Experience

Premier Health Billing Services
• United States
• Business Consulting and Services
• 1 - 100 Employee
• Medical Billing A/R Specialist

  • Feb 2022 - Present


Haven Chemical Health Systems, LLC

• United States
• Individual and Family Services
• 1 - 100 Employee

• Billing Analyst

  • Jul 2018 - Mar 2022

  • Determines appropriate charges based on services provided at our 7 locations . • Reviews patient accounts to ensure accuracy and completeness of claims billing for maximum reimbursement. • Reviews explanations of benefits from third party payers to determine if payment was made correctly and if denials can be re-billed. Identifies, compiles, abstracts, and codes patient medical data, using standard classification systems. • Ensures accurate assignment of all medical codes. • Identifies discrepancies in documentation. • Provides information to insurance carriers or patients regarding patient accounts. • Follows up on accounts receivables with patients and third party payors, re-bills claims, and initiates account correspondence or phone calls to patients and/or third party payors. • Maintains files on all documentation, such as charge slips, Explanation of Benefits, and client or patient information. • Refers accounts to collectors in accordance with policy. • Performs other related duties as assigned or requested. Show less



WebPT

• United States
• Software Development
• 500 - 600 Employee

• Medical claims analyst /CSR

  • Jan 2017 - Jul 2018

  Major Tasks, Duties and Responsibilities: •Verified and documented patient insurance benefits, correct registration information. •Received computer bills and complete in accordance with payor requirements, rebill insurance/bill secondary carrier. •Properly documented all correspondence follow-up. •Reviewed Medicare RA to ensure claim processed correctly, review PPO/HMO payments for accuracy, input discounts and adjustments, file zero files, refund/adjust credit balance accounts. •Identified delinquent accounts and recommend disposition. •Courteously and promptly handle patient and insurance telephone and written inquiries. •Demonstrated knowledge of hospital and department policy and procedure. •Discussed patient/insurance issues as it related to policy and procedures. •Adhered to written hospital/ clinical policy and procedures. •Performed all other duties as assigned. Show less



Chiropractic Rehabilitation Center.

• United States
• Medical Practices
• 1 - 100 Employee

• Office Manager

  • Jan 2013 - Jan 2017

  • Determines appropriate charges based on services provided at our 7 locations . • Reviews patient accounts to ensure accuracy and completeness of claims billing for maximum reimbursement. • Reviews explanations of benefits from third party payers to determine if payment was made correctly and if denials can be re-billed. Identifies, compiles, abstracts, and codes patient medical data, using standard classification systems. • Ensures accurate assignment of all medical codes. • Identifies discrepancies in documentation. • Provides information to insurance carriers or patients regarding patient accounts. • Follows up on accounts receivables with patients and third party payors, re-bills claims, and initiates account correspondence or phone calls to patients and/or third party payors. • Maintains files on all documentation, such as charge slips, Explanation of Benefits, and client or patient information. • Refers accounts to collectors in accordance with policy. • Performs other related duties as assigned or requested. Show less



Center For Speech,Language and Learning Inc.

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

• Business Office Manager

  • Mar 2008 - Jun 2012

  A/R : ·Monitor and manage insurance claims to ensure prompt, accurate and maximum payment ·Evaluate medical record documentation to determine coding accuracy for claim resolution ·Monitor customer account details for non payment, delayed payments, credit balances or other account irregularities ·Review EOB payments, write off and rejections ·Prepare and document refund requests or credit balances ·Perform month end balancing ·Post daily deposit for multiple entities ·Enter and post payments ·Assist patients or insurances with queries on accounts, problem solving insurance processing issues Front Desk : ·Greet patients upon their arrival at the clinic ·Collect and enter patient registration and demographic information ·Served as a liaison between the patient, clinic staff ·Scan registration paperwork, face sheets, medical insurance card copies, HIPAA forms etc ·Managed patient check out process including scheduling follow-up appointments, if needed Show less



Central Pediatrics

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

• Front Desk

  • Mar 2007 - Mar 2008

  Front Desk : ·Greet patients upon their arrival at the clinic ·Collect and enter patient registration and demographic information ·Served as a liaison between the patient, clinic staff ·Scan registration paperwork, face sheets, medical insurance card copies, HIPAA forms etc ·Managed patient check out process including scheduling follow-up appointments, if needed Front Desk : ·Greet patients upon their arrival at the clinic ·Collect and enter patient registration and demographic information ·Served as a liaison between the patient, clinic staff ·Scan registration paperwork, face sheets, medical insurance card copies, HIPAA forms etc ·Managed patient check out process including scheduling follow-up appointments, if needed



US Oncology

• United States
• Medical Practices

• Clerical: A/R and Cash Application

  • Mar 2004 - Sep 2006

  A/R : ·Monitor and manage insurance claims to ensure prompt, accurate and maximum payment ·Evaluate medical record documentation to determine coding accuracy for claim resolution ·Monitor customer account details for non payment, delayed payments, credit balances or other account irregularities ·Review EOB payments, write off and rejections ·Prepare and document refund requests or credit balances ·Perform month end balancing ·Post daily deposit for multiple entities ·Enter and post payments ·Assist patients or insurances with queries on accounts, problem solving insurance processing issues Front Desk : ·Greet patients upon their arrival at the clinic ·Collect and enter patient registration and demographic information ·Served as a liaison between the patient, clinic staff ·Scan registration paperwork, face sheets, medical insurance card copies, HIPAA forms etc ·Managed patient check out process including scheduling follow-up appointments, if needed Show less


Wilson's Leather
• United States
• Retail
• ASM

  • Oct 1992 - Oct 1993

US Navy
• United States
• Armed Forces
• 700 & Above Employee
• Ship Serviceman (Barber)

  • 1990 - 1993