Stephanie Sumner
Payment Posting Clerk / Medical Biller at HealthSource Saginaw- Claim this Profile
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English -
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Spanish Limited working proficiency
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Sign Languages Limited working proficiency
Topline Score
Bio
Experience
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HealthSource Saginaw
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United States
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Hospitals and Health Care
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1 - 100 Employee
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Payment Posting Clerk / Medical Biller
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Dec 2019 - Present
Post insurance and patient payments to patient accounts. Analyze payments and communicate with staff to ensure accurate application of payment to patient account and/or insurance claim. Draft appeal letters and send in necessary medical documentation to insurance companies to obtain payment on denied claims. Generate daily claims to bill insurance companies. Communicate with patients/patient's family members, and insurance representatives to resolve billing issues. Follow up on insurance claims to verify correct payment has been made. Show less
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Medical Biller/ Administrative Assistant
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Dec 2017 - Dec 2019
Created patient profiles in UDS, and processed patient discharges. Conduct monthly audits of patient's medical chart. Track monthly performance improvement indicators, identify problem areas to ensure adherence to CMS/Joint Commission standards. Maintain credentialing status with UDSMR by coordinating staff credentialing exams every 2 years. Generate daily claims to bill insurance companies. Communicate with patients/patient’s family members, and insurance representatives to resolve billing issues. Follow up on insurance claims to verify correct payment has been made. Show less
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Recreation Therapist
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Jun 2015 - Dec 2017
General Duties: Utilize critical analysis and acute visual cues to complete initial assessments on new patients. Determine long term and short term goals, while continually re-assessing patients’ needs. Implement and execute individual, as well as, community re-integration sessions. Maintained patient records with updated goals and progress. Created patient profiles in UDS, and processed patient discharges.o Utilized multiple communication methods in order to relay patient progress and updated needs to nursing staff, therapists, and patient’s family members. Special Assignments: Prepared and submitted a CMS audit by gathering, organizing and auditing patient medical records. Show less
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Origami Rehabilitation
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United States
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Hospitals and Health Care
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1 - 100 Employee
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Living Skills Staff
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Feb 2015 - May 2015
General Duties: Monitored client’s nightly health, alerting staff if problems occurred. Assisted patients with their ADL’s (Activities of Daily Living) while reinforcing therapy techniques previously taught by therapists. Updated patients progress in central documenting system. Assisted in maintaining a high level of cleanliness throughout the facility. General Duties: Monitored client’s nightly health, alerting staff if problems occurred. Assisted patients with their ADL’s (Activities of Daily Living) while reinforcing therapy techniques previously taught by therapists. Updated patients progress in central documenting system. Assisted in maintaining a high level of cleanliness throughout the facility.
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Education
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Central Michigan University
Bachelor's degree, Recreation, Parks, and Leisure Administration -
Delta College
MACRO agreement with CMU, General Studies