Medical Billing Manager
Resume:
Brenda M. Benson
**** ***** **. **** ******, MD *1060
***********@*****.***
Professional Profile
A skilled administrative professional whose responsibilities expand into specialty areas of billing, asset collecting, computerized record keeping, motivational leadership and problem solving while demonstrating strong organizational and analytical skills
Professional Experience
MEG Business Management Aug 2015 - Present
Financial Analysis / Lead Accounts Payable Manager
Managing a team that handles the all incoming money from insurance companies, patients, auto claims, workers compensation claims, and attorneys for 12 different physical therapy practices.
Compiling records and spreadsheets of all outgoing invoices against incoming money to ensure maximum revenue reimbursement.
Invoiced medical clients for multiple billing services.
Train all new employees on all medical posting responsibilities and procedures.
Quality Assurance. Making sure patient accounts are current and accurate.
Accounts receivable.
Handling patient medical records and ensuring HIPAA requirements are met.
Keeping and reporting productivity statistic reports for team.
University of Maryland Medical Systems April 2015 – Aug 2015
Accounts Receivable Representative
Follow up on all account balances for 4 service area Hospitals including Baltimore Washington Medical Center, Charles Regional, Shore Regional and Maryland General with multiple specialties including Neurology, OB/GYN and Psychology.
Verify eligibility; obtain precertification confirmation, referrals and any other requirements for patient services rendered.
Work Clearinghouse front end edits, correcting claim errors before electronic submission to insurance companies.
St. Agnes Integrated Specialist Group December 2014 – April 2015
Patient Accounts Representative III
Follow up on outstanding accounts receivable as needed including denied claims, partially paid claims as well as full open balances with no payer response for a Neurology office and a Pain Management specialist.
Identify and correct various medical coding errors within a patient account.
Prepare delinquent patient accounts for outside collection agencies.
Worked closely with management on special projects associated with audits.
Bay Area Orthopedics & Sports Medicine January 2012 – February 2013
Accounts Receivable Representative
Review denied insurance, workers compensation and auto claims for all office and surgery charges for 2 orthopedic doctors, 2 physicians’ assistants, and a Pain Management specialist.
File appeals for rejected claims to numerous insurance company resolution teams, Workers Compensation Commission, and National Recovery Agency.
Enter charges for all surgical procedures performed by assigned doctors.
Assist patients, insurance companies and adjustors via phone and email with any medical billing inquires.
Carroll County Medical Services June 2011- January 2012
Medicare Billing and Follow Up Specialist
Knowledge in procedures for billing Family Medical, Urology, Cardiovascular, Surgical, Endocrinology and OB-GYN practices.
Provide knowledgeable feedback to patients on any questions or concern regarding account balances and insurance policies.
Submit clean invoices to primary and secondary insurances by both paper and electronic submission with all required documentation.
Review insurance EOB’s and denials.
Ameritox Sept 2009-June 2011
Billing A/R Team Lead for Workers Compensation
Train, coach and develop medical billing teams.
Guide and motivate team members in their activities in order to meet or exceed goals and objectives.
Key in data such as patient demographics, insurance information and medical diagnosis.
Conduct research to identify billing errors.
Maxim Healthcare Services Oct 2007-Jan 2009
Flu Clinic Processor & West Coast Reimbursement Specialist
Reviewed unpaid accounts to determine status and taking appropriate action to ensure payment.
Contacted payers regarding reimbursement for unpaid accounts over thirty days or more, by researching and following up on denials and requests for additional information.
Processed Flu packets for flu season by sorting and entering information into system for private pay clients, most western states insurance companies, and Medi-Cal.
Invoiced individual businesses and major corporations for influenza, pneumonia and other vaccinations.
Systems Knowledge –A2C, Theraoffice, Therabill, ClinicSource, Turbo, Epic, Availity, Centricity, Meditech, eClincial Works, Allscripts, Practice Partners, Mysys, Xifin, Lance-lot, Cirrus, Citrix, Easy Print, Word and Excel.
Education
- Attended Anne Arundel Community College Jan 2013 – Nov 2014
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