Knowledgeable Senior Medical Biller/Fiscal Assistant specializing in Billing and Financial. Talented at correcting and resubmitting claims.
20-years of comprehensive experience in UM. Committed to maintaining 100% accuracy in processing invoices. Proficient in vendor management and Financial reconciliation. Proactive and self-motivated with high degree of professionalism and strong problem-solving capabilities.
Dedicated to performing on-time staff, vendors and supplier payments. Offering 20- years of functional experience in providing clerical, financial and administrative services in UM industry.
Skills
Medical coding knowledge
Payment posting/Processing
Accounts receivable management
Records Maintenance
Data Analysis
Patient account analysis
Sheet balancing
Financial statement analysis
Budgeting
Vendor invoice processing
Medical claims submission
Medicare and Medicaid process
Medical terminology expert
Accounting systems and controls
Regulatory filings
Financial Management
Work History
Senior Medical Biller/Senior Accounting Assistant, 12/1999 - Current Panera Bread (Pr Management Corp) – Webster, MA,
Analyzed medical records to satisfy insurance company mandates.
Translated and interpreted medical billing codes with strong accuracy to enable swift payment from insurance agencies.
Collected payments and applied to patient accounts.
Used CMS and UHEALTH to input information into computerized patient record system.
Delivered timely and accurate charge submissions utilizing EPIC.
Verified proper ICD-10 coding on claims.
Reviewed outgoing bills for eligibility and accurateness.
Filed and updated patient information and medical records.
Submitted electronic and paper claims to insurance companies including Medicare and Medicaid to collect medical payments.
Orchestrated day-to-day operations of billing department, including medical coding, payment posting, accounts receivables and collections.
Researched and followed up on denied insurance claims.
Confirmed backup and proper storage of sensitive information in event of data breach or outage.
Managed billing calendar and scheduled claims for payments.
Complied with all HIPAA Privacy and Security Regulations to protect patients' medical records and information.
Posted payments and collections on regular basis.
Participated in workshops and other training opportunities to remain current on billing procedures, regulations and industry updates.
Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
Reviewed patient records, identified medical codes and created invoices for billing purposes.
Reviewed patient diagnosis codes to verify accuracy and completeness.
Trained new employees on multiple medical billing programs and data entry software.
Verified signatures and checked medical charts for accuracy and completion.
Liaised between patients, insurance companies and billing office.
Youth Ministry Assistant, 06/1984 - 12/2018 Tabernacle De Dieu En Christ & Church Of Perfection – City, STATE,
Set goals for youth in church and communicated with parents regarding progress, Receive training and support as determined in conversation with my pastor.
Participated in continuous improvement by generating suggestions, engaging in problem-solving activities to support teamwork.
Planned and conducted worship services, worked with key church leaders to carry out church mission. Attend meeting for the purposes of the overall ministry of the church.
Facilitated community outreach programs, including guidance programs focused on helping middle school students prepare for college or vocational education opportunities, Serve as advisor to others as needed.
Raised congregational awareness of needs and contributions of youth to church life and operations.
Order Entry Processor/Returns Clerk, 08/1993 - 12/1998 Abc Distributing – City, STATE,
Received and followed pick sheets to gather merchandise for customer orders.
Conducted research, gathered information from multiple sources and presented results.
Operated pallet jacks, forklifts and other equipment regularly.
Assisted customers by providing tracking information and resolving shipping or merchandise issues.
Double-checked customer orders and information before filling out order forms to prevent unnecessary delays and errors.
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School Attended
Miami Dade College
Univ Of Miami School Of Continuing Studies (Koubek
