Madison Guy
Saluda
Summary
Seasoned billing professional with over 12 years of experience in the medical industry, recognized for expertise in financial management and billing accuracy. Proven track record of streamlining billing procedures and swiftly resolving discrepancies, leading to enhanced operational efficiency. Dependable team collaborator, consistently focused on achieving results while adapting to evolving needs. Possesses a keen eye for detail and exceptional problem-solving skills that drive continuous improvement in complex billing environments. Committed to ensuring patients feel supported and confident in the billing process, emphasizing the importance of collaboration between patients and healthcare organizations.
Overview
13
13
years of professional experience
Work History
Billing Specialist
Value Drug Company
04.2022 - Current
- Submitting pharmacy NCPDP claims.
- Pharmacy billing of Specialty drugs both oral and injectable.
- Verifying insurance eligibility and benefits.
- Copay assistance
- Processed and verified billing statements for accuracy and compliance with company policies.
- Coordinated with internal teams/departments to streamline invoice generation and distribution workflows.
- Trained new billing staff on system functions, ensuring consistent application of best practices.
- Researched and resolved billing discrepancies to enable accurate billing.
- Enhanced customer service satisfaction with timely and accurate invoice generation as well as phone interactions.
- Work closely with medical professionals and offices to ensure all data is collected and received to keep the referrals moving forward.
- Highly skilled in Microsoft office and TEAMS communication.
- Prior authorization follow up
- Use of medication JCODES and ICD10 codes on a daily basis.
- Completion of medical audits.
- Processed and reconciled high-volume billing transactions for accuracy and compliance.
- Used data entry skills to accurately document and input statements.
- Handled account payments and provided information regarding outstanding balances.
Pharmacy Technician
Banks Drug
03.2015 - 01.2022
- Multitasking
- Provided exceptional customer service, addressing inquiries and resolving issues efficiently.
- Trained new pharmacy technicians on operational procedures and best practices for patient care.
- Implemented process improvements that streamlined prescription filling times and reduced errors.
- Managed medication inventory, ensuring accurate stock levels and timely replenishment.
- Processed prescription orders accurately, adhering to safety and regulatory standards.
Medical Office Manager
Midlands Chiropractic
01.2013 - 07.2014
- Office management
- Word processing
- EOB reading
- Insurance billing
- Customer service on and off the phone
- Use new software technology for billing, making appointments, creating forms etc.
- Have excellent customer service.
- Assisting with Chiropractic x-rays.
- Working in all Microsoft platforms such as Excel, Word, Microsoft office etc.
Education
Associate of Applied Science - Health Science
Piedmont Technical College
Greenwood, SC05.2022
Certificate - Medical Billing and Coding
Horry-Georgetown Technical College
Conway, SC04-2025
Skills
- Multitasking Abilities
- Organizational skills
- Adaptability
- Fast pace environment experience
- Excellent communication
- Billing systems and software
- Insurance verification
- Invoice processing
- Customer service
- Claims processing and claim submission
- Payment posting
- Patient account management
- Team collaboration
- Data entry proficiency
- HIPAA compliance
- Account reconciliation
- ICD-10 knowledge
- HCPCS coding
- Denial management
- Problem-solving
Languages
English
Timeline
Billing Specialist
Value Drug Company
04.2022 - Current
Pharmacy Technician
Banks Drug
03.2015 - 01.2022
Medical Office Manager
Midlands Chiropractic
01.2013 - 07.2014
Associate of Applied Science - Health Science
Piedmont Technical College
Certificate - Medical Billing and Coding
Horry-Georgetown Technical College