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Amy Darling

Medical Office and Insurance Billing Specialist

Objective

Looking for a challenging work from home opportunity to help provide the highest quality healthcare experience. Handle patient matters with care and professionalism. Providing professional administrative services and protecting the interest and privacy of patients, providers and facility.

I love the work I do. I would not be happy doing anything other than this, it is a mission. I cannot allow insurances to take advantage of people that may not understand their policies. On the same note providers deserve to be reimbursed for the work they perform.

Skills

EClinical Works
Cintricity
Microsoft Excel
Microsoft works
Greenway
EagleSoft

Work experience

02-20-17Current

Charge Entry

Skyline Medical Group HCA

Work with 12 to15 providers to scrub and code claims correctly.

Work with IET system to correct denied claims for reimbursement.  Worked to get denials from $250,000 to less that $2,000 within the last year. Main goal for this office is to maintain a total of less than $10,000.

Providing reports to pinpoint where collectable money is being missed during the patient visit.

Work with patients to reduce accounts receivables by discussing insurance plans and helping them to understand what their plan will cover. 

Jul 2013January 2017

Insurance Billing, Denials, Procedure Authorizations, Patient Accounts

Center for Spine, Joint and Neuromuscular Rehabilitation

Obtained all prior authorizations for surgical procedures in office and surgical outpatient.

Maintained local and national coveralge limits and medical necessity for all procedures performed for all insurances accepted.

Worked with providers and IT to streamline procedure ordering workflow.

Cooradiated patient information and approvals between office and surgery centers

Imaging and medication authorization

Insurance Verification 

Submitting claims to clearimg house  and correcting any denials for payment

Contacting insurances for reprocessing denied claims.

Patient estimates before procesures

Contacting patients about balances and expected payments prior to procedures.

Helping patients understand their insurance benefits

Payment plans

Collections 

Apr 2010Jul 2013

Receptionist / Billing and Coding - Surgical Services

Coosa Valley Medical Center

Schedule appointments for three Surgeons

Verify insurance coverage

Obtaining Referrals

Collect co-pays, balances and collection debt

Billing and Coding

Entering commercial insurance payments

Daily bank deposits

Scheduling inpatient and outpatient surgeries and pre-admissions

Obtain Pre-certification and Authorization 

Maintain accurate patient information

Sep 2009Sep 2010

Receptionist

Dr. Tom West

Schedule appointments for Doctor and three hygienists

Answer phone Verify insurance coverage Collect co-pays, balances and collection debts

Appointment reminders

Record Requests

Patient referrals

Reconciling account balances

Maintain accurate patient information

    Jun 2004Sep 2009

    Receptionist

    Talladega OB/GYN

    Schedule appointments for four doctors Sonogram, Bone Mineral Density, and Laboratory appointments

    Answer multi-line phone system

    Verify Insurance eligibility and coverage

    Collect co-pays, balances and collection debts

    Schedule surgeries and preadmissions with hospital

    Patient relations

    Maintain accurate patient information

    Manage front office in satellite location

      Summary

      • Outgoing personality
      • Excellent telephone and communication skills
      • Ability to perform under high patient flow
      • Exceptional skills to empathize with the patients
      • Ability to create an atmosphere of peace communication
      • Correct and resubmit claims
      • Debt collections
      • Excellent organizational skills
      • Excellent at multitasking 

      Education

      Central Alabama Comminty College