Billy Banning
Idaho Industrial Commission
Boise,ID
1
Certification
19
years of professional experience
Detail-oriented Medical Billing Specialist with 6+ years of experience in medical billing, claims processing, and administrative support, now expanding into government claims handling through work with the Idaho Industrial Commission. Skilled in ICD-10 and CPT coding, insurance verification, denial resolution, and revenue cycle support. Proven ability to manage high-volume workloads, ensure billing accuracy, and support efficient claims adjudication processes. Experienced with CMS-1500, UB-04, EHR/EMR systems, and workers' compensation-related claims workflows.
Work History
Temporary Claims Examiner (Bill Preparation and Payment)
3 Months- Reviewed and approved medical bills to ensure timely submission of payment requests to fiscal department.
- Rectified billing discrepancies to guarantee precise provider reimbursement and adherence to program compliance.
- Managed incoming claims-related documentation, maintaining organized and compliant digital records to support efficient processing.
- Streamlined claims management by accurately processing and sorting scanned mail into relevant systems for optimal workflow.
- Streamlined claims workflow by verifying documentation and ensuring compliance with program requirements.
- Cultivated expertise in government claims processes, focusing on victim compensation programs.
- Administered Iris, the Idaho Industrial Commission claims database, to upload, manage, and organize case documentation and billing records.
- Administered crime victims compensation program to ensure timely support for affected individuals.
- Improved overall efficiency within the department by streamlining processes and eliminating redundancies where possible.
- Evaluated claims to determine eligibility and compliance with state regulations.
Medical Billing Specialist
4 Years 1 Month- Processed and submitted high-volume medical claims using CMS-1500 and UB-04 forms with high accuracy.
- Followed up on unpaid and denied claims directly with insurance providers to secure proper reimbursement.
- Verified patient demographics and insurance coverage proactively to prevent billing errors and delays.
- Resolved patient and insurance inquiries efficiently regarding complex billing issues to maximize satisfaction.
- Utilized EHR/EMR systems for precise claim tracking, data entry, payment posting, and financial reporting.
- Managed workers' compensation claims while ensuring strict compliance with specific payer requirements.
Medical Receptionist/ Biller
2 Years- Verified insurance coverage details and obtained essential prior authorizations, enhancing the efficiency of claims processing.
- Monitored and maintained HIPAA compliance during the handling of confidential patient health and financial records.
- Addressed billing discrepancies to enhance accuracy and maintain positive relationships with patients and insurers.
- Facilitated financial navigation for patients by establishing payment plans and resolving account issues.
- Streamlined patient intake check-in and managed intricate scheduling tasks to optimize front-office efficiency and patient experience.
- Verified insurance information, improving billing accuracy and patient satisfaction.
- Managed patient scheduling, ensuring timely appointments and reduced wait times.
Education
Medical Billing & Coding - Medical Billing
Skills
ICD-10
ICD-9
CPT Coding
HCPCS
Medical Terminology
Coding Compliance
Medical Claims Processing
Denial Management
Appeals
Accounts Receivable
Payment Posting
Insurance Verification
Workers' Compensation Billing
Epic
IRIS
EHR/EMR Systems
Microsoft Office
QuickBooks
Data Entry
Document Management
Attention to Detail
Customer Service
Communication
Time Management
Account Reconciliation
Certification
Certificate of Medical Billing, Apollo College, 06/01/07
Additional Information - Work Authorization
Authorized to work in the United States for any employer
Professional Summary
ICD-10, ICD-9, CPT Coding, HCPCS, Medical Terminology, Coding Compliance, Medical Claims Processing, Denial Management, Appeals, Accounts Receivable, Payment Posting, Insurance Verification, Workers' Compensation Billing, Epic, IRIS (Idaho Industrial Commission claims database system), EHR/EMR Systems, Microsoft Office (Word, Excel, Outlook), QuickBooks, Data Entry, Document Management, Attention to Detail, Customer Service, Communication, Time Management, Account Reconciliation
Timeline
Temporary Claims Examiner (Bill Preparation and Payment)
Idaho Industrial Commission
03.2026 - CurrentRead More
Medical Billing Specialist
Idaho Urologic Institute / Surgery Center of Idaho
02.2022 - 03.2026Read More
Medical Receptionist/ Biller
Gem State Pediatrics
06.2007 - 06.2009Read More
Apollo College
Medical Billing & Coding from Medical Billing
Read More