Experience

The Cancer & Hematology Centers

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

• Medical Billing Specialist

  • Jan 2016 - Present

  Specializing in Traditional Medicare, straight Medicaid, Hospice, Skilled Nursing and Rehabilition Billing. Specializing in Traditional Medicare, straight Medicaid, Hospice, Skilled Nursing and Rehabilition Billing.



Hope Network

• United States
• Individual and Family Services
• 700 & Above Employee

• Billing & Collections Lead

  • Apr 2014 - Aug 2015



Hope Network Rehab Services

• Medical Billing & Collections Specialist

  • Mar 2011 - Aug 2015

  Proper and timely filing of medical claims for rehabilitation services, psychiatric services, office visits, injections, transportation, residential services and per diem accounts. Billing services to Medicare, Medicaid, commercial, state funded programs, self-funding and auto accounts. Produce monthly computerized claims. Maintain a working knowledge of computerized billing software. Maintain a positive working relationship with multiple Insurance adjustors.Utilize specific knowledge regarding billing and reimbursement guidelines to expedite payment of services. Work specialized reports for reconciliations of claims. Maintain knowledge of protocols & procedures to ensure accurate work. Accurately apply payments and balance daily deposits. Maintain a good working relationship with providers and clinicians to obtain information to assist in the billing process. Assist customers with any questions that they have regarding their account. Show less



We Care Medical Inc

• Medical Billing Specialist

  • Apr 2006 - Mar 2011

  Maintain knowledge of all electronic and paper qualifications to bill Durable Medical equipment. ICD-9 and CPT coding of claims for Medicare, Medicare HMO's, Medicaid, BCBS and all Commercial insurance.Maintain knowledge of all Medicare guidelines required for Durable Medical Equipment. Maintain good Customer Service skills when dealing with the public on a daily basis. Review all explanations of benefits from insurance companies for accurate and timely payment. Verify all payments are posted accurately and deposits balance daily. Show less



Michigan Medical PC

• Medical Practices
• 1 - 100 Employee

• Customer Service Representive/Commerical Billing Specialist

  • Mar 2003 - Apr 2006

  Answer multiple telephone line system as customers call. Assist patients with knowledge of their insurance payments and balances. Specialized working with Priority Health to acquire the fastest most accurate payments of claims. Maintain working knowledge of a claims scrubber and correct claims accordingly. Maintains knowledge of insurance guidelines to assure timely and accurate payments. Produce and work all reports. Accurately post payments and balance accounts. Answer multiple telephone line system as customers call. Assist patients with knowledge of their insurance payments and balances. Specialized working with Priority Health to acquire the fastest most accurate payments of claims. Maintain working knowledge of a claims scrubber and correct claims accordingly. Maintains knowledge of insurance guidelines to assure timely and accurate payments. Produce and work all reports. Accurately post payments and balance accounts.