Detail-oriented Billing A/R Specialist who keeps entries up-to-date daily. Dedicated to providing current state-of-accounts reports to inform cash flow management decisions.
Over 10 years of Healthcare consulting experience including hospital and physician Excel in collections, denial management, appeals, payment posting, charge entry, insurance verification, policy and procedure updates, and registration.
Electronic and manual Medicare, Commercial, and Third-party claim submissions-extensive UB04 and CMS 1500 knowledge.
Able to identify and solve problems and to coach others; provided training and direction to new PFS staff.
Updated and implemented policies and standard operational procedures for best practices regarding billing and collections.
Review payment denials and discrepancies and re-bill for reimbursement. Systems/Skills Overview:
Microsoft Word, Excel, Outlook, Access, PowerPoint, and Publisher.
Traveling Medical Billing Specialist03/2014 to CurrentHealthcare Resource GroupSpokane, WA
Cash Payment posting policies and procedures implemented and updated for posting department. Training on how to balance days and months. Financial reporting. Medicare-DDE Billing and follow-up/Medicaid Billing and Direct entry billing/adjustments.
Hospital follow-up on Commercial payers all financial classes. (March 2014-August 2014)
Hospital and Clinic billing and follow-up all Government and Commercial payers.
Medicare DDE billing and follow-up/Medicaid billing and direct data entry/adjustments. Turning Point Resources-CA Travel Billing Specialist January 2014-March 201 St Joseph's Hospital-IL
Billing and follow-up Illinois Medicaid using Meditech Mammoth Hospital, Mammoth Lakes, CA - Managed Care Collector
Billing and follow-up of Workers Compensation
Follow-up of Blue Cross claims Ferry County, Republic, WA -Medical Billing Representative
Billing and follow-up of all commercial payers
Provider One Adjustments Skyline Hospital, White Salmon, WA - Provider One Trainer and Account Recovery
Provider One Adjustments and Employee training
Medicaid Account Recovery Lincoln Hospital District 3, Davenport, WA - Consultant
Charge Entry in Provider One Portal
Account Recovery in all Commercial payers
Secondary billing Holy Rosary Hospital, Miles City, MT - Medical Biller/Consultant
Hospital and Physician Credits & Refunds/Admission Department/Medical Billing/Collections
Payment Posting and Charge Entry using Dairyland/Healthland software St. Patrick's Hospital, Missoula, MT - Consultant
Medical Billing and Admissions Department
Auditing credits and issuing refunds for commercial insurance, Medicare, Medicaid and Self Pay accounts
Auditing Veterans Administration for overpayments and turning in findings to hospital management
Worked on the proration holds and unbilled reports to obtain missing demographic information and NPI numbers to complete billing process
DDE (Medicare) - Inpatient auditing for any inpatient and ER admissions; Systems: Meditech
Chambers Hospital, Anahuac, TX-Remote Analyst/consultant02/2012 to 01/2014ResolutionsLouisville, CO
Louisville, CO-Remote Assignments for following hospitals: February 2012-January 2014 Chambers Hospital, Anahuac, TX-Remote Analyst/consultant
Commercial/Medicare/Government follow-up using CPSI and Healthland systems. South Lyon Medical Center, Yerington, NV-Consultant onsite and remote analyst
Commercial/Medicare/Government follow-up using CPSI systems/healthland conversion accounts.
Medicaid billing using CPSI and Nevada Medicaid billing guidelines. NYE Regional Medical Center, Tonopah NV-Remote analyst/consultant
Medicare/Commercial follow-up using CPSI billing system.
MBA: Accounting2014Colorado Technical UniversityColorado Springs, CO, USColorado Technical University 1/1/2013- graduation date 9/2014 Colorado Springs, CO Master of Business Administration (Accounting) (MBA) GPA 3.81
Bachelor of Science: Accounting2012Colorado Technical UniverstiyColorado Springs, CO, USABachelor of Science in Accounting 1/2011-8/2012 GPA 3.8
2010-11-10Cheryl Fell's School of BusinessNiagara Falls, NY, US
High School Diploma
Billing, Medicaid, Medicare, Adjustments, Meditech, Posting, Training, And Account, Auditing, Billing/collections, Blue Cross, Claims, Collections, Commercial Insurance, Compensation, Credit, Davenport, Managed Care, Medical Billing, Medical Invoicing, New Product Introduction, Npi, Workers Compensation, Accounting, Hr Generalist, Hrg, Data Entry, 70 Wpm, Access, As400, Best Practices, Cerner, Citrix, Cms, Content Management System, Epic, Excel, Healthcare, Keyboarding, Medisoft, Microsoft Word, Outlook, Pfs, Powerpoint, Publisher, Quickbooks, Quickbooks Pro, Sms, Typing, Word, Cash, Financial Reporting, Mba, Secretarial