Home Health Medical
Resume:
Paula J. Bowe
**********@*****.***
Objective
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
-Appeals
-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
Contact this candidate