Medical Billing Supervisor
Resume:
Raesha Lee
***********@*****.***
QUALIFICATIONS:
• Over four years of experience as Team Lead/Supervisor for hospital and physician
billing and collections of past due accounts
• Ability to strategically manage and analyze AR and billing activity and consistently
report to senior management
• Extensive UB04 and CMS 1500 knowledge
• Ability to identify and solve problems and to coach others as necessary
• Supervised teams of 12 or more ensuring performance of billing and follow up
duties and responsibilities as expected
o Provided training and direction for new patient financial service
representatives
o Performed supervising responsibilities for government and commercial
billing and collections by assisting with training and assigning and
overseeing the work of others
• Updated and implemented policies and standard operational procedures when
needed for best practices in regards to billing and collections
• Electronic and manual Medicaid, Medicare, Medi-Cal, Commercial and Third Party
Liability claim submissions
• Verified and updated insurance registration and account information
• Processed payments and posted to accounts accurately
• Review payment denials and discrepancies and rebill for payment
• Ensure compliance with all state and federal billing regulations
PROFESSIONAL EXPERIENCE:
Supervisor/Biller/Patient Account Specialist/Cash Poster/Collector 2005-2012
Projects at:
• The Westerly Hospital
Medicare and commercial insurance biller and collector
4/2012-10/2012, Westerly, RI
o Billed and followed up on Medicare and Commercial claims successfully
o Trained new permanent employees on billing system navigation and follow
up procedures
o Became the ‘go to’ person when answers were needed in regards to billing
and follow up
o Back up biller for E-Premis when permanent employee was on leave, out
of the office, or when assistance was needed
• Healthcare Resource Group
Staffing Coordinator Pacific Northwest Seattle Region,
9/2010-3/2012, Renton, WA
o Identified qualified potential candidates via internet job posting sites,
internet search engines, submit resumes, and referrals
o Proactively maintained an adequate pool of resources that were marketed
and used to improve client services
o Maintained internal relationships including support and communication
with Regional Managers, Regional Directors, other Staffing Coordinators, and
the Corporate Office
o Contacted clients regarding staffing services and potential candidates for
current orders
o Sustained positive and professional office atmosphere through phone
demeanor,
o dress, and correspondence
o Administrated initial screening, testing activities, and new hire paperwork
o Contacted new and current employees regarding job satisfaction, duties,
and HRG policies and procedures
o Created, maintained, and filed employee paperwork appropriately
o Coordinated pre-screening procedures and interviews for potential
candidates
• Billings Clinic
Team Lead for Medicare and Commercial insurance billing and collections team
3/2009-10/2009, Billings, MT
o Supervised team of three in successfully billing and follow up for Medicare,
Medicaid and Commercial hospital claims
o Used DDE for billing and follow up for Medicare claims
• St Charles Medical Center
Cash Poster
10/2008-2/2009, Bend, OR
o Posted Medicare and Medicaid to patient accounts
• Multicare Health System
Team Lead for Commercial, Government and TPL Billing and Follow Up
10/2007-9/2008, Tacoma, WA
o Supervised team of ten that successfully met all billing and payment goals
set by upper management
o Team cleaned up A/R in old billing system and successfully billed and
followed up on claims in new system during transition to Epic
• Health Services NW
Medicaid Biller and Collector
5/2007-10/2007, Renton, WA
o Responsible for Medicaid billing for 3 hospital under the Franciscan Health
System
o Corrected all claim issues as needed and rebilled for payment
o Verified patient eligibility for services covered under Medicaid
o Met daily quotas for claims billed and followed up on daily
• Ashland Community Hospital
Self Pay, Government, Commercial and TPL biller/collector and cash poster
9/2006-4/2007, Ashland, OR
o Found over four million dollars of unbilled Medicare, Medicaid and
Commercial claims that were close to being denied for untimely which
were lost in the hospital billing system
o Billed out claims as needed and received payment
• DaVita
Team Lead Medicaid Biller/Follow Up for 5 state
10/2005-8/2006, Tacoma, WA
o Supervised team of eight for success in billing and follow up of ESRD
claims
o Responsible for billing and follow up of Medicaid and Blue Cross
insurances nationwide
• Providence Hospital
Medicaid Adjustment Write offs-Short Term Project
9/2005-10/2005, Everett, WA
o Wrote off Medicaid account balances per spreadsheet as management
directed
• Overlake Hospital Medical Center
Self Pay Biller and Collector
6/2005-9/2005, Bellevue, WA
o Contacted self pay patients per outstanding account balances
o Set up payment plans for patient balances
o Received inbound calls from patients per billing questions regarding their
accounts
o Verified and updated demographic information for patient accounts
United States Army 1998-2002
Nuclear Biological Chemical Sergeant
864th Engineer Battalion HQ/A
• Noncommissioned Officer
• Provided leadership and took responsibility for assigned personnel
• Trained all ranking personnel and led by example
• Vital link between officers, SNCOs and the lower-ranking enlisted troops that
make up the bulk of the troops in both services
• Performed state-of- the-art detection, and sample collection technology training
• Proficiently administered NBC antidotes and safe patient extraction
• Followed the National Institute for Occupational Safety and Health (NIOSH) Guide
SOFTWARE:
• HBO, Medi-Tech, e-Premis, AS400, McKesson STAR, Last Word, OneHealthPort,
Provider One, Cerner, WaMedWeb, CUBS, Medi-manager, SSI, Data-net,
Paragon, Medisoft and Epic
EDUCATION:
Bridges Learning Center 2004
• Medical Billing and Coding Certification
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