Sherri L. Cumpston

**** ****** **., ***. **** Austin, TX 78750 512-***-**** abkiuk@r.postjobfree.com

OBJECTIVE Provide exceptional customer service, receive copious reimbursement, and make a profit costing the least amount of money

to the company in which employed.

WORK ETHICS Highly effective, self-motivated, exceptionally organized, detailed, task oriented, and reliable individual

seeking full-time employment in medical billing/collections.

•

SKILLS Quick study

• Typing 40-56 WPM, Data Entry, 10-key

• Mathematics for accounting

• Computer Literate--Explorer; Outlook, and other similar browsers and e-mail systems

• Copier, Fax, and Scanning

• Business Writing (using Word v 2003-2007 )

• Formal appeals to insurance companies to secure reimbursement of denied claims.

• Department of Insurance reporting of denied claims due to repeated insurance company error.

• Credit Bureau reporting through collection agency of non-paying patient accounts (also through phone contact).

• Request for additional information from surgeons and other physicians for reimbursement purposes.

• Excel Spreadsheet

• Unique report of bronchodilator and enteral therapies for the purpose of securing reimbursement from Medicare.

• Exclusive financial report developed to determine correct reimbursement according to contract.

• Error report designed to help management target training opportunities.

• Reliable daily financial reports related to accounts receivables and revenues.

• Standard and special management reporting as directed.

• Telephone customer service

• Assisted patients with complex collection issues

• Established credible rapport with health insurance company representatives

• Helped all departments through telephone communications (or e-mail whichever was appropriate)

• Medical Records (HIPPA Compliant)

• Updating (adding corrected Operative Report to chart)

• Filing (return to place in medical records department)

• Retrieving (research purposes)

• Problem Solving

• Suggested possible process solutions

• Claims follow-up (status) (work 90+ days account past due first)

• Patient payment plan solution

• Thorough knowledge of Explanation of Benefits for spreading, posting and balancing cash.

• Quality assurance

• Competent account auditing.

• Reliable corrections of patient demographic errors impacting reimbursement and cash flow.

• Re-verified insurance for missing information impacting reimbursement and cash flow.

• Joint effort between departments to resolve missing essential data needed for appropriate reimbursement.

• Productive data and charge entry.

• Brief but thorough daily review of 300+ DME charge tickets for data entry and subsequent reimbursement.

• Circulated information to all departments to improve reimbursement and cash flow.

• In-depth coding review to prevent unnecessary denials.

• Corrected charge entry errors to capture all revenue to improve reimbursement and cash flow.

• Research

• General use of specialized manuals such as The Billing Editor, Medicare and Medicaid.

• Expansive use of insurance websites.

• Comprehensive use of coding reference books.

• Extensive use of CMS and Tricare websites.

• Billing Systems

• Medisoft (Physician Billing Software)

• Mestamed (DME Billing Software)

• SIS (Hospital Billing System, et al)

• CPSI (Hospital Billing System, et al)

• GPNet (Medicare’s Billing Software)

• Coding

• ICD-9

• CPT

• HCPC

• REV

• Modifier

• Electronic and manual billing

• Primary claims filing (both UB92/04 and HCFA 1500/1450)

• Secondary claims filing (both UB92/04 – HCFA 1500/1450)

• Reviewed clearinghouse reports for errors and corrected billing errors, if any.

07/2001 - 02/2010 • Northwest Hills Surgical Hospital • Austin, TX 78731

WORK

EXPERIENCE

Small surgical hospital specializing in General, ENT, Orthopedic, Ophthalmology, Cosmetic, Gastroenterology and Pain

Management services with over $1,000,000.00 in monthly revenues.

Initially hired to collect a group of the hospital’s “most difficult” accounts. Attaining reimbursement of those accounts, more

accounts were assigned with, ultimately, the same success. Considered fully competent in collections and overall

knowledge of hospital operations, I was reassigned to the billing department for the purpose of billing claims electronically

and manually. Transitioned from collections to billing with no loss in revenues.

10/1996 - 06/2001 • Hendricks Enterprises • Corpus Christi, TX 78411

Small self-employed business specializing in training DME billers and collectors and filing electronic claims. Consulted new

DME business start-ups. Earned approximately $1,000.00 in monthly revenues.

Traveled to company work sites training personnel to use unique computerized electronic billing system. Implemented

appropriate policies and procedures to surpass low collection goals. Spent approximately one year filing claims

electronically for an independent physician until he purchased software for office staff.

09/1991 - 08/1996 • American Homepatient, Inc. • Corpus Christi, TX 78405

Large durable medical equipment (DME) company specializing in Respiratory Therapy, Enteral and Parenteral Therapy,

Diabetic Therapy, and general medical equipment needs for in home patient care with approximately $3,000,000.00 in

monthly revenues.

Regional Billing Center Supervisor accountable for 17 employees, nine branch offices, and two subcontracts. Upper

management relied on my coding expertise, knowledge of law, quality assurance as well as personnel, budgeting,

purchasing skills and my ability to handle equipment failures and maintenance contracts. Days’ sales outstanding went

down to 63 from 120 days after working their accounts.

BS Degree • Texas A& M at Corpus Christi • Corpus Christi, TX 78412

EDUCATION

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