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@baileyvanvoorhees
I am a medical billing specialist and pharmacy technician focused on accurate claims and patient communication.
I am a dedicated medical billing specialist and licensed pharmacy technician with hands-on experience in claims submission, denials management, accounts receivable, and patient-facing communication. I bring a strong foundation in medical terminology and Microsoft Excel to support accurate billing and record-keeping.
My recent roles include Patient Account Representative at Mayo Clinic and DME Billing Specialist, where I managed pre-certification, insurance verification, appeals, and AR workflows. I have worked remote and in-clinic, collaborated with physicians and billing teams, and repeatedly cross-trained staff in leadership, systems, sales, and customer relations.
I am personable, organized, and results-driven, with certifications including CPR/First Aid and licenses in massage therapy and pharmacy practice. I consistently aim to improve processes, support patients through the billing lifecycle, and contribute leadership and training to help teams perform at a high level.
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Work history, roles, and key accomplishments
Conduct service pre-certification and review insurance coverage, communicate with patients throughout the billing lifecycle, submit claims and manage denials, and oversee accounts receivable to ensure timely payments.
Family Medical Supply and CPAP Store
May 2022 - May 2023 (1 year)
Prepared and submitted billing data and medical claims, ensured accurate patient records, collected referrals and pre-authorizations, followed up on missed payments, and investigated and appealed denial claims.
Phillips Total Care
Sep 2021 - Dec 2021 (3 months)
Entered orders and admissions by route priority, filled refills and triaged new orders, interacted with physicians to update orders, and troubleshot insurance rejections to ensure proper client coverage.
CVS Health
Nov 2020 - Sep 2021 (10 months)
Assisted members with pharmacy benefit plans, served as a subject-matter resource across insurance agencies, troubleshot prescription insurance and mail-order issues, and resolved member inquiries with empathetic first-call resolution.
Galesville Pharmacy
Jan 2020 - Nov 2020 (10 months)
Assisted pharmacists with daily operations, prepared and distributed medications, managed day-to-day tasks in management absence, interacted with customers on prescription questions, and maintained pharmacy records in compliance with regulations.
Health Direct Pharmacy Services
Feb 2019 - Jan 2020 (11 months)
Filled medication orders, matched NDCs to prescription labels, counted and labeled prescriptions, assisted with inventory control and credits, and troubleshot insurance rejections to ensure accurate fulfillment.
Sun Tan City
Aug 2018 - Oct 2018 (2 months)
Managed daily salon operations, set membership and product sales goals with district leadership, trained and coached staff, handled HR functions and scheduling, and controlled revenue, payroll, inventory, and reporting.
Degrees, certifications, and relevant coursework
High School Diploma, General Studies
High School Diploma from Ouachita Christian School.
Associate Degree, Massage Therapy
Completed an Associate Degree in Massage Therapy at Career Technical College.
Software and tools used professionally
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