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Medical Billing

Ormond Beach, FL
November 14, 2018

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I am an eager, professional hard working individual seeking a career with a company to keep growing my skills and seek growth. Will strive to contribute to drive revenue and supply excellent service to play a part in the company’s success.


Rotech Healthcare Oxygen and DME July 13 2015- Oct. 29, 2018

A. Supervisor Reauth Nats and Hia A/R

-Process Payroll, Punch Corrections, attendance logging using point system and PTO request. -Work with multiple excel spreadsheets for production review, reporting assignments, daily flow monitoring, reviewing of status of accounts, balancing assignment of carriers in order to keep incoming revenue.

-Conference calls on daily business flows and webinars for updated trainings.

-Perform employee counselings for attendance, performance or conduct, shadow and perform daily audits of employees to monitor their process and offer extra training where needed in order to avoid hitting any HIA on accounts stopping claims from going out.

-Weekly team meetings to motivate staff, do Q andA on any process changes and monthly award ceremonies.

-Monitor incoming emails from locations, management and any issues and questions from the staff thru the day.

-Edit workflow protocols and create tools for staff for updated changes.

B. Acquisition Team

-Acquire patient information from previous DME providers that went out of business to keep our clientele increasing.

-Create patient account into operating system ( E intake), process documents to qualify under patient insurance guidelines for proper billing and load documents into pts. Emr.

-Conduct insurance verifications, reach out to physicians for needed medical information and contact patient for additional information on their equipment.

C. PAS I (Special Projects)

-Worked multiple spreadsheets assigned by director to release items on hold in order to release the claims for billing and payment.

-Received incoming patient CB2 calls for the locations to assist with delivery questions and patient issues.

Billing Department (Medicare)

-Reviewed Medicare denials in I WORK QUE in IMBS to have claims process for increased payment.

-Researched denied claims to make decision for adjusting charges or to appeal the denial.

-Use of Medicare IVR and insurance portals for verifications.

Family Medical Center Feb. 11 2013 -May 1 2015

Medical Billing Associate

-Verified insurance and benefits for pcp services in order to confirm procedure coverage.

-Patient collections to increase incoming patient pay for higher revenue.

-Work with patients to set up payment plans for collection of past due balances.

-Checked in and checked out patients collecting copay, deductible or coinsurance according to the patient’s policy.

Riverbend Medical Group Oct. 12 2009- January 11 2013

A. Patient Collections

-Monitor A/R report to review total account receivable flexibility.

-Collect past due balances and offer-set up payment arrangements with patients.

-Monitor account status (return mail, bankruptcies, contested accounts and payment processing), -Post patient credit card payments to self-pay balances in order to clear balances.

-Sent delinquent accounts to collection agency.

B. Coding Specialist

Monitor claims confirming proper guidelines have been followed in order to conduct proper billing.

-Process ABN’s for Medicare patients and load into emr to complete filing requirements

-Copy and disburse all coding updates weekly to the team to keep current in any changes for proper claim filing.

C. Business Service Representative

-Insurance verification to ensure proper policy entry.

-Patient creation and appointment setting for OBGYN office, handled cash envelope for collection of copays.

-Filtered incoming calls for appointments and triage to make sure urgent calls were routed correctly to the nurse.

-Checked in and check out process.


Branford Hall Career Institute January 11 2005-October 27 2005 Certification to be a Health Claim Specialist

Completed 180 hrs. with Riverdale Gardens Nursing and Rehab for externship

Cathedral High School September 1987- May 1991 Acquired high school diploma


ICD 9 & 10

95+ WPM

Speed 10 Key

Medical Terminology

Electronic Medical Records (EMR)

Excel- Basic filtering, editing and review data creating pivot tables

ADP for payroll and PTO entries

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