Medical Billing and Collections Specialist Resume Example
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MEDICAL BILLING AND COLLECTIONS SPECIALIST
Summary
I, Toni Logan is a very results driven Medical Biller with over 19 years of hands-on experience in account management, medical billing and coding. I have been recognized for being efficient and successful when doing batches, posting and matching over 100 invoices daily. Very comfortable working independently and as part of a supportive team.
Skills
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Experience
Medical Billing and Collections Specialist | 10/2011 to 04/2015
Nursecore - Clermont , FL
Nursecore - Clermont , FL
- Oversaw daily collections and accounts receivable activities, developing robust strategies to maximize collections and reduce aged accounts.
- Maintained daily accounting ledgers balance of my data entry, by verifying and posting account transactions, such as cash, checks, money orders and credit cards.
- Followup past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts on a monthly basis
- Process payment of invoices due by sending bill reminders and contacting clients.
- Collected, posted and managed patient account payments.
- Analyzed patients' encounter forms diagnosis codes to validate accuracy, completeness and specificity.
- Assessed billing statements for correct diagnostic codes and identified problems with coding.
Medical Coder and Biller | 02/2004 to 10/2009
Adapt Community Network - New York , NY
Adapt Community Network - New York , NY
- Obtained prompt payments for open bills by interacting with appropriate parties.
- Maintained confidentiality on all patient record data.
- Verified insurance eligibility for patients by calling appropriate parties.
- Worked with Web-Denis to create and submit large numbers of client invoices each day.
- Coded invoices properly based upon patient services and medical records and authorization.
- Liaised with patients, insurance companies and billing office personnel to effectively create and post bills, obtain payments and update system information.
- Processed and sent monthly invoices to customers on standard billing cycle, including adjustments, credit memos and corrections.
- Loaded billing data into systems through data import, scanning or manual keying, to verify complete and accurate client invoices from vendors.
- Calculated figures such as discounts, percentage allocations and credits.
- Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
- Assisted customers with invoice questions, special invoicing, reporting, corrections and write-offs and resolved customer issues discovered during invoicing and collection process.
Office Medical Biller | 08/2001 to 02/2004
Fred Hutchinson Cancer Research Center - Multiple Locations , WA
Fred Hutchinson Cancer Research Center - Multiple Locations , WA
- Assessed medical codes on patient records for accuracy.
- Investigated denials and collaborated with internal team members and third-party representatives to identify solutions.
- Applied HIPAA Privacy and Security Regulations while handling patient information.
- Worked with Web-Denis to create and submit large numbers of client invoices each day.
- Addressed and responded to staff and client inquiries regarding CPT and diagnosis codes.
- Completed and submitted appeals.
- Assigned CPT procedure and evaluation and management (E&M) codes for services to assure appropriate billing and reimbursement.
- Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.
- Added modifiers, coded narrative diagnosis and verified diagnoses.
- Maintained knowledge of new or revised codes and industry regulations to complete accurate coding services, including local coverage determinations.
Support Staff Supervisor | 01/1995 to 02/2001
Fremont Insurance Company - City , STATE
Fremont Insurance Company - City , STATE
- Monitored financial bookkeeping for accuracy and compliance, resolving identified discrepancies with Worker's Comp Claims
- Liaised with customers, addressed inquiries and scheduled and handled meeting to update the technical and support staff on a weekly basis.
- Distributed company correspondence, including memos and updates to reinforce and apprise departments and divisions of corporate objectives and developments.
- Monitored financial bookkeeping for accuracy and compliance, resolving identified discrepancies.
- Responsible for Petty cash disbursement
- Responsible for hiring and firing and training new employees.
- Responsible for ordering supply and inventory management for office operations.
- Handled all Non-Comp Worker's comp claims as well as hiring private investigators to follow clients who appears to have some kind of discrepancies in returning to work after 7 calendar days.
Education and Training
Henry Ford Community College - City
Some College (No Degree)
Workers Compensation Insurance
Lawrence Technological University - City
Some College (No Degree)
Insurance And Risk Management
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- Strong summary
Resume Overview
School Attended
- Henry Ford Community College
- Lawrence Technological University
Job Titles Held:
- Medical Billing and Collections Specialist
- Medical Coder and Biller
- Office Medical Biller
- Support Staff Supervisor
Degrees
- Some College (No Degree)
Some College (No Degree)
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