STACY CARTER
OLIVE BRANCH
Summary
Efficient Medical Biller and Credentialing Specialist known for exceptional productivity and task completion speed. Skilled in medical coding, insurance verification, and claim processing. Excel in time management, problem-solving, and adaptability to ensure smooth billing operations and patient satisfaction.
Overview
14
14
years of professional experience
Work History
Medical Biller and Credentialer
Authentic Billing and Credentialing
Olive Branch
01.2024 - Current
- Processed medical claims using advanced billing software and tools.
- Reviewed patient information for accuracy and completeness before submission.
- Coordinated with healthcare providers to resolve billing discrepancies promptly.
- Communicated effectively with patients regarding billing inquiries and payment plans.
- Maintained detailed records of claims submitted and payments received.
- Monitored insurance guidelines to ensure compliance during claim submissions.
- Submitted electronic claims to various insurance carriers.
- Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
- Answered incoming calls regarding billing inquiries from patients and and or providers in a professional manner.
- Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Communicated with insurance representatives to complete claims processing or resolve problem claims.
- Performed follow up activities on unpaid claims with insurance companies or other third party payers by phone or written correspondence.
- Performed daily reconciliation of accounts receivable with payment postings on the computer system.
- Input details into accounts and tracked payments.
- Assisted with collection efforts as needed including contacting patients via phone, mail or email for collection of past due balances due to insurance denials or patient responsibility amounts owed.
- Maintained accurate records of all billing activity in accordance with departmental standards.
- Processed refunds requests timely and accurately according to established protocols.
- Coordinated communications between patients, billing personnel and insurance carriers.
- Monitored reimbursement from managed care networks and insurance carriers to verify consistency with contract rates.
- Organized information for past-due accounts and transferred to collection agency.
- Collected, posted and managed patient account payments.
- Performed insurance verification, pre-certification and pre-authorization.
Office Manager
Masterpiece Counseling and Health Services
Olive Branch
06.2021 - 01.2024
- Scheduling appointments for patients and office meetings, verify health insurances, data entry of patient information, copy, fax, email, scan, payroll, pay office bills, enter insurance payments and adjust patient's account balances, collect copays/balances.
- Liaison between office manager duties and community businesses to market and strengthen community ties.
Receptionist
Reflections Mental Health
Senatobia
10.2019 - 02.2021
- Answer multiple incoming lines and take detailed messages for nurses/therapists.
- Fax, copy, scan various types of documents, verify insurance, collect copays/balances, maintain HIPPA compliant medical records.
- Take vitals such as urine samples, weight and blood pressure.
Pharmacy Technician
Walgreens
Horn Lake
04.2017 - 08.2018
- Took Pharmacy phone calls, entered patient data into system, filled prescriptions, verify insurance.
- Provided positive customer service during all parts of the prescription filling and check out process.
Receptionist
Nfusion/Region IV Mental Health
Southaven
10.2011 - 03.2017
- Answer multiple phone lines, enter patient data, collect copays/balances, verify health insurance, fax, copy, scan, email.
Education
Certified Pharmacy Technician - Pharmacy Tech
Brookline College
Certificate of Completion - Medical Billing and Coding
Delta Technical College
Horn Lake, MSHigh School Diploma -
Horn Lake High School
Horn Lake, MSSkills
- Accounting
- Payroll functions
- Employee relations
- Office process streamlining
- Communication regulation
- Filing system standardization
- Office productivity maximization
- Software application proficiency
- Office workflow coordination
- Task completion monitoring
- Quality evaluation
- Performance evaluation
- Expense tracking
- Variance analysis
- Financial goal adherence
- Cost-saving identification
- Calendar management
- Appointment coordination
- Meeting coordination
- Travel coordination
- Reception supervision
- Telephone communication
- Mail communication
- Office supply inventory management
- Usage monitoring
- Replenishment management
- New hire training
- Company policy training
- Work process training
- Job-specific task training
- Marketing campaign contribution
- Social media promotion
- Facility checks
- Client safety verification
- Medical billing
- Claim processing
- ICD-10 coding
- Insurance verification
- Patient communication
- Billing software
- Customer service
- Problem solving
- Time management
- Attention to detail
- Data entry
- Documentation management
- CMS-1500 billing forms
- Electronic claims
- Insurance billing
- Verbal and written communication
- Reimbursements
- Electronic health record software
- Account follow-up
- Claims processing
- Medical record security
- Medical claims submission
- Multitasking and organization
- Collections management
- Claim submission
- Insurance claims processing
- CPT code modifiers
- Patient collections
- Patient billing
- Insurance collections
- Insurance claims
- HIPAA compliance
Timeline
Medical Biller and Credentialer
Authentic Billing and Credentialing
01.2024 - Current
Office Manager
Masterpiece Counseling and Health Services
06.2021 - 01.2024
Receptionist
Reflections Mental Health
10.2019 - 02.2021
Pharmacy Technician
Walgreens
04.2017 - 08.2018
Receptionist
Nfusion/Region IV Mental Health
10.2011 - 03.2017
Certified Pharmacy Technician - Pharmacy Tech
Brookline College
Certificate of Completion - Medical Billing and Coding
Delta Technical College
High School Diploma -
Horn Lake High School