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@lareeserobinson
Detail-oriented Medical Billing Specialist with 5 years of experience.
I am a highly organized and detail-oriented Medical Billing Specialist with five years of experience in managing medical billing processes, claims submissions, and payment follow-ups. My proficiency in various medical billing systems ensures accurate claims processing while maintaining compliance with healthcare regulations. I am adept at resolving billing discrepancies and enhancing overall revenue cycle efficiency, known for my strong communication skills and effective problem-solving abilities.
In my role as a Medical Billing Coordinator at CVS Pharmacy, I successfully managed the full cycle billing process, which resulted in a 15% decrease in claim denials. I implemented a rigorous double-check system that improved the accuracy of patient records and insurance information, leading to a 20% improvement in claims processing efficiency. My experience at Prime Therapeutics and First Source further honed my skills in handling high volumes of medical claims, ensuring compliance with CPT, ICD-10, and HCPCS standards, and maintaining detailed records to ensure accuracy and compliance with HIPAA regulations.
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Work history, roles, and key accomplishments
CVS Pharmacy
Mar 2020 - Jan 2025 (4 years 10 months)
Managed the full cycle billing process, enhancing relationships with healthcare providers and achieving a 15% decrease in claim denials. Improved claims processing efficiency by 20% through a rigorous double-check system and maintained effective communication with physicians and patients to resolve billing discrepancies.
Prime Therapeutics
Jan 2017 - Jan 2020 (3 years)
Handled high volumes of medical claims, ensuring compliance with healthcare regulations. Worked with healthcare providers to resolve billing discrepancies and managed patient billing accounts while maintaining detailed records for accuracy and HIPAA compliance.
First Source
Jun 2015 - Dec 2016 (1 year 6 months)
Oversaw billing and processing of claims for multiple specialties, achieving a 97% success rate in appeals and reimbursements. Adapted billing codes based on insurance regulations and provided high-level customer service to patients regarding their billing inquiries.
Degrees, certifications, and relevant coursework
Associate of Science
Software and tools used professionally
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