Medical Billing Manager
Resume:
Cheryl T Willis
*** ******** ** ********, ** **537 970-***-****
******.******@*******.***
Objective:
To obtain a position at respectable office where I can maximize my
leadership skills, medical billing background and training experience
Technical Skills/Proficiencies:
o Overseeing and training of team members
o Thirteen years of experience in Colorado Medicaid, Colorado
Access and CHP Plus
o Ten years of experience in Accounts Receivable
o One year experience in Electronic Data Interchange
o Knowledge of Microsoft Office Products, WordPerfect, PCN,
NextGen, and MedSeries 4
Experience:
2007-Present Banner Health Greeley, CO
Physician Billing Office Representative
o Verify and process claims billed out to the payer are correct
and accurate
o Work any claims that have rejected from the payer or WebMD and
resubmit
o Verify providers are set up correctly within NextGen and
communicate information to support staff and management
o Instruct and guide staff members on how to handle claims that
have not been received or denied at the payer due to processing
errors
o Problem solving with payer issue and working with other staff
members to find a resolution
2006-2007 Banner Health Greeley, CO
EDI Coordinator
o Create 837 files to be submitted to payers on a daily basis
o Verify 997 reports at the payer level to ensure all claims
submitted
o Balance total claims that received at the payer to the total
claims sent
o Open tickets with DSG when claims were not received, large claim
rejections at the payer level, when problems arise within the
transmissions that are sent and unable to balance claims
transmitted from the PBO to DSG
o Sent statements out from multiple systems daily and balance
total statements sent
o Assist in emails sent to the NextGen support box within a 24
hour period
o Set up users with access to printers, manager codes or problems
within PCN
o Assist in any special projects such as total dollar amounts sent
to insurances, auditing claims that are sent through DSG
o Download payer reports from Colorado Medicaid for A/R Reps to
review
1996-2006 Banner Health Greeley, CO
Physician Billing Representative
o Assist customers in their inquiries about medical bills received
o Prepare daily deposits
o Submit primary and secondary claims through Colorado
Winasap/Webportal for professional and UB04 formats
o Assure reports were worked and reported correct information to
Management for Colorado and Wyoming Medicaid
o Follow up on payer reports and EOB's from Medicaid payers
o Research Denials
o Communicate with EDI for trends or issues that are found within
the payer
o Help in building information and gave access within the
Webportal to A/R and clinic staff
o Developed procedures on how to work Colorado Medicaid
o Establish relationships within Colorado Medicaid and surrounding
counties social services departments
References
Elva Marquez
Private Pay Supervisor
Kari Holm
PBO Supervisor
Betty Aab
Social Worker
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