To obtain employment as a Medical Support Assistant at the Department of Veterans Affairs.
Billing Generalist November 2014 to CurrentEmanuel County Health Department － Swainsboro, GA
Monday, Wednesday, and Thursday, 8:00 am to 4:30 pm Tuesday, 8:00 am to 6:30 pm Friday, 8:00 am to 2:00 pm Do intake and interview clients/responsible party obtaining appropriate financial information.
Screen/receive phone calls in a courteous and timely manner, determine the nature of requests and provide the information desired using privacy rules and established clinic processes Accurately enter information into automated PH system and determine appropriate payment sources.
Sets priorities and deadlines, adjusting the flow and sequencing of the work, to meet team and patient needs Generates patient workload reports for validation and monitors activity in clinical areas to assure consistent and accurate reporting Review charts for information accuracy and prepare 3rd party billing claims for submission to appropriate vendor within established time frame.
Post claims payments accurately and follow-up on claim denials/rejections correcting issues for resubmission.
Prepare and mail invoices according to established guidelines.
Prepare daily deposits.
Develop and prepare reports as needed to resolve payment issues; work closely with District staff and Billing Vendor to assure appropriate charges and submission of claims.
Supervise or act as Lead Clerk to assist other clerks with billing/scheduling/intake issues, and relay updated program guidelines.
Provide training for established and newly hired employees.
Regularly attends staff meetings to stay abreast of changes in order to manage and help plan patient care; and supervisory meetings to ensure timely billing/payment and to solve any billing issues.
Create a high performance environment characterized by positive leadership.
Billing Representative II October 2012 to CurrentEmanuel Medical Center － Swainsboro, GA
Monday-Friday, 8:00 am to 4:30 pm Captures and generates charges for inpatient and outpatient procedures/services for billing to Medicare and Medicare Advantage plans Research claim denials and/or rejections on EOBs based upon medical necessity and reviews rejections with provider to obtain accurate diagnosis or coding that may result in payment of claim Captures and generates late charges for previously billed claims that have been paid to file adjustment to insurance for additional payment Captures and generates charges for Swing-bed procedures and services for billing to Medicare/Medicare Advantage plans Write up adjustments and write-offs to be posted to the accounts as needed Captures and generates charges for Nursing Home services for billing to Medicare/Medicare Advantage Plans, Medicaid, Hospice, and Private pay claims for Emanuel County Nursing Home.
Physician Office Certified Medical Assistant July 2011 to October 2012Emanuel Medical Center － Swainsboro, GA
Monday-Thursday, 7:30 am to 5:00 pm; Friday-Sunday, 12:00 pm to 8:00 pm, PRN Efficient handling of administrative duties (e.g., answering phones, scheduling appointments, maintaining medical records, patient processing, verifying patient insurance plan, obtaining Pre-certification, scheduling referrals, billing and bookkeeping) that allowed doctors to focus on the health concerns of their patients.
Maintain patients safe passage in and out of clinic and ancillary services Greet and interview patients File paperwork, lab slips, and insurance into the medical chart Obtain vital signs, past medical history, surgical, family, and social histories Review present medications, allergies, chief complaint, and brief interrogation of complaint Preparing and positioning patients for examinations Assisting physician during examinations Administering of procedures and medications as directed by the physician Ensured the cleanliness, sanitation and maintenance of all facilities, exam rooms and equipment.
Stocking and ordering of supplies as needed Maintain patient confidentiality.
Billing Representative January 2009 to July 2011East Georgia Healthcare － Swainsboro, GA
Monday, 8:00 am to 7:00 pm, Tuesday-Thursday, 8:00 am to 5:00 pm, and Friday, 8:00 am to 2:00 pm Perform daily claim generation, review of progress notes and correct coding of claims.
Report all billing issues to Billing Supervisor immediately.
Perform daily scrubbing of claims by verifying that entry of daily charges and patient demographics are correct and complete.
Generate insurance/claim electronic remittance advice (ERA) reports daily and post payments and adjustments in a timely manner.
Transmit insurance claims and work denied insurance claims daily by following up on non-paid claims.
Post mail-in EOB/payments/adjustments in a timely manner.
Enter data of claims on Web Portals as needed.
Verify the accuracy of patient information for denied claims.
Aid in the collection of delinquent accounts by establishing payment arrangements with patients.
Aid with monthly reconciliation between eCW and Peachtree through developed procedures of insurance take-backs, re-coups, and un-posted interest.
Answer multi-line phone system, schedule appointments, and use facsimile machine to fax referrals and other documents.
Education and Training
Diploma : Medical Assisting, 2008Swainsboro Technical College － Swainsboro, Georgia, United States
High School Diploma : 2002SWAINSBORO HIGH SCHOOL － Swainsboro, GA