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Medical Billing Supervisor

Location:
St Louis, MO, 63049
Salary:
45,000 yearly
Posted:
August 11, 2011

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Resume:

Megan Messer Ward

High Ridge, Mo. *****

636-***-****

SUMMARY

Over 18 years experience in medical insurance. Strong emphasis in development of customer relations. Strengths include communication skills; focus on accuracy and meeting production deadlines. Ability to learn different systems and policies quickly and adapt to a variety of environments. Experienced with IBM PC (Windows, MSword, Excel) and Apple Macintosh computer systems.

EMPLOYMENT EXPERIENCE

Carelinc Options/ Rehab Choice

Billing Supervisor 2004 - 2011

• Billing Manager for multi-company outpatient therapy provider.

• Supervised billing staff at corporate office that provided all aspects of billing functions

Filing claims to Medicare, Workers Comp, and private insurance companies.

Cash posting

A/R follow-up

Patient collections

Month end reconciliation

• Provided all credentialing to Medicare & private insurance companies.

• Set up all directories to clearinghouses and Medicare carriers in several different states

• Reduced outstanding accounts receivables by 60%.

• Knowledgeable in Medicare regulations and policy and procedures.

Personal Touch Homecare 2002-2004

Billing and Payroll Manager

• Managed the Billing and Payroll Department for our regional home healthcare office. Worked heavily with our satellite offices and New York based corporate office.

• Responsible for overseeing the processing of weekly payroll, including garnishments and stop payments for all the nurses and home health aids.

• Handled all billing for Medicare PPS, Medicaid and private insurances, including cash posting and A/R follow up. Set up all the fee schedules for different insurances in our AS 400 system.

• Proficient with several online billing systems.

General American Insurance Company 1997-2002

Claims Analyst III

• Responsible for processing group health claims for a major airline.

• Processed medical, hospital, dental and orthodontia claims using a computrak system.

• Preformed all adjustments including refunds and stop loss reviews.

• Knowledgeable in pricing and interpreting fee schedules for the PPO networks

• Consistently exceed production goals of 128 claims

Selected several times as a mentor to audit and train new associates with an excellent record in developing quality associates.

EDUCATION AND ADDITIONAL COURSEWORK/ ACTIVITIES

St. Louis Community College at Meramec-

Volunteer at Children’s Hospital



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