Unit Secretary/Medical Billing
Resume:
Esha Carter
Baltimore, MD ***18
*********@*****.***
OBJECTION: To obtain a position within the healthcare industry; including responsibilities of problem solving, planning, developing, organizing and managing budgets and policies while using my knowledge of Medicare, Medicaid, Medicare A Replacement plans, Workman compensation and all other healthcare insurance plans.
SUMMARY:
Exceptional communication, interpersonal, written and verbal skills
Team player and building, innovative thinker and motivational leader
Able to work independently as well as in a group
Ability to perform multiple tasks while demonstrating accurately
Demonstrates dependability
Completes all expectations within specified deadlines
Ability to work in a fast-pace environment
EDUCATION: High School Diploma, Mergenthaler High School
Associates Degree: Ashworth Uniersity Health Care Administration: 2018 - Present
MILITARY: United States Naval Service, Norfolk, VA 1998-2001
WORK HISTORY:
Erickson Living Management LLC
A/R Associate 9/2015- 10/2017
Translates internal charge files to appropriate billing formats for electronic and manual claims submission to third party and private payers.
Performs follow-up and collections of accounts with outstanding balances. Adheres to department guidance on account documentation note structure and content to provide all stakeholders with actions taken and next steps for accounts receivable management
Initiates appeals, corrected claims submissions, or submits medical records in response to payer requests for information or claims denials.
Performs appropriate cash posting and adjustments for subsequent billing or account resolution
Researches unapplied cash and credit balances utilizing appropriate payment and write-off codes
Provides excellent customer service; resolves both internal and external customer issues within an appropriate time frame; shows persistence and seeks alternatives when obstacles arise.
SAVA SENIOR CARE, Owings Mill MD 4/2012-9/2015
Medicare Billing Specialist
Manages the billing of claims to ensure timely and accuracy of billing
Analyzes claims and determines appropriate adjustments
Ensures quality assurance of claims related to contracts and agreements
Analyze revenue impact to the Income Statement from adjustments
Prepares state and/or government audit reports as required including quarterly credit balance for
Medicare and Medicaid
Identifies claims/account issues
Reviews and analyzes cash collection
Supervises case management of Medicaid Pending by state by ensuring the cases are reported
correctly and timely (training)
ADVANCED PHARMACY, Columbia, MD 09/09 10/10
Pharmacy Biller – Claims Adjuster
Create billing for all payors, creating statements for facilities, reviewing statements for incorrect invoice groups, posting all created billing batches, creating private statements, sorting 30, 60, 90 day delinquent accounts.
End of month Preparation, Entering Medical Record fees, Passport fees, miscellaneous credits and third party notification prebills for current transactions and prebills after composite batches posted.
End of month composite, end of month query runs and corrections for composite batch (included but not limited to transactions to be combined, zero cost and price recalculation, invoice groups etc.) Submit composite batches for adjudication for all long term care facilities, work all rejections in composite batches, and resolve daily phone calls and facility issues.
MAXIM STAFFING SOLUTIONS, TEMP AGENCY
MEDSTAR HEALTH, CENTRALIZED BILLING DEPT., Elkridge, MD 03/08-07/09
Medical Collections Specialist
Monthly review and processing of delinquent accounts for collections and testified in collection court as needed.
Generating monthly patient statements and assisting patients as needed with account balances.
Identify and process overpayments and correspondence.
Negotiating monthly payment arrangements with patients and follow up on those accounts in default.
Assisting coworkers in the resolution of outstanding insurance and account issues as needed.
MERCY MEDICAL CENTER, Baltimore, MD 2006-2007
Patient Accounts Billing Specialist
Team Leader for the billing department of a busy medical center.
Responsible for Medicare, Blue Cross and third-party billing and follow-up.
Resolution of outstanding claims in Sexual Assaults, Division of Cancer and Disability claims; in addition to completing Physicals for Immigration claims.
Handled incoming patient billing calls and worked to resolve outstanding account issues.
Reviewed patient accounts for outside collections and sent accounts to an agency as needed.
Worked directly with management towards the realization of the goals of the facility.
Accurate charge and receipt entry for billing and collection of third party and patient balances.
Daily system updates. Electronic and paper claim submission to all insurance carriers.
Generating monthly patient statements and reviewing accounts for collections.
Assist patients in the resolution of outstanding account issues.
Training new employees on billing policies and procedures.
Maintain monthly financial spreadsheets to include fee, profit and statistical information.
Met weekly quotas of 200 claims per week, in accordance with departmental goals.
ANNAPOLIS INTERNAL MEDICINE, Annapolis, MD 2006-2006
Medical Billing Representative
Responsible for Medicare, Blue Cross and third-party billing and follow-up.
Assisting patients in understanding their healthcare coverage and benefits.
Accurate charge and receipt entry for billing and collection of third party and patient balances
Processing appeals for medical claims denied in error by various third-party carriers.
PHYSICIANS MANAGEMENT GROUP, Baltimore, MD 2005-2006
Medical Billing Representative
Follow-up and collection of outstanding patient accounts.
Daily submission of both electronic and paper medical claims.
Daily reconciliation and entry of patient and Insurance payments.
Processed insurance claim appeals denied in error by various third-party carriers.
Generating monthly patient statements and assisting patients as needed with account balances.
PROFESSIONAL EMPLOYMENT TEMP AGENCY, Baltimore, MD
JANET, JENNIFER & SUGGS, LLC 2003-2005
Administrative Assistant/Receptionist
Daily processing of high-volume new client intake forms.
Maintained electronic filing system.
Scheduling and confirmation of upcoming conference calls and meetings.
Preparation and distribution of correspondence to clientele.
Provided clientele with an updated status of their pending medical malpractice cases.
Assisted co-workers in short and long-term projects as needed.
PROFESSIONAL EMPLOYMENT TEMP AGENCY, Baltimore, MD
GREATER BALTIMORE MEDICAL CENTER 2002-2003
Medical secretary
Scheduling patient appointments and verification of patient demographics.
Daily input of patient demographic and insurance information.
Assisted in training of new front desk employees.
Filing and archiving of patient and billing records.
Preparation of patient referrals and authorization for upcoming appointments
JONES NETWORKING TEMP AGENCY
JOHNS HOPKINS 2001-2002
Patient Services Coordinator
Input patient demographic information for new patients.
Scheduling of clinical appointments; which included office visits, laboratory testing and special examinations.
Preparation of new patient charts.
Receipt and processing of patient payments made via phone and mail.
SKILLS:
Medical Billing Systems used: Passport, MYSIS, Medical Manager, Medical Mastermind, SMS, Epic, TRAC, MediTech, ImageNow, AdvantX and Framework.
Experience with CPT and ICD-9 Coding.
Microsoft Word
Excel
Vison
Emdeon
Point Click Care
SSI
REFERENCES AVAILABLE UPON REQUEST
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