Medical Insurance
Resume:
Richelle Anne Bishop
Clinton, UT *4015
Phone: 801-***-****
Email: ********.******@*****.***
WORK EXPERIENCE
Alta Management Solutions, LLC 05/2017 05/2018
Woods Cross, UT
$15.43 an hour
36-40 hours a week and then the last 2 weeks 20 hours a week
Account Manager
I posted Electronic Payments that can to us from insurance companies, via our Practice Management Software. Made calls to patients with outstanding balances that were 90+ days old and if the patient had a balance that was 120+ days old and had met the providers requirements to be reviewed for collections, I would add to the Collection List. This list is sent to the providers each month for them to review and send back with their decision on whether to send the patient to collections. I was the contact person for this providers collection agency, so I sent everything to them and they sent everything to me. I also answered any questions from the collection agency on accounts or patients. Worked all Insurance denials from the Electronic Payments I posted and any denials from the paper payments that came in through the providers lockbox. Worked on an Outstanding Insurance Balance Work list, through out each month, which consisted of calling some insurances to check claim status and/or checking on the provider portal for claim status. Some claims I could correct the claim on the provider portal, others I would have to submit a corrected claim with the denied Claim Control Number and the Resubmission Code on the claim. Some denials required me to send appeals, depending on which insurance denied they may have a special appeal form, we always attached a copy of the denial, medical records and only ever a claim if the insurance company has asked for it to be sent in with the appeal letter. I always called the insurance company before doing the appeals to find out if they had a special appeal form, if we could fax in our appeal, or what the correct mailing address is for appeals. I also answered the phone and answered patient, responsible party, insurance companies, and any other authorized persons questions on the phone. I was able to run credit card payments through our Practice Management system and then give the patient/resp. party the Auth. #. Worked return mail that we received, by calling the patient numbers we had on file. If no answer, I would leave a voicemail. I would also use the internet, insurance websites, and the provider's office if needed to get the correct info. Ran End of Day, on my days to run it according to the calendar, sent Electronic claims and printed the paper claims and gave those to the correct person who is doing this procedure according to the calendar.
South Davis Community Hospital 03/2016 – 03/2017
Bountiful, Utah
$16.50 an hour
40 hours a week
Medicaid Billing Specialist
Verifies patient demographics, insurance information, and all medical charges are entered for all Medicaid patients. If a patient with Medicaid is going to admit to our facility, I initiate the notification or authorization process for Case Management. I check to see if all patients admitted in to our facility have Medicaid, if so I identify which state or ACO is responsible and locate the appropriate billing information. Have formatted several processes to help streamline the admitting and billing of Medicaid. I billed Medicaid on a weekly basis. Maintains and submits weekly and monthly Census records to Medicaid. States I have experience with are: Utah, Wyoming, Arizona, Nevada, Colorado, Idaho. I have also assisted patients and their families apply for Medicaid, both in state or out of state.
Elite Medical 8/2015 – 01/2016
Syracuse, Utah
$14.50 an hour
38 -40 hours a week
Medical Biller
Entering patient demographics, insurance information, and charges. Entering payments (EOBS, ERAS, and patient payments), billing patients, update patient accounts, answering patient calls, assist patients with billing questions, and any additional tasks as needed. Call patients and insurances on outstanding balances.
SilverTree Health 8/2007 – 6/2015
Layton, Utah
$14.00 An hour
40 hours a week
Billing Account Coordinator
Entering patient demographics, insurance information, and charges. Submitting HCFA’s to insurance companies. Posting both insurance and patient payments. Working denials and following up with insurance companies on why they haven’t paid the claims in a timely manner. I also worked outstanding patient balances and when needed did send patients to collections. I worked with Word, Excel, and Access on a daily basis. I also answered patient and any other incoming calls and returned any messages that were left.
Very self-motivated and easy learner, I have worked in many different medical billing software’s and EHR programs.
Frontline Concrete Pumping 8/2006 – 3/2007
West Haven, Utah
$10.00 An hour
30 to 40 hours a week
Account Manager
Enter work orders from the truck drivers, make sure all information is correct on the ticket and mail out the invoices. Take customer service calls. Call customers on past due accounts. Enter all information on the State Construction Registry. File all paperwork to and from the customers.
Air Methods, Inc. 1/2000 – 3/2006
Bountiful, Utah
Salary: $33,000.00 a year
40 hours a week
Front End Medical Coder
Extracting medical documents from fax server. Reviewing medical charts for all billing purposes; including ICD-9 and HCPCS codes, entering into billing software, and verifying all information is correct and accurate. Had ICD-9 coding classes in 2000 from certified medical coder, within work. Have had HIPPA training. Also very familiar with EMR and EHR.
Iris Medical 12/1998 – 12/1999
Bountiful, Utah
$9.00 An hour
40 hours a week
Account Manager
Receiving medical records from nurses, verifying all information is correct. Entering all information from medical records into billing software. Sending claims and appeals to insurance companies.
EDUCATION
Northridge High School
Layton, Utah
High School or equivalent – 5/1994
JOB RELATED TRAINING ICD-9 coding training with in work place in 2000
REFERENCES
Andrea Mickelson 801-***-****
Allison Barnes 801-***-****
Kenneth Swain 801-***-****
Alonna Foster 801-***-****
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