Experience

North Shore Healthcare, LLC

• United States
• Hospitals and Health Care
• 100 - 200 Employee

• Insurance Biller III

  • May 2022 - Present



Progressive Community Health Centers, Inc.

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Billing Specialist

  • Sep 2019 - Present

  Assist with the preparation and maintenance of all patient billing records and preparation of third party insurance claim form.Check accuracy of patient information (demographic and other personal information) to be entered into computer system. Processes insurance payments to patient accounts in computerized system. Monitor past due accounts and discuss bills with patients. Assist in balancing the cash receipts on a daily basis. 6. Establish a payment plan for patients when necessary. Respond to patient billing and statement inquiries.Computes patient bills on the basis of service and income.Posts charges to patient ledgers.Create a weekly summary of visits per provider.Create a monthly report of hospital and nursing home visits with CPT codesA/R follow-up for all commercial carriers.Work Zero Payments and Denial Reports.Post payments for assigned carriers.Track all encounters forms including missing, not signed and outstanding forms. Track the in-house billing process vs. billing information sent out for processing.Prepare information for review by audit committee.Attend staff meetings, trainings and safety education/OSHA requirements.

• Junior Accountant

  • Jun 2018 - Sep 2019

  Perform skilled accounting duties in support of department objectives. Also, work to provide accurate and timely financial reporting to PCHC's Executive Board Members. Prepare monthly balance sheet account reconciliations and reports for review by Chief Financial Officer. Assist in the preparation of audit work papers and review of annual financial statements. Participate in monthly and annual general ledger closing process to ensure accurate financial statements. This includes making month end journal entries, miscellaneous financial analysis and gathering feedback from management related to their budget variances. Reconcile various bank accounts by compiling and balancing financial information. Monitors/Corrects accounting errors and daily/monthly posts journal entry adjustments. Prepare monthly, quarterly, and annual sales and use tax returns, where applicable. This includes the preparation of check requests to remit payment and to file returns 'online', as appropriate. Oversee and ensure accurate integration of daily entries to the general ledger. Assist as a backup for the bi-weekly processing of payroll. This includes reconciliation of general ledger account and preparing worksheets as needed. Ensure accurate integration of daily entries to the general ledger. Perform functions of grant administration and reporting to include, but not limited to: preparation and timely submission of grant reports, monitoring of associated budgets, coordination of budgeted funds, screening and processing requests for expenditures and ensuring the timely application for reimbursement from the state. Ensure compliance with the rules and regulations administered by the grantor; oversee special audits conducted by grantor. Assist as a backup for Accounts Payable. This includes bi-weekly payroll, reconciliation of general ledger account and preparing worksheets as needed.



EVO Transportation

• United States
• Truck Transportation
• 100 - 200 Employee

• Billing Clerk II

  • Jun 2021 - May 2022

  Position Description:The Billing Clerk is a finance position that is primarily responsible for creating invoices, updating accounting records, customer information, and sending payment reminders. This position deals with customers, sends invoices, and will also track various payments to created excel files.Essential Job Functions Tasks and responsibilities for this position include, but are not limited to:· Create and maintain accurate· Prepare and send invoices for processing· Record and post payments· Reconcile all AR balances and agings· Maintain records of all invoices and backup sent to customers· Ensure proper documentation exists for quarterly close and audit work papers.· Consistently meet or exceed realistic deadlines.· Cross-train on other financial areas as directed and perform other duties as assigned. Required Skills/ Experience:· Intermediate excel skills (V-Lookups, Pivot Tables)· Knowledge of standard accounting procedures· Prior Full-Cycle Accounts Receivable Experience preferred· Prior experience in preparing customized accounting reports using NetSuite, Excel, or other methods· Ability to establish and maintain effective working relationships with supervisor, co-workers, persons from other departments and customers· Excellent organizational skills and strong attention to details



Outreach Community Health Centers

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Accounting Associate

  • Oct 2015 - May 2018

  Work with consumers on budget development and management.o Redeterminations, change of address, change in repayment requests, and any other information requested by SSA to maintain benefits.o Issue all checks and EFT’s.o Process consumer bills, weekly grocery money, personal needs funds, etc.o Prepare and make deposits.o Issue emergency checks.o Tracking and disbursement of cash products, consumer bills, grocery money, etc.o Maintain appropriate record keeping requirements, including invoices, cash disbursements, program back-ups and internal documentation.o Orders and prepares monthly Dunbar cash for CSP clientso Distribute Dunbar cash to cash managers for distribution for clients.

