Educational background and hands on experience includes
Accounts Receivable, Medical Billing, Customer Service, and Administrative work. Being able to work multiple projects, Problem
Solving Skills, Excellent Communication Skills, Team Player, Organizational
Advanced computer proficiency (both PC and Mac)
Superior attention to detail
Strong in MS Access and Excel
Discrepancy Analyst, 2013 to Current Parallon Business Solutions – Work From Home
Work Medicare Discrepancy Report or Web tool to determine types of financial discrepancies and assign appropriate reason codes for insurance follow-up processes Place correct contractual adjustments on accounts Make corrections on Non-payment related discrepancies Post ERA payments in RUMBA Mainframe system from Medicare or Medicaid Post Late Charges to Accounts for Charges Submitted after the Patient Discharges Calculate expected Reimbursement by using the CMS Medicare inpatient & Outpatient Calculator Prorate patient liability amount back to primary or secondary Insurance payer if Patient is not Responsible Review Managed Care Contracts to calculate the expected pay Verify and correct Insurance Plans, Deductibles & Coinsurance amounts Correct general ledger when charges have been posted in error Assist in month end reconciliations and review batch reports.
Patient Financial Service Rep II, 2012 to 2013 Dignity Health – Rancho Cordova, CA
Billing Inpatient & Out Patient UB-04 Hospital Claims Submitted Appeals on Denied Claims Billed crossover Medicaid/Medicare claims Retrieve medical records to send with claims Verify Patient's Eligibility Correct CPT codes and Modifiers on claims
Call insurance companies regarding any discrepancy in payments if necessary
Follow up on unpaid claims within standard billing cycle time frame
Knowledge of insurance guidelines
Accounts Receivable Rep, 2009 to 2011 North American Healthcare – St. Louis M
Experience with 1500 claims and UB04 claims.
Data entry of Medicaid and Medicare claims through payer websites.
Scan and upload payments and charges to third party biller.
Follow up On Denied Claims
Verify DX codes and CPT codes on charge sheets
Update missing information such as patient demographics and insurance information
Adjust accounts to the correct AR balance
Ability to make basic numerical calculations
daily and month-end reporting requirements
Sales & Customer Service Rep, AT&T Telephone Company
Answer inbound calls concerning services, billing, products and equipment Sell and promote products and services Made recommendation's according to customers' needs on features, upgrades and rate plans Maintained working knowledge of all company products, services and promotions Kept a daily sales log that exceeded daily goals quota 2.
Bachelor of Science: Business Administration, Colorado Technical University - Colorado Springs, CO