Summary
Overview
Work History
Education
Skills
References
Timeline
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Cathy Edney

Hendersonville

Summary

Dynamic Insurance Billing Manager at Carolina Ophthalmology P.A. with expertise in accounts receivable management and a proven track record in resolving complex billing issues. Adept at implementing efficient billing procedures, enhancing collections, and fostering high customer satisfaction through exceptional service and problem-solving skills.

Overview

26
26
years of professional experience

Work History

Insurance Billing Manager

Carolina Ophthalmology P.A.
Hendersonville
07.2002 - Current
  • Conducted insurance verification and pre-authorization, coded medical procedures and managed patient charts.
  • Resolved billing issues by applying knowledge and completing in-depth research.
  • Prepared monthly reports summarizing key performance indicators related to collections activities.
  • Collaborated with IT department to troubleshoot and resolve billing system issues promptly.
  • Implemented new billing system software
  • Managed and supervised billing department staff, including training, evaluation, and workflow distribution.
  • Led the transition to electronic billing systems, significantly reducing paper use and contributing to sustainability goals.
  • Maintained regular performance appraisals for subordinates through verbal, written and on-going review programs.
  • Investigated unpaid claims and identified causes of delays or denials in payment processing.
  • Coordinated with internal departments regarding billing inquiries or disputes.
  • Communicated effectively with external customers such as insurance companies or providers regarding outstanding balances or denied claims.
  • Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.

Lead Pharmacy Technician

CVS Pharmacy
Hendersonville
05.1999 - 07.2002
  • Maintained clean and organized pharmacy shelving and work areas.
  • Trained new technicians in pharmacy procedures and customer service.
  • Efficiently processed cash register transactions for new and refilled prescription orders.
  • Created new customer profiles and updated demographics, allergies and new medications in pharmacy computer systems
  • Processed insurance claims and resolved issues with coverage and payment.
  • Assisted pharmacists in filling prescriptions accurately and efficiently.
  • Assisted customers by answering questions, locating items or referring to pharmacist for medication information.
  • Established and updated patient profiles, medications and insurance details.

Education

High School Diploma -

East Henderson High
Hendersonville, NC
06-1992

Skills

  • Accounts receivable management
  • Denial management
  • Billing procedures
  • Claims processing
  • Financial reporting
  • Problem-solving
  • Collections experience
  • Customer service
  • Claims management expertise

References

References available upon request.

Timeline

Insurance Billing Manager

Carolina Ophthalmology P.A.
07.2002 - Current

Lead Pharmacy Technician

CVS Pharmacy
05.1999 - 07.2002

High School Diploma -

East Henderson High
Cathy Edney