Office Manager and Medical Billing Specialist with 7 years of hands-on experience. Eager to apply adeptness at handling and overseeing office routines and billing procedures through verifying completeness and accuracy of claims, and following up on delinquent accounts to ensure timely payments.
Very Timely, Charismatic, relationship builder
Fast learner & Innovative
Advanced knowledge of MS Office Suite Application.
Maintains High Standards of Excellence
Excellent communication & verbal skills
Organized with attention to detail
Self- Motivated, Dependable
Trinity Healthcare Fort Worth, TX June 2017- Present
Medicare Billing Specialist
Bill all Medicare, Medicare Replacement and Commercial Insurance Policy.
Work hands on with Business Office Managers to make sure patient account are setup correctly for billing.
Post cash deposit
Follow up on claims
Meet Monthly collections benchmark
Parallon-NPAS Dallas, TX February 2017-June 2017
HMO Billing Insurance Representative
Contacting insurance companies and check claim status for hospital bills. Work with PHI and HIPPA compliance.
Contact guarantors to obtain insurance information
Inform guarantor of insurance payment status
Develops, implements, and maintains the practice revenue cycle training materials.
Accurate and timely follow up and resolution for all accounts receivable reporting
Meeting and Maintaining collection metrics and goals
Works all denials, appeals, and corrected claims collaborating with the biller
Home Care Image Services, Inc. -- Mabank TX, April 2008- October 2016
Administrative Assistant/Human Resources Manager
Documents Human Resource actions by completing forms, reports, logs and records
Review and submit resumes for job postings to HR Director
Maintains Confidentiality of patient records
Maintain QuickBooks entries
Proficiency in CPT codes, ICD-9 and ICD-10 codes, and use of modifiers
Audit, send and track physician orders
Scan and attach signed orders when received & Assure timely receipt of Physician signature
Communicate with Physician office regarding orders to be signed, 60 Day Summary & Discharges
Order all Medical supplies, Keep inventory of all supplies and helps clinicians obtaining supplies
Input Bi-Weekly Payroll
Order DME for patients after admitted to services
Demonstrate commitment, professional growth and competency
Promotes positive, supportive, respectful communication to patient and families, referral sources and employees.
Input Medicare and Advantage plans Insurance Verification
A Trinity Valley Home Health and Therapy Services May 8, 2012 – Aug 24, 2015
Administrative Assistant -- Athens TX,
Answers the phones and performs intakes.
Initiates the hiring process for health care workers
Process applications, background screenings, testing, and reference validations.
Orients caregivers and maintains current caregivers’ files in accordance with policies and procedures.
Records employees information such as personal data, compensation, benefits, tax data, attendance, performance reviews, evaluations, and termination date and reason.
Input Bi-Weekly payroll.
Input Medicare billing and related accounting data into the computer.
Orders and maintains office supplies, forms and equipment.
Schedules shifts by matching caregivers’ qualifications and availability to clients’ needs.
Send out MD Orders, uploads PT notes and 485’s to patients’ charts.
Keep track of employee’s car maintenance log
Perform Weekly chart audits
Perform monthly employee in-service meetings.
Winning Strategies Athens, TX August 2007 – April 2008
Managed upset customers, conflicts and challenging situations
Build rapport, listen, clarify and manage conversational flow
Work in teams and in a self-directed environment
Became the lead “go-to” person for new representatives and particularly challenging calls as one if the company’s primary mentors/trainers of both new and established employees.
Produce weekly call reports for managements
Provided detailed information on services and products to customers.
Malakoff High School Malakoff, TX (H.S. -Diploma) May 2007
Everest College Dallas, TX (Associate of Business Administration)April 2017