Medicaid Billing Analyst Resume Example
Multi-talented Medicaid Specialist consistently rewarded for success in planning and operational improvements. Experience in policy development and staff management procedures positively impacting overall morale and productivity. Enthusiastic eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Clear understanding of Medicaid Billing and training in 10-key, Medicaid billing system as well as the billing system of the Baton Rouge Baton Rouge General billing system, trained in ICDD9, CPT, HCPS levels I, II, III coding , strong knowledge of Siemens Patient Accounting, Charge Master, Service Master and document imaging systems, Eclypisis Document Imaging System and electronic bill date posting through DSS/Envoy.
Motivated to learn, grow and excel in any position. Ambitious to learn and with 30 years of hands-on experience verifying transaction information, obtaining payment authorizations and scheduling and preparing disbursements. First-rate expert at customer communication, data entry and organization. Diligent and meticulous professional commended for quickly and accurately learning new procedures.
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Artesia General Hospital – Carlsbad , NM
- Devoted special emphasis to punctuality and worked to maintain outstanding attendance record, consistently arriving to work ready to start immediately.
- Reviewing, preparing and ensuring accuracy of electronic/hardcopy of claims for Medicaid.
- Research needed information from Inter-department to support the required billing infromation.
- Completion of re-billing of claims from inter-department personnel.
- Ensure accuracy and completeness of electronic/hardcopy of claims for State Agencies and Insurance Companies.
- Knowledge of payer billing and regulations requirments.
- Assists reimburament department to ensure that the maximum reimbursement is received fromthe Medicaid program.
- Communicates with department within the hospital system to ensure that the infromation received at the time of admission is accurate.
- Reports any unbilled claims to management to ensure that resolution from other departments is needed.
- Reported areas of improvement to insure that billing was completed in the in the required deadline (every Wednesday), this is the deadline for Medicaid claims to billed to the FI for payment the following week.
- Maintained and met weekly and monthly goals for billing deadlines for Medicaid.
Texas Christian University – Fort Worth , TX
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
- Identified, researched and resolved billing variances to maintain system accuracy and currency.
- Managed efficient cash flow reporting, posted cash receipts and analyzed chargebacks, independently addressing and resolving issues.
- Posted and adjusted payments from insurance companies.
- Located errors and promptly refiled rejected claims.
Baton Rouge General Health Systems – City , STATE
- Increased customer satisfaction by resolving billing issues.
- Maintained excellent attendance record, consistently arriving to work on time.
- Devoted special emphasis to punctuality and worked to maintain outstanding attendance record, consistently arriving to work ready to start immediately.
- Cash Management Supervisor
- Reviewed and reconciled managed care contract accounts.
- Compare discounts to patient accounts and adjust contractual accordingly
- Maintain and update monthly discount logs for managed care contract accounts with participation in annual reconciliation of all payor logs to remittance advice.
- Review document and resolve refund checks
- Responsible for reconciling Medicaid records of total charges billed and paid from computer reports.
Baton Rouge General Health Systems – City , STATE
- Maintained excellent attendance record, consistently arriving to work on time.
- Reconciled all payment information posted bvy the cashier as will as deposits for transport to bank
- Reconciles account balances and determines resolution of refund
- Verified and reported collections on Bad Debt to Collection Agencies
- Researched and reconcieled special projectsa fromthe Accounting Departments.
- Created and organized outpatient files in alpha-numeric order.
- Obtained patient financial records for audit
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Resume Overview
School Attended
- Port Allen High School
Job Titles Held:
- Medicaid Billing Analyst
- Billing Specialist
- All Payor Log Specialist
- Data Control Specialist
Degrees
- High School Diploma 05/1980
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