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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
  • Check processing
  • Debt management
  • General ledger entries
  • Bill payment
  • Interest calculations
  • Accounts payable
  • Flexible
  • Troubleshooting
  • Reliable and trustworthy
  • Analytical
Experience
Medical Billing and Collections Specialist | 10/2011 to 04/2015
Company Name - City, State
  • 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
Company Name - City, State
  • 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
Company Name - City, State
  • 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
Company Name - 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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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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