Medical Billing Customer Service
Resume:
Aimee Collison
*******@*****.*** 406-***-**** 406-***-**** 4101 E Baseline Rd Apt 734, Gilbert, AZ 85234
Summary Experienced Billing Supervisor familiar with solving both simple and complex problems with a resourceful and adaptable approach. Offering 20 years of experience and familiarity with Medical billing and coding. Skills Team leader
Extensive medical terminology
knowledge
Claims analysis and review
specialist
In-depth claims knowledge
Healthcare billing proficiency
Expertise in psychiatric billing
and coding
Experience Medical Billing Supervisor - State of Montana (Helena, MT) June 2012 - May 2018
Responsible for the coaching and development of a team of 5 Medical billing specialists in regard to the billing aspect of Facility Reimbursement services.
Daily hands on experience billing Medicare, Medicaid, Third Party Insurance and Private Patient Billing for Inpatient, Outpatient and Dental services.
Applied Medicare and Medicaid guidelines for services billed. Coordinate and provide education on coding and billing processes to physicians, providers, coders and management.
Obtained pre-certifications, prior authorizations and referrals for labs, diagnostic tests, office visits, radiological tests and durable medical equipment.
Ensured services/supplies were billed timely and appropriately and rejections/errors researched and resolved to meet timely filing deadlines.
Maintained a good working relationship with other physicians, hospital administrators and medical records directors.
Responsible for accurate hospital reimbursement through analysis of medical records and assignment of accurate and appropriate ICD-10 diagnostic, HCPCS codes, as well as CPT procedural codes. Daily work in DDE and Availity RCM.
Kept operations running smoothly and solved diverse problems by coordinating with customers, management and internal departments. Maximized efficiency, reduced delinquency and increased accuracy of billing department by developing and implementing system and process improvements.
Processed monthly reports for department performance. Provided patient diagnosis under strict time constraints. Observed strict confidentiality and safeguarded all patient-related information.
Maintained patient charts and confidential files.
Arranged documents for insurance claims.
Promptly responded to general inquiries from members, staff, and clients via mail, e-mail and fax.
Lead Medical Billing Specialist - State of Montana (Helena, MT) May 2008 - June 2012
Organized, updated and maintained over 200 patient charts. Responsible for billing medical services and hospital stays for five State of Montana Facilities.
Performed Medicaid and insurance verification, pre-certification, and pre-authorization.
Daily hands on experience billing Medicare, Medicaid, Third Party Insurance and Private Patient Billing for Inpatient, Outpatient and Dental services.
Processed monthly reports for department performance. Prepared claims for billing.
Collected, posted, and managed patient account payments, and prepared and submitted claims forms to insurance companies and other third-party payers.
Provided patient diagnosis under strict time constraints. Work daily with Medicare, Medicaid and Private insurance companies to handle denials on patient's claims and check status updates. Inquire about benefits and or appeals process.
Provide administrative support to physicians and interpret medical reports and data to assign ICD-9 and ICD-10 codes; enter diagnosis codes and patient information into billing software. Daily work in DDE and Availity RCM
Arranged documents for insurance claims.
Answered and managed incoming calls and emails.
Verified, updated and entered patient information into system. Night Shift Supervisor - Red Fox Super Club (Helena, MT) May 2007 - August 2007
Set performance metrics for each team member and provided feedback when needed.
Addressed customers' concerns and questions and handled complaints.
Greeted all customers.
Delegated tasks to team members to optimize productivity. Routinely cleaned table linens, table settings, glassware, windowsills, carpets, counters, floors, storage areas and service refrigerators. Pitched in to assist the host station by showing guests to their tables when the hostess was unavailable.
Processed cash, credit card and voucher payments.
Balanced tills, accurately handled cash, processed credit card payment batches and prepared bank deposits.
Medical Billing Specialist - A Plus Healthcare (Helena, MT) August 2006 - April 2007
Collected and processed copayments and out-of-pocket charges. Generated invoices, processed payments and prepared deposits and part of financial operations oversight.
Completed weekly billing for 7 A plus offices thru out Montana. Completed weekly billing to Montana Medicaid and all Commercial Insuance companies.
Responsbile for researching denials and rebilling claims. Responsibe for working aging report
Commercial Insurance Representative - St.Peter's Hospital (Helena, MT) April 2005 - April 2006
Processed and submitted all Commerical Insurance Claims using Meditech.
Verified all informaiton was correct before submitting the claim electronically.
Worked monthly report of 2,000 accounts to check on status of insurance claims pending.
Worked weekely report of any credits on patients accounts. Maintained patient charts and confidential files.
Insuranc Customer Service Representative - Blue Cross Blue Shield of Montana (Helena, MT)
February 2003 - December 2004
Conducted internal and external research to determine and request datat needed to handle inquires from subscribers, beneficiaries or providers.
Knowledgeable in various BCBS product lines such as managed care. Provieded response by telephone, handdwritten letters. Promptly responded to general inquiries from members, staff, and clients via mail, e-mail and fax.
Built and maintained effective relationships with peers and upper management.
Worked under strict deadlines and responded to customer service requests.
Fielded an average of 50 customer service calls per day. Managed wide variety of customer service and administrative tasks to resolve customer issues quickly and efficiently.
Education and Training Associate of Applied Science in Information Technology 2004
Lake Region State College, Grand Forks AFB, ND
Major in Computer/Information Technology Services
High School Diploma in General Studies
1994
Capital High School, Helena, MT
Certifications American Academy of Professional Coders- CPC since 2009 Member ID: 01163324
American Academy of Professional Coders- currently training in Certified Risk Adjustment Coder (CRCTM)
American Academy of Professional Coders- currently training in Certified Evaluation and Management Coder (CEMCTM) Credential
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