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Medical Billing Customer Service

Location:
Baltimore, Maryland, United States
Salary:
50,000
Posted:
August 13, 2018

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Resume:

** *********** ****** 410-***-**** (H) / ***-***- 8544 (M)

Parkville, Maryland 21234 ac6nl5@r.postjobfree.com

Joseph D. Honeyblue, MBA, MMS

Qualifications: I have more than 20 years of comprehensive medical revenue cycle and administrative experience medical billing and coding with: patient registration, charge entry, claim follow up and appeals, and collections. I have billing and follow up experience in more than 15 medical specialties with the following Medical Billing Software: Xifin, Lancelot, Putty, Cirrus, IDX, Meditech, Softaid, Mestermed, Mysis, AS 400, Hamswin, e Clinicals, and Next Gen, Sales Force, DAQ, Telcor, and Cognos Impromptu, billing systems. Workday, Canvas, and Outlook. I am fluent in Spanish.

Experience:

03/18 – Current Brightwood Career Institute, Harrisburg PA

Adjunct Instructor

Responsibilities: Teach students, in the study of Medical Billing

and Coding. Prepare class assignments and lectures based on the

course syllabus and lesson plan. Evaluate student’s knowledge

and comprehension of subject matter by testing, home, and class

assignments. Review grades with campus dean and program

director. Assist with course development and evaluation. Attend

meetings for updates, training, and campus and corporate

communications. Assist in preparing students for externship and

final review prior to graduation

08/17 – 03/18 Trident / Mobilex USA, Sparks MD

Facility Collector

Responsibilities: Identify delinquent accounts by working timely

aging reports. Follow up on past due accounts via phone, fax,

mail, and email per company policy. Review unpaid claims.

Pursue customers for past due payments and to meet contract

obligations. Maintain accurate records of all collection contact.

Resolves account discrepancies and prepares adjustments and

refunds for approval as may be necessary. Respond to client

inquiries regarding account status. Prepares and communicates

information about account that require legal actions.

Communicate with management about possible legal actions

06/15- 06/17 Novasom Inc., Glen Burnie, MD

Reimbursement Specialist

Responsibilities: Investigate, follow up, and resolve claims

that have been denied for various reasons. Resolve any received

correspondence. Assist with phone calls from patients, insurance

carriers, and physician offices pertaining to sleep studies, billing &

other general information. Work assigned queue to ensure claims

are processed and paid correctly by insurance companies. Monitor

insurance payer inconsistencies and report them to the billing

manager for further instruction

02/15 – 07/17 YMBS Medical Business Services, Baltimore, MD.

Revenue Cycle Consultant

Responsibilities: Proposed, developed, and implemented policies

and procedures for medical billing, collections, and marketing for

medical practice consulting firm. Developed training program for

medical billing training of staff. Assisted in the purchase of

medical billing software used by the company. Consulted with

executive team to review needs of medical billing software for

purchase. Assisted with the departmental design and setup

company marketing and promotional campaigns. Developed

reporting and evaluation mechanisms for further company

growth. Assist with financial reporting and accounting.

Prepared and conducted seminars and training programs.

05/12 – 01/15 Advanced Pain Medicine Institute, Green Belt, MD

Accounts Receivables Representative

Responsibilities: Assigned to follow up billing responsibilities

for all commercial insurance carriers, Medicare, and Medicaid

Investigate, process, and appeal all claims as necessary. Respond

to correspondence received from attorney and insurance carriers

with regard patient accounts. Respond to patient billing inquiries

Speak with visiting patients with regard to billing inquiries and

payment arrangements for outstanding balances and other

and other administrative concerns. Monitor payer trends and

report irregularities to management. Use previous experience

to improve billing operations for efficiency and profitability

Other assigned duties and projects as may be assigned. Work

assignments performed using eclinicals software.

03/11 – 05/12 Carroll Health Group, Westminster, MD

Medicare Billing Representative

Responsibilities: Billing and follow up of Medicare claims.

Confirm claim status and eligibility via the IVR. Resubmit

corrected claims and appealed claims. Submit paid claims to

secondary insurance carriers with Medicare EOBs to process

for payment. Monitor payment irregularities and report to

management for further investigation and processing. Other

duties and projects as may be required or assigned.

09/09 - 03/11 Ameritox Ltd. Columbia, MD

Accounts Receivables Team Leader

Responsibilities: Assigned to accounts receivables and follow

up billing for Commercial and Worker’s Compensation

insurance groups. The team was responsible for: identifying,

researching, compiling, and reporting issues that hindered the

reimbursement process. Instruction was then given for those

issues to be resolved or referred for further instruction from

upper management. Also charted individual and team

progress on a daily basis through the use of quality control

measures, team meetings, and other various reporting methods.

Assigned lead the correspondence team. Received, separated,

distributed, processed, collected, filed, and monitored more

than 60,000 pieces of correspondence. Interviewed, trained,

supervised, disciplined, all staff needed for the above mentioned

assignments (15 staff). Monitor paper claim submission.

