Experience

Center for Orthopaedics

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

• Medical Billing Specialist

  • Dec 2012 - Present

  *Part of a large billing team for this heavy volume Orthopaedic group.*Responsible for all workers compensation claims from start to finish,including treatment authorizations, editing daily charges, EOB reconciliation, payment posting, claim follow up and appeals.*Responsible for Connecticare accounts.* Surgical claim follow up, including denied claims and reimbursement discrepancies. *Part of a large billing team for this heavy volume Orthopaedic group.*Responsible for all workers compensation claims from start to finish,including treatment authorizations, editing daily charges, EOB reconciliation, payment posting, claim follow up and appeals.*Responsible for Connecticare accounts.* Surgical claim follow up, including denied claims and reimbursement discrepancies.



Westside Medical Group

• United States
• Hospitality
• 1 - 100 Employee

• Billing Manager

  • Sep 2009 - Dec 2012

  *Solely responsible for all of the insurance/patient billing for this heavy volume, five provider, Internal Medicine practice. *Update/credential MD's, APRN's, and LPC's with insurance companies as necessary.*Responsible for all patient referrals to specialists*Monitor CAQH for providers and update as appropriate*Code and enter daily charges.*Post insurance and patient payments.*Monitor and work unpaid/paid partial insurance claims*Compile and monitor monthly patient billing, set up and monitor patient payment plans, work with collection agency to resolve patient balances*Troubleshoot and resolve office computer and phone issues*Compile weekly/monthly financial reports and present them at management meetings*Assist patients trying to understand complicated changes to their health insurance plans.*Compile daily deposit and bring to local bank for processinhg



Physicians Health and Wellness Center

• Medical Billing Specialist

  • Feb 1999 - May 2009