Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Heather Duncan

Blacksburg

Summary

Detail-oriented professional with strong communication and critical thinking skills, recognized for reliability and a commitment to excellence. Seeking a position in an insurance billing office, specializing in medical claims processing and follow-up work. Previous experience in retail across various stores has honed adaptability and customer service abilities, contributing to a well-rounded skill set. Eager to leverage diverse experiences to enhance operational efficiency and support team objectives.

Overview

21
21
years of professional experience
1
1
Certification

Work History

Assistant Manager

J Crew Factory
04.2021 - Current
  • Customer Service
  • Opening and closing store
  • Daily paperwork and monthly recaps
  • Monthly store changes for new product
  • Associate relations
  • Working with corporate leaders to better sells and employee relationships

Medicare Biller

Apella Health (Spartanburg Medical Center)
09.2017 - 12.2023
  • Bill Claims to Medicare for facility payments
  • Review and correct errors before claims are billed out
  • Work reports that are needed for the facility
  • Work with other departments to correct claims before they are rejected by payer

Ambulance Billing and Follow-up Representative

Carolina Billing Services
11.2015 - 09.2017
  • Bill claims for different EMS and Ambulance providers
  • Follow-Up with facilities and insurance companies on claim payments and denials
  • Bill contracts to facilities for payments
  • Work daily to collect as much revenue as possible

PATIENT ACCOUNT REPRESENTATIVE

WALLACE THOMSON HOSPITAL
12.2012 - 11.2015
  • Bill and follow up on Medicaid and Medicaid HMO insurances
  • Work daily and weekly remits for payments and denials
  • Work all mail for correspondences from Medicaid and Medicaid HMO companies
  • Answer patient phone calls and help with patient questions
  • Work daily cash flow spreadsheets

MEDICAID ACCOUNT REPRESENTATIVE, BILLER

NOVANT HEALTH GAFFNEY MEDICAL CENTER
01.2005 - 12.2012
  • Billed all office bills
  • Corrected all errors on bills before they were billed out to insurance companies
  • Followed up on accounts for payments, adjustments, and denials
  • Worked weekly remits for payments and denials
  • Filled in for other positions in the office when they were absent
  • Helped with customer problems and payments
  • Worked with insurance contracts and insurance companies for correct payments

Education

Associates Degree - Administrative Office Technology-Medical

Spartanburg Community College
Spartanburg, SC
05.2015

Skills

  • Hard worker, dependable
  • Quick learner
  • Knowledge of Microsoft Word, Excel, PowerPoint, Access, and several hospital database systems, Visio, Moss, several medical billing programs
  • Works well with others
  • Hospital registration and billing experience
  • Good customer service skills
  • Money handling
  • Team leadership
  • Decision-making
  • Staff supervision
  • Retail operations
  • Business administration

Certification

HFMA certified

Timeline

Assistant Manager

J Crew Factory
04.2021 - Current

Medicare Biller

Apella Health (Spartanburg Medical Center)
09.2017 - 12.2023

Ambulance Billing and Follow-up Representative

Carolina Billing Services
11.2015 - 09.2017

PATIENT ACCOUNT REPRESENTATIVE

WALLACE THOMSON HOSPITAL
12.2012 - 11.2015

MEDICAID ACCOUNT REPRESENTATIVE, BILLER

NOVANT HEALTH GAFFNEY MEDICAL CENTER
01.2005 - 12.2012

Associates Degree - Administrative Office Technology-Medical

Spartanburg Community College

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Heather Duncan