Secure a responsible career opportunity to fully utilize my training and skills, while making a significant contribution to the success of the company.
Overview
21
21
years of professional experience
2013
2013
years of post-secondary education
Work History
Billing Specialist
Northfield Hospital and Clinics
Northfield
01.2026 - 04.2026
Medical Billing Specialist
Northfield Hospital
Northfield
01.2026 - 04.2026
Processed medical claims using billing software efficiently and accurately.
Reviewed patient records to ensure correct coding and billing practices.
Collaborated with healthcare providers to resolve billing discrepancies promptly.
Maintained up-to-date knowledge of insurance policies and regulations consistently.
Coordinated with external agencies for timely claims submissions effectively.
Contacted insurance providers to verify insurance information and obtain billing authorization.
Adhered to HIPAA regulations when handling confidential patient information.
Posted charges, payments and adjustments.
Completed appeals and filed and submitted claims.
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Analyzed rejected claims and corrected errors as necessary before resubmitting them for payment.
Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
Ensured HIPAA compliance by maintaining confidentiality of all patient information.
Resolved discrepancies between insurance companies and patients regarding payment of bills.
Collaborated closely with other departments to resolve claims issues.
Maintained timely and accurate charge submission through electronic charge capture, including billing, and account receivables (BAR) system and clearing house.
Verified the accuracy of claim data prior to submission to insurance carriers.
Precisely completed appropriate paperwork and system entry regarding claims.
Updated patient accounts with information obtained from internal departments or external sources.
Reviewed and verified benefits and eligibility with speed and precision.
Reviewed patient records for accuracy and completeness of information in medical billing system.
Reviewed claims for coding accuracy.
Reviewed account information to confirm patient and insurance information is accurate and complete.
Handled billing, waivers and claims for private and commercial clients.
Submitted claims to insurance companies.
Checked claims coding for accuracy with ICD-10 standards.
Executed account updates and noted account information in company data systems.
Developed strong professional rapport with vendors and clients.
Reviewed legal claims for accuracy and issues.
Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
Senior Claims Specialist
DCM Services
Richfield
10.2018 - 07.2025
Utilizing computer systems for data collection and contact information
Attempting to collect payments and negotiating payment arrangements
Following federal and state laws in regards to dealing with debt collection
Ensuring all customer information is correct, including phone numbers and addresses
Escalating issues to the Team Lead and/or Operations Manager
Demonstrate empathic customer service tone with every call
Mentor and train transferred representatives and or new hires
Maintain route management for personal collections
Take in additional tasks when ever needed or volunteer if help needed
Process probate information for claims submissions
Maintain high CPH
Documentation/Billing Specialist
Total Home Health
Rockford
05.2017 - 09.2018
Worked with Brightree software, Word, Excel, Outlook and Lync
Handled inbound and outbound faxes that contained CMNs that were requested and necessary for billing
for DME services rendered, such as oxygen and CPAP, along with any other clinical documentation needed
as requested or required for payors such as Medicare
Reviewed the CMNs that came in for all DME products to make sure that the information on the CMN
was accurate and valid, once they were reviewed and valid they would be logged to release AR holding,
if the document was not valid this would need to be sent back to the physician to resign once document
was corrected or the physician may need to make the correction
Followed up by calling physician offices to check status of CMNs that have been requested that have
not come in along with any other clinical documents needed as well
Diligently worked numerous spreadsheets to follow up on CMNs that were due to expire or need
recertification along with clinical note requests
Worked with Medicare, Medicaid, and other commercial payors such as Blue Cross Blue Shield and
maintained their guidelines for billing needs
Created an excellent rapport with many physician offices to ensure we can easily obtain the documents
required in a timely manner
Received inbound calls from physician offices and from patients with inquiries to their account and any
billing questions or concerns along with payments
Contacted patients for asset recovery
Handled and operated general office equipment and worked with 3 monitors with laptop
Ensured that I treated my patients with care and kindness
Medical Billing Specialist/Revenue Confirmation Specialist
Coram Specialty Infusion Services
Machesney Park
10.2014 - 06.2016
Submitted patient claims to both commercial and government payers
Worked out of a queue and managed the billing cycle process
Processed account reconciliations and adjustments on a weekly basis
Followed up on claims that are missing supporting documentation or pending authorizations in order
to be processed
Ensured that all dates or service and services rendered matched the explanation of benefits (EOB) and
ultimately submit the claims to payers for payment
Helped determine which claims are un-billable due to missing documents and perform adjustments on
accounts as necessary
Entered and confirmed that all information has been submitted correctly into the system to help make
the billing process seamless for patients
Customer Service Specialist/ Telephone Banker
Chase
Rockford
08.2012 - 10.2014
Resolve customer concerns over the phone regarding their banking needs
Offer products that meet customer's ongoing financial needs
Performs troubleshooting for online banking issues to ensure customers can access accounts and
maintain their finances at all times
Care deeply about providing exceptional customer service
Enjoy making a positive first impression to all customers
Receives frequent recognition and rewards for meeting customer expectations and job duties
Must think critically, solve problems, and develop customer relationships
Route Specialist
Sears Holdings
Elgin
04.2005 - 04.2010
Responded to escalated customer service issues and to technician route concerns
Considers and escalates special order requirements that may affect workload balance
Notifies both the routing manager and technical manager of any route status irregularities or unusual
requests by technicians to ensure timely service delivery to the customer
Communicates with routing team, technicians, customers, support departments and management on
any issues that might affect timely delivery to the customer
Send/Answer message or phone calls as required by the business
Accomplished making employee of the month 5 times within 5 years
All duties and responsibilities were completed on the computer and over the phone
Education
Associate of Science - Medical Billing and Coding
Colorado Technical University
Skills
College graduate with solid academic skills
30 years experience in customer service
19 years of clerical experience
Five years dispatching, receiving inbound calls and making outbound calls in a high volume call Center
Excellent computer skills
2 years as a customer service specialist in telephone banking in a high call volume call center for Chase bank
Over 2 and a half years as a medical billing specialist for Coram Specialty Infusion Services and Total Home Health
Proficient in MS Word, Excel, Outlook and PowerPoint
Excellent verbal and written communication skills
Typing average 70 WPM
Excellent interpersonal skills and the ability to work with a wide variety of people
Successful leader, equally effective as a member of a team
Highly organized and able to multi-task and accomplish multiple objectives
Professional demeanor
Effective and driven to provide excellent customer service, and able to assess complex situations and formulate solutions
Strong communication, interaction and relationship-building skills acquired through experience as a Customer service representative
Excellent people skills and thrives on helping to solve problems
Superb communication skills, verbal and written
Strong attention to detail and proficient at running and handling office equipment
Superior coordination with documenting, organizing, along with handling other office responsibilities
Timeline
Billing Specialist
Northfield Hospital and Clinics
01.2026 - 04.2026
Medical Billing Specialist
Northfield Hospital
01.2026 - 04.2026
Senior Claims Specialist
DCM Services
10.2018 - 07.2025
Documentation/Billing Specialist
Total Home Health
05.2017 - 09.2018
Medical Billing Specialist/Revenue Confirmation Specialist