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Home Health Medical

Chicago, IL
September 07, 2018

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Paula J. Bowe



To secure a challenging position and become a dedicated member of a professional team and working environment.

Qualifications and Transferable Skills

On the job training and experience in hospitals and physicians office settings. I have excellent written and oral communication skills, experienced in medical terminology, medical coding and various types of software programs. Proficient in all duties assigned.

Positions Held

Alliance Home Health 12/2017-06/15/2018

-Home Health Billing/Accounts Receivables

-Bill all insurance groups

-Follow up on all unpaid claims after reviewing issues/corrections

-Phone calls/mails to providers/patients/caregivers

-Appeals to insurance companies

-Correct care givers time provided to patients

Fresenius Medical Care (Robert Half) 05/2017-12//2017

Accounts Receivables

-Follow on all Michigan/Illinois claims

-Phone calls to the Providers to determine/correct issues


-Spend Downs

IU Health (Started with Robert Half) 11/2015 – 4/2017

Medical Biller / Collector

-Verified coding (CPT codes, Occurrence codes, ICD-10, etc.) on claim forms to ensure all codes are accurate

-Worked primarily with Medicaid

-Phone calls, emails, and faxes to Medicaid to resolve denied accounts

-Appeals and collections on home health accounts

St Vincent Hospital 11/2014 – 11/2015

Patient Accounts Representative

-Worked primarily with Anthem Blue Cross Blue Shield

-Filed appeals

-Phone calls to Anthem and patients to follow up / update on claims

-Collected on aging accounts

-Provided additional information needed to process claims

Surgical Care Affiliates 01/2013 to 02/2014

Medical Billing

- Verify Insurance through Citrix and Cerner

- Balance charges to CPT's

- Enter Charges then download through Emdeon

- Making sure all Insurance payers have the proper coding/modifier/G code

- Duties included billing a minimum of 75 claims daily.

GEMMS Electronic June 2011 to December 2012

Finance Representative / Medical Billing

- Medical claims billing to various insurance companies

- Medical coding

- Processed rejected claims using ZirMed

- Processed and posted explanation of benefits received from insurance

- Worked on Medicare appeals and redeterminations,

- Anthem clinical appeals editing

- Update provider information and certification

- Contacted patients and insurance companies for follow up of claims billed

Jarrett Fertility Group / Midwest Reproductive Medicine August 2002-April 2011

Financial Coordinator

- Obtained and quoted benefits for specific reproductive procedures

- Payment posting

- Insurance accounts receivable and follow up

- Completion of self-pay collection reports

- Pre-certification of medical procedures

- Entered surgeries, medical procedures and lab charges into the office database, e-mail and/or fax benefit information to various hospitals and anesthesia groups

- Counseled donors and recipients on reproductive procedures and guidelines

Northwest Radiology of Indianapolis January 2001 – June 2002

Claims Processor

- Tracking the status of pending claims by telephone and written inquiries for St. Vincent’s Hospital

- Talked with various insurance companies

Methodist Hospital of Indianapolis August 1985 - December 2000

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