Experience

Surgical Notes
• United States
• Hospitals and Health Care
• 100 - 200 Employee
• Senior Representative - Revenue Cycle

  • Oct 2022 - Present


Medsphere Systems Corporation

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

• RCM Billing Specialist

  • Nov 2019 - Sep 2022

  Responsible for account management of multiple medical practices, including patient account management, application of all payments to appropriate accounts, coding skills used for payment application and denial follow-up, and answering patient calls in a call-center atmosphere. Responsible for account management of multiple medical practices, including patient account management, application of all payments to appropriate accounts, coding skills used for payment application and denial follow-up, and answering patient calls in a call-center atmosphere.



Jefferson County Public Health

• United States
• Public Health
• 100 - 200 Employee

• Senior/Lead Medical Biller

  • Jul 2016 - Oct 2019

  Manage and maintain all patient accounts for services provided in the clinic, including: · Verification of demographic and charge information; Reviewing and monitoring claims submitted to ensure payment is received for services rendered; Maintain accuracy, completeness and security for medical records and health information; manage accounts with private insurance and Medicare · Generate invoices and statements for contracts and patient billing; Application of all payments received into the appropriate accounts and charges from private insurance, Medicare, and Medicaid · Communicate effectively with staff, patients and insurance companies by email and telephone; Work with clinic supervisors and support staff to resolve problems, improve operations and provide exceptional customer service; Identify new methods to optimize patient account management; Develop team communications and information for meetings with the accounting staff and clinic personnel · Review and update direct reports on department procedures and policies to maximize department effectiveness · Managed accounts during a complete system transition and help to maintain minimal downtime during updates



Crestone Practice Solutions

• Medical Practices
• 1 - 100 Employee

• Accounting Specialist

  • Nov 2014 - Jul 2016

  Applied mathematical abilities on daily basis to calculate and check figures in all areas of accounting systems, including:· Physician compensation for services provided· Accounts payable operations including invoice coding and assessment, refund processing, hospital trauma and medical director invoicing, physician payroll preparation, account journal entry, monthly and quarterly reconciliation, financial data input and reporting, and 1099 preparation· Reported financial data and updated financial records in ledgers and journals; Reconciled account information and reported figures in general ledger by comparing to bank account statement on a regular basis

• Account Manager

  • Jun 2013 - Nov 2014

  Maintenance of patient accounts through multiple processes including:· End-of-day system reconciliation for charge-creation and received payments; Posted payments and collections on regular basis from private insurances, Medicare and Medicaid· Assisted patients and worked extensively to resolve all concerns to their accounts, including determining if financial assistance is available and setting up payment plans· Reviewed outgoing bills for eligibility and accurateness, which included the use of my CPC-A coding certification; Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement; Maintained current accounts through aged revenue reporting; Analyzed complex Explanation of Benefits forms to ensure insurance carriers were paying correctly

• Account Specialist

  • Dec 2012 - Jun 2013

  Providing office support to help maintain patient accounts through multiple processes including:· Posted all payments and collections on a daily basis; Analyzed complex Explanation of Benefits forms to ensure insurance carriers were charged correctly; End-of-day system reconciliation for charge-creation and received payments· Maintained current accounts through aged revenue reporting; Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement

• Administration Assistant

  • May 2012 - Dec 2012

  · Performed general office duties, including answering multi-line phones, routing telephone calls or messages to appropriate staff and greeting visitors; Communicated effectively with others through active listening and dynamic interpersonal skills; Received/processed records requests· Managed large volumes of data efficiently and with great care on daily basis; Processed payments that had been received from insurance companies and Medicare; Accurately posted payments and adjustments both electronically and manually; Reconciled accounts, managed audits and updated financial records with remarkable accuracy; Entered numerical data into databases with speed and accuracy using 10-key pad