Versatile medical professional with more than 20 years of front office and customer service experience, with Bachelor of Science in Health Care Technology.
Service-oriented professional, combining robust medical billing and coding education with technical proficiency in medical software, including Easy Dental and Prognosis, Health Fusion, Med Host, Epic, HIS, Method, and Laborwx, Availity , MyAbility , Naivnet, PWL, Articulate communicator, adept at cultivating excellent long-term relationships with clients, colleagues, and senior personnel, maintaining ongoing interactions and facilitating solutions to address concerns.
Areas of Expertise
Medical Billing
Managed Care
Medical Office Procedures
Insurance Verification
Insurance Claim Processing
Managed Care
Anatomy & Physiology
Medical Coding
Medical Terminology
Medicare/Medicaid Processing
HIPAA Compliance
Office Management
Professional Experience
Houston Methodist San Jacinto, Baytown , TX
NTW Admitting Rep II WA/Patient Planning/Staffing Analyst, January 2016 – Present
Manage day-to-day operations of patient registration, greeting patients and caregivers, recording pertinent information, and processing checkouts, calculating billing and crediting accounts correctly.
♦ Ensure patients’ records are complete, with up-to-date insurance information, consent forms, and billing information.
♦ Coordinate patient admissions, placing patients in bed planning system, registering patient information, and preparing bed reports.
♦ Balance schedules of nursing staff, preparing staffing sheets and responding to staffing needs, ensuring adequate staffing coverage for 400 employees.
♦ Verifying Insurance for patient accounts
Gulf Coast Billing, Crosby TX
Medical Billing/Collections Specialist, January 2014 – August 2015
Processed medical billing, following up on unpaid claims utilizing monthly aging reports and filing appeals when appropriate to obtain maximum reimbursement. Managed relationships with multiple insurance payers.
♦ Managed outstanding claims, contacting insurance carriers and submitting payment appeals; secured outstanding balance payments and sent monthly statements.
♦ Billed new claims and collections for intra-operative monitoring and assistant surgeons with all major insurance carriers.

Doctors Diagnostic Hospital, Cleveland, TX
Administrative Assistant/Admissions Representative, April 2012 – December 2013
Administered office operations, scheduling patients for services and labs, reviewing medical files to ensure accuracy of information, and cultivating exceptional relationships with patients and providers to eliminate issues before they negatively impacted efforts.

♦ Secured payments by screening insurance information, identified patients requiring pre-admission approval from third-party payers, and verified approvals.
Dr. Rashall, Liberty, TX
Administrative Assistant/ Front Office Representative, January 2011 – January 2012
Provided outstanding office support and ensured smooth business practices as the initial point of contact with both public and medical personnel.*
♦ Managed administrative duties, preparing end-of-month reports, maintaining patient files and accounts, scheduling appointments, and verifying insurance prior to procedures.
Guettler Services LLC, Dayton, TX
Office Manager Administrator, May 1990 – January 2011
Managed office operations, preparing reports and correspondence, scheduling appointments and meetings, managing staff schedules, and maintaining inventory.
♦ Supervised staff, coordinating work flow and prioritizing and delegating tasks, providing motivation and direction to create positive work environment.
♦ Oversaw record-keeping, maintaining files and databases.
Additional Experience
Southmore Hospital, Unit Secretary for Physical Therapy Department
Managed office operations, admitting patients, maintaining medical records, gathering patient information, and preparing billing.
Dr. Shafie, Secretary/Physical Therapy Aide
Interviewed patients to obtain preliminary information regarding case histories, demography, and insurance.

Education
*
Bachelor of Science, Health Care Technology, December 2017
Siena Heights University, Adrian, MI
• Minor, Health Care Management
Associate of Science, Medical Billing & Coding, January 2014
Ultimate Medical Academy, Tampa, FL
Credentials
• CMS 1500, CMS 1450 (UB-04) Proficiency
• ICD-9-CM, HCPCS, CPT4 Proficiency
• ICD-10-CM Proficiency
• Texas Insurance License # 1916329 NPN 17275256
• Texas Public Commission Notary

Training & Development
• AAPC CPCO Course, Healthcare Compliance Officer, August 2015*
• CCO CPPM Certified Physician Practice Manger June 2018
• CCO CPB Certified Medical Biller August 2018