Assisted with development of training procedures, Assisted

in customer service for Hispanic patients. Monitor employee

time for payroll and attendance. Meet with management to

discuss issues as were related to reimbursement, staffing,

training, system issues, and general office maintenance.

Any other tasks or projects as needed or assigned. Assisted with

system transfer from Cirrus and Putty software to Xifin and

Lancelot billing systems

04/08 - 10/08 University Physicians Inc, University of MD, Baltimore, MD

Medical Biller / Accounts Receivables Follow Up

Responsibilities: Billing and follow up of Blue Cross and Blue

Shield claims for the departments of Surgery, Ophthalmology,

and Otorhinolaryngology, using IDX billing software. Research,

correct, and resubmit claims to insurance carriers to be considered

for reimbursement. This was accomplished using: OTIS,

Encoder Pro, and EMR’s. Confirm claim and payment status.

Johns Hopkins Home Care Group, Baltimore, MD

Accounts Receivables & Follow Up

Responsibilities: Research unpaid and unprocessed claims for

correct posting to patient accounts.

09/07 - 01/08 Perot Systems / Prince William Hospital, Manassas, VA

Associate Insurance Collector

Responsibilities: Billing and follow up of Medicaid patient

Accounts for Prince William Hospital in Manassas, VA.

Work with other team and hospital staff members to identify

Medicaid billing issues. Assist with establishing methods to

identify Medicaid members and assist applications for

non-covered patients. Assisted Hispanic patients with billing

issues and other concerns. Established criteria for efficient

billing.

03/07 - 06/07 Practice Management Partners, Owings Mills, MD

Accounts Receivables Representative

Responsibilities: Billing and follow for two client groups to

include: Multiple insurance carriers. Daily review and completion

of Edit Report, correspondence, and information logs to request

proper patient account posting and adjustments as necessary.

Assisted Customer service calls from Hispanic patients.

07/06 - 12/06 Nephrology Center of Maryland, Baltimore, MD

Medical Biller / Front Desk

Responsibilities: Review of patient accounts prior to patient

Obtain necessary authorizations and referrals as needed. Confirm

the patient insurance information and collect copays and other out

of pocket expenses from patients as needed. Prepare and monitor

payment arrangements. Meet with physicians to discuss large

patient account balances for further instruction as it relates to

further billing.

02/06 - 07/06 Trizetto Group, Linthicum, MD

Enrollment Specialist

Responsibilities: Complete member enrollment forms Blue Cross

and Blue Shield of the Midwest. Confirmed the quality of the patient

information that was received and entered by data entry personnel.

Assist with customer inquiries and other customer service as needed.

07/05 - 02/06 Baltimore Imaging Centers, Baltimore, MD

Senior Verification Specialist / Medical Biller

Responsibilities: Obtain and confirm patient information, to include:

Referrals, authorizations, and other patient information needed for

patients to receive radiological imaging services. Facilitate patient

information to and from nine (9) sites throughout Maryland for

billing and reimbursement of claims. In addition, maintain contact

with insurance carriers to confirm eligibility of benefits and claim

status. Inform management of any possible issues that may negatively

effect billing and / or reimbursement. Process information for patients

who are listed under “STAT” conditions. Electronic billing and

posting of Medicare claims. Manual posting of payments that were

received via correspondence.

01/04 - 07/05 Baltimore Medical Systems, Baltimore, MD

Accounts Receivables Specialist

Responsibilities: Exclusive interpreter for the Business Office and

eight (8) sites. Retrieve and resolve inquiries as received via voice

messaging systems and correspondence. Billing and follow up of

Commercial and Managed Care insurance carriers. Use of Mysis

system software. Receive and process correspondence from insurance

carriers. Establish payment plans for uninsured patients with large

outstanding balances. Monitor payment trends to report irregular

reimbursement actions and events from carriers. Receive and process

credit card payments.

01/00 - 03/03 Johns Hopkins University, Baltimore, MD

Insurance Collector

Responsibilities: Billing and follow up for ALL insurance carriers

using: IDX, PCS, EPR, Microsoft, Word, Outlook, and EXCEL

software applications. Investigate and resolve all claim issues as

needed for proper processing and reimbursement of claims.

Communicate with patients and insurance carriers to update and

maintain accurate insurance billing information. Assigned to various

“Special Projects” to enhance departmental billing and collections.

Education & Training

04/15–06/16 Strayer University, Owings Mills, MD

Masters of Science Degree, Management Sciences

01/13- 12/14 Strayer University, Owings Mills, MD

Masters of Business Administration Degree,

Healthcare Administration

04/05 - 07/05 Johns Hopkins Computer Career Institute, Baltimore, MD

Certificate of Completion, Medical Coding

09/87 - 05/93 Shaw University, Raleigh, NC

Bachelor of Science Degree / Business Mgt. / Accounting

Cum Laude, National Dean’s List, Shaw University Dean’s List

10/81 - 02/85 United States Marine Corps, Camp Lejuene, NC

12/79 - 06/81 Northwestern High School, Baltimore, MD

High School Diploma, General Education & Foreign Languages



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