Experience

Health Partners of Western Ohio

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

• Accounts Receivable Specialist

  • Jun 2019 - Present

  Accounts Receivable Specialist: Responds knowledgeably to inquiries from patients, physicians, insurance companies regarding covered charges, remittance advices, and billing questions. Works with Medicaid, Medicare, UGS, and secondary insurance companies for submission of claims, to verify coverage, to determine status of claims, and to resolve issues and problems with the claims. Prepare, submit, and follow up on all patient insurance claims to third party payers for all patients who receive care from medical providers.



Lima Memorial Health System

• United States
• Hospitals and Health Care
• 400 - 500 Employee

• Medical Billing Specialist / Medical Records

  • Jul 2016 - Mar 2019

  Responsibilities: Follow-up with commercial and government insurance payers on new and aged claims. Analyze accounts for underpayments or denials and submit appeals in a timely manner. Escalate accounts for coding, supervisor or record review as per client policy. Bill/invoice secondary-tertiary payers or evaluate for patient responsibility after the primary has paid. Responsibilities: Follow-up with commercial and government insurance payers on new and aged claims. Analyze accounts for underpayments or denials and submit appeals in a timely manner. Escalate accounts for coding, supervisor or record review as per client policy. Bill/invoice secondary-tertiary payers or evaluate for patient responsibility after the primary has paid.



Mercy Health

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

• Customer Service Specialist / Medical Billing Specialist

  • Apr 2012 - Jan 2017

  Responsibilities: Customer Service Specialist: Taking inbound calls from patients, providers, outpatient facilities and offices. The Customer Service Specialist plays a key role in success, as her immediate interaction with patients, impacts revenue, repeat visits and patient satisfaction. Efficient in getting it right the first time, while giving great customer service is an essential function of this job. Use knowledge of services, and policies to assist callers with inquiries, complaints, or problems. They speak with customers, listen to them gain a better understanding of their needs, and offer possible solutions Medical Billing Specialist: Follow-up with commercial and government insurance payers on new and aged claims. Analyze accounts for underpayments or denials and submit appeals in a timely manner. Escalate accounts for coding, supervisor or record review as per client policy. Bill/invoice secondary-tertiary payers or evaluate for patient responsibility after the primary has paid.



Lima Correctional Institution

• United States
• Libraries

• Captain / Lieutenant / Officer

  • Jun 1989 - Dec 2005

  The Corrections Captain is responsible for the operations of all jail facilities, including Court Security, Transports and Maintenance units. The Corrections Captain plans, organizes and supervises operational functions and activities; implements procedures; ensures compliance with legal or contract requirements; assesses situations and utilizes resources as appropriate, negotiates contracts; participates in operations; develops and administers a budget and handles special assignments as required.