Insurance Medical Billing

Tracey L. Christian

**** *. ***** ******, *-***

Denver, Colorado 80231

303-***-**** Home Phone

720-***-**** Cell Phone

abm1io@r.postjobfree.com

Insurance Coder/Medical Biller

Skilled, detailed oriented, Insurance Coder/Biller with knowledge of medical terminology, physiology and anatomy. Trained in all

aspects of front office for both medical and dental offices. Knowledge of government insurance, Medicare, Medicaid, Tricare as well as

private insurance plans: PPO, HMO, POS and indemnity.

SKILLS and QUALIFICATIONS

ICD-9-CM CPT 4 coding

HCPCS Level II coding Dental coding

HCFA 1500 Billing Forms UB-92 Billing Forms (including revenue codes)

Reconciliation General Ledger

Batching Research out of balances

Scheduling Medical Files

Multiple Phone Line System Accounts Payable

Accounts Receivable Electronic Payment Posting

Research Overpayments/Refunds/Payment Adjustments

VitalWorks Meditech/Medisoft/Monarch/Medical Manager/

NextGen/ Inergy Billing System

Data Transfers Multiple Web Portals

Great-Plains Accounting System MS Word

Quicken MS Excel

Peachtree MS PowerPoint

QuickBooks Typing 60 wpm

10-key by touch 17,000 ksph Daily Deposit Posting/Daily Cash Deposits

Medical Billing/Payment Posting Superbills

Strong Customer Service Balancing

Posting POP/PEP/PCP/WinASAP Fast Pace environment

Insurance Verification/Editing Medicare/Medicaid Payment Posting

Mysis Tiger EMR

CodeScan Aquarius

Medical Followup Aging Reports Medicare Aging/Reconsideration/Appeals

AR/1st -2nd Level Appeals/Medical Reconsiderations

Patient Demographics

PROFESSIONAL EXPERIENCE:

Anthem College: November 2009 to Present

Extern Coordinator/IV Session Instructor: Duties to include placement of students in their extern positions for approximately 160 hours

of on the job training. Coaching, scheduling, placement-tracking weekly timesheets, site visits, setting up new sites for our students,

supervising placed students, follow up with site management in reference to student progress; instructing students in all facets of Medical

Billing and Coding, terminology, anatomy, physiology, coding conventions, rationales, abstracting, preparing for students Coding Exam

for Professional Licensure.

Various Temporary Positions: January 2009-November 2009-Collections, Medical Billing, Posting payments, Charge Entry, A/R,

Research unpaid claims, follow up, medical billing from beginning to end in various temporary locations.

Colorado Rehabilitation and Occupational Therapy July 2008-January 2009

Collector: Accounts Receivable for all major insurances. Heavy phone contact with all insurance companies in reference to

discrepancies in payment for services provided by the physicians. Responsible for first and second level appeals. Medicare

reconsideration, remittance denials, take backs, reading AR reports, producing AR reports to be worked. Work EOB denials, follow up on

denials, reset claims to be paid. Updating patient demographics as needed. Coordination of benefits in order for claims to be paid with

other providers. Research out of timely claims for write offs. Other duties and assignments per Management were completed in a timely

manner. Research patient account for discrepancies with coding issues. Met goal production consistently.

Tracey L. Christian cont.

Pinnacle Medical Billing September 2007-July 2008

Account Manager/AR Follow-up: Responsible for all facets of billing for Family Practice, Plastic Surgery and Cardiovascular offices,

entering demographics and charges from superbills, and patient contact sheets, posting payments, working correspondence from EOB’s,

denials, terminations, coordination of benefits, Medicare, Medicaid, and Commercial insurances. Weekly and monthly goals met

consistently. My position also consisted of setting up new accounts, updating established patient accounts, changing insurance

information as needed, working with insurance/patient aging reports, follow-up on the patient schedules, correspondence both

written/verbal. Billing, rebilling and resubmitting claims in a timely fashion. Research patient accounts for any discrepancies in

payments from patients or insurance, responsible for take backs, overpayments and refunds. Heavy patient contact resulting in corrective

action for payment, additional information needed in order for payment from the insurance companies. Ordering medical records when

needed to resolve issues related to patient contact with the physician. Posting payments from EOB’s received from insurance companies,

remittances from Medicare and Medicaid, posting patient payments from personal checks, money orders, bank checks and cash receipts.

Running daily, weekly and monthly aging reports for statistical purposes.

Superior Medical Management, Inc. May 2006-August 2007

Account Manager: Responsible for all facets of billing for Diabetes and Endocrinology offices, entering demographics and charges

from superbills, and patient contact sheets, posting payments, working correspondence from EOB’s, denials, terminations, coordination

of benefits, Medicare, Medicaid, and Commercial insurances. Weekly and monthly goals met consistently. My position also consisted of

setting up new accounts, updating established patient accounts, changing insurance information as needed, working insurance/patient

aging reports, follow-up on the patient schedules, correspondence both written/verbal. Billing, rebilling and resubmitting claims in a

timely fashion. Research patient accounts for any discrepancies in payments from patients or insurance, responsible for take backs,

overpayments and refunds. Heavy patient contact resulting in corrective action for payment, additional information needed in order for

payment from the insurance companies. Ordering medical records when needed to resolve issues related to patient contact with the

physician. Utilize time management skills in managing 3 separate diabetes clinics and wound care physicians.

Radiology Imaging Associates August 2003-January 2006

Charge Entry Associate/Payment Posting/Refund Specialist: ICD-9-CM, CPT 4 coding, UB-92 Billing forms, HCFA Billing forms,

strong data entry, Data Transfer from various hospital sites in order to pull over electronic charges to submit to insurance companies for

proper and timely payment, download into the Vital Works system. Edit discrepancies with insurance information, physician

information, patient demographics and dates of service, and procedures. Responsible for unposted charges that need to be verified

through Meditech, duplicate procedures, interventional procedures, addendum to procedures preformed. Verified with EOB’s

discrepancies with the insurance payment, secondary insurance payment, posting payments to patient accounts, verified overpayment

with EOB’s, research out of balances, refund overpayments, inquired of underpayment by insurance carriers, based on fee schedule that

apply with contractual responsibilities. Verified Medicare, Medicaid, and other government assisted programs through the Colorado

State Web portals. Responsible for posting from Insurance Vouchers to individual patient accounts. Responsible for verifying insurance

take-backs, overpayments, refunds, and low payments. Daily, Weekly and Monthly goals met consistently.

EDUCATION:

January 2009-Present Metropolitan State College Denver, Colorado

April 2003-Jan. 2004 Concorde Career Institute Denver, Colorado

Aug. 1996-Feb. 1998 Xenon International School Aurora, Colorado

Sep. 1992-June 1993 Parks Junior College Aurora, Colorado

June 1988-July 1988 Community Technical Skills Denver, Colorado

Apr. 1987-June 1987 National Teller Training Denver, Colorado

Aug. 1983-May 1986 Northwest Senior High School Omaha, Nebraska

REFERENCES:

Available upon request

Contact this candidate