Experience

Atlanta Hand Specialist

• United States
• Medical Practices
• 1 - 100 Employee

• Medical Billing Specialist

  • Sep 2017 - Present

  Obtain referrals and pre-authorizations as required for procedures.Check eligibility and benefit verification.Review patient bills for accuracy and completeness and obtain any missing informationPrepare, review, and transmit claims using billing software, including electronic and paper claim processing.Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state MedicaidFollow up on unpaid claims within standard billing cycle timeframeCheck each insurance payment for accuracy and compliance with contract discountCall insurance companies regarding any discrepancy in payments if necessaryIdentify and bill secondary or tertiary insurancesAll accounts are to be reviewed for insurance or patient follow-upResearch and appeal denied claims.Answer all patient or insurance telephone inquiries pertaining to assigned accounts.Set up patient payment plans and work collection accountsUpdate billing software with rate changes.Updates cash spreadsheet, runs collection reports. Show less



Robert Half

• United States
• Staffing and Recruiting
• 700 & Above Employee

• Medical Billing Specialist

  • Feb 2017 - Jul 2017

  ● Responsible for entering patient services into timekeeping and patient management computer systems and generating invoices to be sent to Medicare, Medicaid, third party insurance and patients ● Convert hours worked via timesheet to billable units ● Workload of 30 or more psychologists communicating with them regarding questions on their timesheets while maintaining strict confidentiality ● Reviewed entered data for accuracy against original documents. ● Calls between Facilities and medical records departments for needed information ● Billing 250-300 claims daily (medicare/Medicaid/3rd party insurance/direct billing/patient billing) ● Training new employees ● Mastered billing system (ADS) Show less



Kindred

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

• Admissions Representative

  • May 2014 - Jul 2017

  ● PBX operator ● Data Entry ● Obtaining signed statement from patient to protect hospital ● Auditing of patients charts ● Explains hospital regulations such as visiting hours, payment of accounts, and schedule charges ● Checking visitors In/Out ● Interviews incoming patients and enters information in MEDITECH/PROTOUCH ● Assisting with outside departments as needed ● PBX operator ● Data Entry ● Obtaining signed statement from patient to protect hospital ● Auditing of patients charts ● Explains hospital regulations such as visiting hours, payment of accounts, and schedule charges ● Checking visitors In/Out ● Interviews incoming patients and enters information in MEDITECH/PROTOUCH ● Assisting with outside departments as needed



Dixon Recovery Institute

• Medical billing specialist

  • Jun 2013 - May 2014

  ● Bill services rendered for state programs and other health care providers ● Third party billing ● Receptionist /front desk (answering phones, data entry, customer service, greeting clients) ● Assisted office as needed ● Light bookkeeping ● Payroll ● Office manager ● Inventory ● Bill services rendered for state programs and other health care providers ● Third party billing ● Receptionist /front desk (answering phones, data entry, customer service, greeting clients) ● Assisted office as needed ● Light bookkeeping ● Payroll ● Office manager ● Inventory