Medical Billing Specialist
Resume:
TERRILYNN ANDERSON
INGLEWOOD, CA *****
***********@*****.***
OBJECTIVE
A challenging Medical Billing position with diverse job responsibility in a growth-oriented organization seeking an articulate and personable professional who displays initiative and is well organized.
SUMMARY OF ACCOMPLISHMENTS
- Analytical ability, with extensive experience in execution of Billing process
- Proven ability to work independently, handle simultaneous projects, and meet deadlines.
- Effectively motivate others in the achievement of individual and organizational goals.
- Set up job descriptions and standards for all positions in Billing and Front offices.
- Motivated, efficient, dependable, accurate, and detail-oriented.
EXPERIENCE
MEDICAL BILLING SPECIALIST - (03/2010 thru 08/2013)
Dr. Victoria Cohn, MD of Urology Specialist in LAS VEGAS, NV
Performed daily Deposits, posted payments read EOB'S to Determine correct payments been received per Contract Responded to all correspondance in Billing, reviewing and validating all codes, review of denials and underpayments, Resubmisssion of Claims to complete the process to insure clean claims and maximum reimbursement. Worked Insurance & Patient agings provided account analysis, reconciled and audited patients accounts to determine all insurance payments had been received per contract, secondaries are forwarded and patients are being billed in a timely and accurate manner. Reviewed unapplied cash reports for application, allocated payments. Reconciled deposits to bank statements, did proof of cash investigations and disputed any discrepancies. Provided cash flow trend analysis and other monthend financial report summaries directly to Physician by Performing end of month
closing procedures. Handled internal and external inquiries concerning computer billing software,using Office Ally.
LEAD MEDICAL BILLER - (06/2005 thru 02/2010)
Quest Billing Services for Apex Medical Centers in LAS VEGAS, NV
Performed all facets of Billing for Multi Specialty Group including posting office, procedure,hospital visits, and Laboratory Charges. Performed CPT & ICD9 coding of all patient and laboratory reports dictated daily by Physicians for charge entry. Converted charge entry summaries to Excel reports on weekly basis directly to practice location.
Performed a variety of account receivable review and entries/adjustments needing posting to system. Responsibilities included researching checks for overpayment validity, processing balance billing, handling patients' disputes,processed cash receipts reports from daily summeries recieved by practice locations. I was responsible for the
Supervision of 7 billing clerks also assigned this companies largest client Group.
Ran monthend financial statements,Developed and implemented billing/collection procedures, including revising the computer billing software to better meet needs of entire medical office staff. By way of changing from Collaborate to Intergy softwares.
CLAIMS EXAMINER-A/R AUDITOR - (03/2002 thru 05/2005)
SYNERGISTIC SYSTEMS for Southwest Emergency Physicians in CHATSWORTH, CA
Completed claims by requesting missing information via checkpoint system top coded patient and insurance info for easier data entry, determined level of reimbursement based on established criteria which was needed to process clean claims for billing per provider contract or plan provisions. Denied all claims ineligible for payment. Identified dual
coverage and potential third party liability cases. Performed standard claim coding such as CPT4,ICD9, and HCPCS when claims were flagged as unprocessable. I also did training and outlines of the health care benefits and structure to patients via telephone when needed informing them of insurance procedures in a HMO/PPO environment via their insurance plan provisions. Handled some referals and authorizations, and processing of automated claims on occasion. Worked in a face pace envioroment using Medical Manager Software.
CERTIFICATIONS
- Medical Billing and Coding Procedures, Pacoima Skills Center, Fully Accreditated. (2000 - 2001)
- Microsoft Word and Excel, w/Internet Innerscope, Pacoima Skills Center, (2000 - 2001)
REFERENCES
Available upon request.
Contact this candidate