Customer Service Insurance

SHERRIE MILLS

**** *. **** ****** ***** w Wichita, Kansas 67215

Residence: (316) 522-3159Cellular: 316-***-****

ablef8@r.postjobfree.com

BILLING SPECIALIST

Manager * Supervisor * Team Leader

Self-Motivated * Hardworking * Organized * Efficient * Detail-Oriented * Resourceful

Career Profile

BILLING SPECIALIST with 15+ years of experience in processing complex electronic

billings, claims, remittances, and denial reports with a solid understanding of overall

revenue cycle. Exceptional leadership, organizational, and supervisory skills

encompassing key values of integrity, honesty, and teamwork. Critical thinker and creative

problem-solver with excellent administrative, and office support strengths. Interact well

with individuals at all levels from diverse cultures.

~ Areas of Expertise ~

Complex Billing Processes Electronic Billing Systems Customer Service

Medical Insurance/Claims Account Management Accounts Receivables

Vendor Relations Software Technical Support Employee Supervision

Collections Project Management Strong Follow-Through

Professional Experience

Cosmetic & Reconstructive Surgery Center: Nick Wheeler M.D.

Wichita, Kansas

Business Office Specialist November 2008 to June 2009

Responsible for all aspects of the daily billing processes, Scheduling of patients and

obtaining surgical prior authorizations. Daily processing of claims management, account

resolve of Insurance claims. Billing of monthly financial patient statements. Accountable

for entering of all medical charges to be submitted to Insurance. Posting of all Insurance

payments and patient account receivables. Coordinate the collection process of delinquent

accounts.

Kansas Medical Center Andover, Kansas

Patient Accounts Representative January, 2007 to December, 2007

Accountable for professional representation of hospital patient collections accounts. Type

and distribute correspondence, follow-up on return mail, process patient agreements and

payments. Coordinate activities between hospital and outside collection firms.

w Utilize exceptional communication skills to handle complex situations

professionally to ensure that successful outcomes are achieved.

Schneider Medical Clinic, LLC Haysville, Kansas

Business Office Supervisor June, 2004 to May, 2006

Directed and supervised 6 employees in billing department activities including customer

billings, account management, policies and procedures, teamwork facilitation, record

keeping, and problem resolution. Responsible for financial report analysis including

customer service, research and analysis, collections, accounts receivables (CPT and ICD-

9).

w Trained and led a staff of six employees in billing department processes, ensuring

maximum clinic profitability and adherence to company policies and procedures.

w Assisted Director and administrators by overseeing operations in their absence.

w Planned and organized efficient process that increased overdue collection accounts

from 45% to 86%.

w Coordinated with vendors for new software installation, and provided technical training

to employees company-wide.

Via Christi Riverside Medical Center Wichita, Kansas

Business Office Specialist April, 2002 to May, 2004

Accountable for processing insurance claims, evaluating and processing patient eligibility

verifications, reimbursement appeals, and medical necessity claims. Performed audits on

account receivables, customer accounts, and refund requests.

w Performed strategic audits on past-due accounts, researched code and diagnosis

criteria, and rebilled correctly, and received substantial insurance payment.

Ballard Aviation/Eagle Med Wichita, Kansas

Accounts Receivables Team Leader November, 2000 to March, 2002

Supervised and directed 3 employees in accounts receivables department. Responsible

for claim management, file management, billings, contract management, patient

collections, accounts receivables, and customer service.

w Trained staff in governmental, commercial and managed care regulations and

guidelines.

Cancer Center of Kansas Wichita, Kansas

Charge Entry Billing September, 1999 to November, 2000

Accountable for chemotherapy charge sheets for 7 outreach facilities. Entered Medicare,

commercial and managed care charges according to company policies and guidelines.

Wichita Surgical Specialist PA Wichita, Kansas

Insurance Specialist Team Leader June, 1995 to September, 1999

Provided leadership and direction to staff of insurance specialist in patient medical

insurance related activities. Accountable for processing insurance claims, forms

management, claim inquiries, authorizations, referrals, electronic filing, denials, claim

editing and corrections, reports management, and customer service.

w Coordinated and implemented department protocols and provided technical training in

the development of insurance billing personal.

Education & Training

R.A.F. Alconbury High Alconbury, England UK

High School Diploma 1984

Professional Training

wMedicaid Billing Workshop, Via Christi Riverside Medical Center, Wichita, Kansas

wMedicare Provider Relations Workshop, WSU Campus, Wichita, Kansas

wMedicare Billing Workshop, Blue/Cross Blue/Shield, Wichita, Kansas

wICD 9 Coding Seminar, Holiday Inn East, Wichita, Kansas

Available upon request

References

Contact this candidate