databases, maintaining accuracy and consistency to support effective data management.
Identified and retrieved missing file materials to ensure document availability.
Maintained proper documentation for personal and professional documents.
Converted physical documents into digital formats through scanning for easy access.