Medical Billing Insurance

Professional Summary

Skills

Work History

HEIDI OWENS

*** ****** **** ***, *****, AL 355**-***-*** 5234 *********@*****.*** Professional Certified Medical Biller/Coder with management experience and extensive knowledge in backgrounds of various clinical specialties. Personal injury paralegal with experience in insurance claims.

MEDISOFT

All Meds

MicroMD

HealthFusion

Athena

STAR

Sovera HIM/PFS

OneChart

10 key 6980 KPH

Collections experience

HIPAA understanding

Time management

Verbal and written communication

Medical terminology

Attention to detail

High accuracy

Analytical thinker

Typing 64 WPM

Feb 2017 - Current

Birmingham, AL

Patient Account Representative

St. Vincent's Birmingham

Worked hand-in-hand with clearinghouse to reconcile unpaid clinic/hospitalist claims using Athena, Sovera, STAR and OneChart EMR systems

Attended seminars, training programs and online courses to further my knowledge in the medical billing/coding industry

Completed many special projects in order to aid other departments in meeting their goals Provided training and on-going education to many co-workers on how to use EMR systems, department procedures and updated coding laws

Performed insurance verification and coding scrubs to push out over millions in charges Realized trends in claims by auditing A/R reports that were denied in order to address problem areas that needed attention on our part.

Sep 2016 - Nov 2016

Birmingham, AL

Billing Department Start-Up Contractor

Healthcare Capital Management

Demonstrated analytical and problem-solving abilities by addressing barriers to validating accurate insurance information for completed payment Credentialed electronically and via paper with government and commercial insurance companies effectively

Evaluated employee performance, provided feedback and assisted and coached Education

employees as needed

Designed training procedures to help new employees acclimate quickly and then were applied by training them myself

Educated myself with ongoing training in the coding laws of each specific payer Jul 2015 - Mar 2016

Colorado Springs, CO

Full Cycle Medical Biller

Abba Eyecare

Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses and patient identification Manually applied 100-$300K weekly, adjusted errors and worked denials Completed appeals along with corrected claims and refund requests for claims paid in error or denied

Worked A/R weekly, acting as a liaison between the insurance company, billers and third party payers in resolving billing and reimbursement accuracy, preventing out of timely write-offs

Provided daily billing support for 5 of the 12 stores' managers Resolved patient calls inquiring about their accounts Feb 2015 - May 2015

Huntsville, AL

Medical Coding Assistant

SportsMED Orthopedic Surgery & Spine Center

Efficiently performed insurance pre-verification and pre-authorization functions for all orthotic and prosthetic orders

Reviewed diagnostic and procedural terminology for consistency with acceptable medical nomenclature and then consistently ensured proper coding, sequencing of diagnoses, placing modifiers and procedures before entering them into the EMR system Posted charges, payments and adjustments for DME/MRI into the billing system Apr 2014 - Nov 2014

Crestview, FL

Patient Account Coordinator

Panhandle Orthopedics: Gilmore Michael D MD

Created the billing system for the Personal Injury Department from the ground up, integrating it into a large orthopedic clinic making it fully functional in two months Followed up on all claims in regards to payment, denials, appeals, resubmissions and demands using All Meds and MicroMD EMR systems, while posting all insurance money coming in daily

Collected on old A/R accounts from personal injury lawyers, third party funding companies, insurance companies and patients

Worked with a PIP demand lawyer, gained a vast knowledge of the legal side of medical billing

2001-2013

Colorado Springs, CO

106 Credit Hours Towards An AA: Arts and Business Administration Pikes Peak Community College

2013

Colorado Springs, CO

Medical Coding./Billing Certificate: Healthcare

Pikes Peak Community College

Accomplishments

Certified Bloodborne Pathogens & Universal Precautions Certified HIPAA Compliant

Certified CRP Medicare Parts C and D General Compliance FY19 Certified CEU/CME: Ascension Health Ministry Market Retreats Kansas Certification Infection Prevention

Certification Sexual Orientation and Gender Identity (SOGI) Awareness

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