Philadelphia, PA 19143
I have 14 years’ experience in the Medical Billing field. My experience appears to be concentrated in Medical Billing along with other billing clerk administrative duties. I also have experience in accounts receivable, customer service, and leadership. I am a self-motivated professional with excellence progressive techniques. I take the initiative to complete other tasks and making sure they are completed. I also have leadership problem-solving skills good organizations proficiency.
Body Rebuilders (Current) 12/2018 – Current
Medical Billing Specialist
Using Navinet to check and verify patient’s eligibility and benefits for verification purposes.
I review patient invoices for accuracy, completeness, and any missing information.
I prepare clinical records for patient’s authorization for Physical Therapy. Transmit claims using 4PT System.
Following up on unpaid claims within standard billing cycle timeframe.
Checking each insurance payment for accuracy and compliance.
Calling several insurance companies regarding any discrepancy for error messages from EOB’s.
Adhered patient confidentiality, HIPAA guidelines and regulations.
Answering all patients inquires pertaining to their Physical Therapy benefits.
I arrange payment plans for each individual pertaining to their accounts.
Cooper University Hospital (Temp Assignment) 9/2017 - 01/2018
Medical Biller/ Indexing
Converting paper documents into system by scanning them into Navinet and EPIC systems.
Clearing up the electronic records storage.
Healthcare Document Management and indexing medical records such as Insurance Information, Health Insurance ID card, Patient’s demographic sheet and EOBs.
Documents are scanned and available for imaging.
Assisted accounts receivable with verification of demographics and patient insurance.
Maintained medical records by microfilming invoices, debits, and credits.
RHD (Temp Assignment) 09/2016 – 02/2017
Resources for Human Development
Medical Billing/Accounts Receivable
Checked mail daily for invoices and EOB’s.
Sorted EOB’s posted payments into the Centricity system.
Processed and tagged payments into the billing software.
Responsible for basic client inquiries and other clerical tasks related maintaining to the patient accounts receivable records.
Prepared patients statements, invoices, and reconciled their expenses to the general ledger.
Updated receivables by totaling unpaid invoices.
Healthcare Administrative Partners
Media, PA 12/2015 – 09/2016
Medical Biller/Accounts Receivable (Contract)
Communicated directly with thirty party payers, healthcare providers, and patients.
Reconciled general ledger unapplied payment accounts for PA Medical Assistance, Magellan, CBH, and other payers
Investigated and resolved billing issues.
Reconciled EOB/remittance with payments received.
Inputted patient’s information by using ICD-9/ICD10 coding and tagging payments.
Maintained the strictest confidentiality; adhered to all HIPAA guidelines/regulations.
Coordinated and processed payments using billing systems; Centricity.
Performed routine office administrative support including faxing, copying, filing and opening department mail.
Answered the department phones taking messages and providing routine information to callers.
Kept good communication through various departments by phone and email.
Responsible for supplies, orders, and received office supplies to ensure an adequate inventory of necessary.
University of Pennsylvania,
Philadelphia, PA 03/2007 – 09/2014
Responsible for collections and all account receivable follow up.
Reconciled EOB’s by payer as payments were received daily.
Translated patient information and inputted procedure and diagnosis codes into the billing software.
Collected and posted patients payments. Logging it into our billing system.
Navinet capable and other insurance websites for patient’s eligibility, authorizations, and other important information.
Submitted insurance claims to several insurance payers; Medicare and Medicaid.
Prepared and analyzed patient charts.
Reviewed delinquent accounts and called insurance companies for collection purposes.
I sorted, organized, and filed paperwork for record safe keeping.
Reported to supervisor and the research department for all updates on codes.
Reviewed and investigated billing issues.
Sent out appeals as needed.
Nelson Medical Group,
Philadelphia, PA. 05/2003 – 02/2007
Utilized coded data to produce and submit claims to insurance companies.
Collected on delinquent accounts by establishing payment arrangements with patients; monitoring payments; following up with patients when needed.
Followed up on unpaid claims within standard billing cycle time frame.
Communicated directly with insurance companies, healthcare providers, and patients in order to complete the payment processing.
Maintained the strictest confidentiality HIPAA guidelines and regulations.
Reviewed patient bills for accuracy and completeness and obtain any missing information.
Identified and billed secondary or tertiary insurances.
Prepared and submitted clean claims to various insurance companies both electronically or by paper.
Answered questions from patients, clerical staff and insurance companies.
Secured outstanding balance payments for care of hospital employees by establishing payroll deductions; obtaining signatures for automatic transfers
Reviewed accounts for possible assignment and makes recommendations to the Billing Supervisor.
West Philadelphia High School
High School Diploma
Temple University, Certified Medical Biller
Social Policy and Community Development May 2005
Microsoft Word • Microsoft Suite • Excel • Powerpoint • Outlook • PeopleSoft • QuickBooks • Polaris • Medical Terminology • EMR IDX • ADP • Pay Check System • Ingenium 4.0 •Kronos • Crystal Reports MHS • EPIC • Navinet • ECHO • Polaris • 4PT System • ICD-9/ICD-10 • Revenue Manager 9.03