Open To Work
Michele Sistrunk
Denham Springs
Work Preference
Summary
Detail-oriented medical biller and coder with a proven ability to reduce claim denials by 19% and accelerate reimbursements by 11%. Demonstrated expertise in managing high-volume billing environments while maintaining a 98% accuracy rate. Proficient in implementing efficient billing procedures that enhance overall claim processes.
Overview
37
37
years of professional experience
Work History
Lead Secondary Biller/Follow Up Specialist
Medcentris Wound Healing Institute
Hammond
03.2019 - Current
- Processed an average of 200 medical claims daily with a 98% accuracy rate, expediting reimbursements for the organization by 11%.
- Implemented efficient billing procedures using EClinical Works (ECW) that led to a 19% reduction in claim denials.
- Managed the secondary billing process for a high-volume medical practice, reducing outstanding accounts receivable by 37% in just six months.
- Optimized electronic claim submissions with EClinical Works (ECW) to lower processing time by 28% and ensure faster payments from insurance carriers.
- Successfully trained and guided secondary billers and externs in billing protocols, enhancing overall accuracy and efficiency in document processing.
Front Office Manager
Dr Gregory Heroman OB/GYN Private Practice
Baton Rouge
01.2015 - 03.2019
- Coordinated the scheduling for front office staff to optimize patient appointment management, improving service efficiency and satisfaction.
- Conducted triage for over 100 incoming cases daily, efficiently prioritizing critical situations to ensure timely interventions and improved outcomes.
- Streamlined scheduling and correspondence for the Lead Provider, enhancing workflow efficiency and ensuring timely prescription management for improved patient care.
Medical Coder/Biller
Still Me Specialty DME
Baton Rouge
01.2013 - 06.2015
- Verified an average of 80 medical claims per day to receive timely and accurate reimbursement from insurance companies.
- Created comprehensive reports in MedDME to track billing and collections data, leading to 27% greater financial transparency.
- Recorded incoming payments and expenses in QuickBooks to streamline accounting processes and maintain 97% accurate financial records.
Medical Biling Specialist
North Oaks Medical Center
Hammond
03.2012 - 01.2013
- Processed and submitted a high volume of medical claims, enhancing accuracy and efficiency, which contributed to reducing billing discrepancies by 20%.
- Partnered with the Collections team to streamline processes, resulting in a 20% improvement in collection efficiency and fostering a spirit of teamwork.
Medical Coder/Biller
Still Me Specialty DME
Baton Rouge
05.2011 - 03.2012
- Launched the Insurance Office and negotiated key contracts with multiple insurance carriers, leading to a 20% increase in service offerings and improved client satisfaction.
- Cultivated and fostered strong relationships with provider practices, enhancing collaboration and ultimately contributing to improved patient care and referral pathways.
- Accurately coded and billed over 300 medical claims monthly, reducing errors by 15% and streamlining the reimbursement process to enhance revenue flow.
- Streamlined the prior authorization process by efficiently managing over 50 requests weekly, collaborating with medical staff to ensure timely approvals and reduce patient wait times.
Billing Insurance Specialist
Total Woman Specialty DME
Baton Rouge
06.2010 - 05.2011
- Efficiently verified patient insurance information and secured prior authorizations, streamlining processes that enhanced patient care and reduced wait times.
- Proactively tracked and followed up on 50+ insurance claims weekly, enhancing customer satisfaction by ensuring timely resolutions and increased approval rates.
- Elevated to the Coding and Billing role expertly coded and billed Durable Medical Equipment claims to reduce processing times by 20%, ensuring faster payments and improved cash flow.
Sales Associate
Macy's
Baton Rouge
03.1989 - 05.2010
- Assisted customers with product selection and inquiries.
- Organized merchandise displays to enhance visual appeal.
- Collaborated with team members to enhance customer service quality and satisfaction.
- Handled customer complaints and provided effective solutions.
- Engaged customers through product demonstrations and promotions to drive sales.
- Helped customers find specific products, answered questions, and offered product advice.
- Performed cashier duties such as accepting payments, issuing receipts and counting money back change.
- Worked with fellow sales team members to achieve group targets.
- Provided accurate information about products, prices and services.
- Built and maintained relationships with peers and upper management to drive team success.
- Sold various products by explaining unique features and educating customers on proper application or usage.
- Upsold additional items by assessing and responding to customer interests and needs.
- Attended weekly team meetings to review performance goals and objectives.
- Placed special orders or called other stores to find desired items.
Education
Certificate Of Insurance - Medical Billing And Coding, Medical Coding, Billing, and Insurance
Medvance Institue
Baton Rouge, LA01-2010
High School Diploma -
Redemptorist High School
Baton Rouge, LA01-1990
Some College (No Degree) - Business Administration and Management
Southeastern Louisiana University
Hammond, LASkills
- Medical claims submission
- CPT and ICD-10 coding
- Insurance verification
- Denial management
- Medicaid expertise
- Regulatory compliance
- Patient data management
- Attention to detail
- Problem solving
- Team collaboration
- Effective communication
- Multitasking skills
- Professional integrity
- Patient advocacy
Timeline
Lead Secondary Biller/Follow Up Specialist
Medcentris Wound Healing Institute
03.2019 - Current
Front Office Manager
Dr Gregory Heroman OB/GYN Private Practice
01.2015 - 03.2019
Medical Coder/Biller
Still Me Specialty DME
01.2013 - 06.2015
Medical Biling Specialist
North Oaks Medical Center
03.2012 - 01.2013
Medical Coder/Biller
Still Me Specialty DME
05.2011 - 03.2012
Billing Insurance Specialist
Total Woman Specialty DME
06.2010 - 05.2011
Sales Associate
Macy's
03.1989 - 05.2010
Certificate Of Insurance - Medical Billing And Coding, Medical Coding, Billing, and Insurance
Medvance Institue
High School Diploma -
Redemptorist High School
Some College (No Degree) - Business Administration and Management
Southeastern Louisiana University