• Billing Specialist

  • Jan 2015 - Oct 2015

  Prepares and maintains all patient billing, payers and government agencies.o Posts charges to patient ledgerso Answers questions from patients and insurance companies.o Assist and answer questions from Patient Service Representatives.o Accesses and monitors CPT, HCPCS and ICD-9/ICD-10 coding.o Investigates rejected claims and disputes denials in EPIC billing systemo Performs various collection actions including patients by phone, correcting and resubmitting claims to thirdparty payers.o Interacts with physician and staff as required to clarify documentation relating to billing.o Verifies third party insurance information.o Establishes payment plans patients. Follow and report status of delinquent accounts.o Contacts appropriate insurance carrier for supplement billing information.o Ensures all payer filing requirements are maintained.o Patient follow-up.o Conducts self in accordance with OCHC's employee manual.o Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.



Alexian Village

• Lead Billing Specialist/Accounting

  • Jan 2014 - Jan 2015

  Prepare monthly billing statements for residentso Verbal and written follow up on accountso Prepare claims for processing to insuranceo Contact residents for private payment collection processeso Post charges and payments from insurance and residents to the account into billingsystem Prepare monthly billing statements for residentso Verbal and written follow up on accountso Prepare claims for processing to insuranceo Contact residents for private payment collection processeso Post charges and payments from insurance and residents to the account into billingsystem



Luther Manor

• Accounting Clerk

  • Apr 2012 - Jan 2014

  A/RData entry of all resident monthly charges & paymentsPrepares monthly billing statementsInteracts with residents when questions regarding their statements arise.Prepares AR month end closingReviews aging on a monthly basisFollows up on all unpaid outstanding itemsResponsible for monitoring the collection processRecords daily deposits in cash journalRecords Luther Manor Foundation receiptsA/PReceives and checks all invoices for accuracydistrubes invoices to department heads for approval and apply proper codingEnters data into computer and prepares checks to vendorsInteracts with vendors and department headsPrepares accounts payable month end closingAssists in preparing fixed asset recordsPrepares and completed founder's fee payments and entries for residents.



Milwaukee Health Services, Inc

• Senior Billing Specialist

  • Jan 2006 - Apr 2012

  Lead PositionEnter and post patient charges and payments using the Business Computer Applications softwareContact insurance companies and/or patients for collection purposes.Correct and reprocess unpaid claims report for collection of non-paid claims.Aggressively collect Medicaid and Medicare accounts receivables.Train new policies and procedures to existing and new staff members. Lead PositionEnter and post patient charges and payments using the Business Computer Applications softwareContact insurance companies and/or patients for collection purposes.Correct and reprocess unpaid claims report for collection of non-paid claims.Aggressively collect Medicaid and Medicare accounts receivables.Train new policies and procedures to existing and new staff members.



On Assignment Staffing On Assignment Staffing

• Insurance Coordinator/Registration/Medical Records Specialist

  • Aug 2005 - Sep 2006

  Update and enter patient insurance information.Update and enter patient demographicsSchedule appointments.Enter patient charges in claim processing system Update and enter patient insurance information.Update and enter patient demographicsSchedule appointments.Enter patient charges in claim processing system



Wheaton Franciscan Healthcare

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Payor Service Rep

  • Apr 2003 - Apr 2005

  Process claims for Medicare patients.Refund overpayment and duplicate payment to insurance companies.Process correspondence for MedicareContact Medicare and other insurance companies to resolve any problems or questions verbally and orally. Process claims for Medicare patients.Refund overpayment and duplicate payment to insurance companies.Process correspondence for MedicareContact Medicare and other insurance companies to resolve any problems or questions verbally and orally.



National Government Services

• Insurance
• 700 & Above Employee

• Senior Clerk Examiner

  • Jan 1999 - Jan 2003

  Make daily work assignments for departmental employees.Analyze questions to determine if remedial training is neededIdentify solutions & provide training to resolve problems.Communicate to providers orally and verbally.

• Bill Adjustment Clerk

  • Jan 2001 - Jan 2002

  Process adjustments consistent with quality standards.Load adjustments to claims for payment and changes.Review claim information on appropriate reference materials against system-identified error or suspense codes and determine proper mode of correction.

• Reimbursement Assistant

  • Jan 1999 - Jan 2000

  Contact Medicare regarding beneficiary eligibility and/or termination as instructed.Communicate to providers orally and verbally.