Medical Biller

T akeila R. Peebles

*** ****** * **** *** *B University Park I L 60466 Contact: 708-***-**** Email:

T *******.*************@*****.***

OBJECT IVE:

To obtain a position as a professional at a facili ty that fosters growth and opportuni ty for advancement .

Q UAL IF ICAT IONS:

Experience in the M edical Billing, A/R Specialist & Customer Service Field . Excellent verbal and wri t ten communication

skills, type 98 wpm. M edical Office, P hysician Office, Third Party Facility knowledge of M anage Care & Commercial

P ayers,GP Modifiers . E D I & Paper claim submission . Systems: E P IC, I DX, EM D, EMR, FACS, Vision, M icro,

AVAIL I TY, NEBO, RTK & Zirmed

Experience:

10/2012-09/2013 A nesthesia Pain & Consultants (APAC

L LC), Dyer I N

Medicare I L & I N Medicaid A/R specialist

• Charge Ent ry encounter form for Anesthesia, Pain and Surgery, b ill from Opt Report

• Anesthesia, Surgery, Pain. Procedures, CPT, Modifiers for Physician Billing and out patient billing

• Correct & resubmit denials for Medicare timely filing, Correct Modifiers, w/o bundled charges

• F/U wi th Insurance companies and Websites to obtain status on claims and denials

• Daily Billing Reports

• Appeal Claims

• Verification of benefits/ submission of secondary payer for Medicare

11/2011-03/2012 C hicago Center for Sports Medicine & Orthopedics Surgery, T inley

P ark I L

Medical Biller

• Charge Ent ry for O rthopedic Surgery/clinic visits & Physical Therapy E DI submission & Paper HCFA with

Medical Notes attachment

• Precertification for surgery & physical t reatments, Pre Authorizations, Verification of Benefits

• Payment Posting, Denials & Appeals, Medical Records scanning and dealing with Attorneys

• Work Compensation & Personal Inju ry Claims dealing wi th different Adjusters for claim status

• Weekly Billing & Payment Posting Reports, Monthly A/R Collection Reports

• Schedule appointments, Establish claim status th ru websites & Insurance Companies

• Credentialing for Orthopedic Surgeon /Physician billing

04-2011-11/2011 C reative Financial Staffing (AT I Physical Therapy), Bolingbrook I L

P atient Account Specialist (Temp position)

• I n charge of 14 Physical Therapy Clinics A /R follow up on claims

• Maintain knowledge of contracts, review billing and cash collected to ensure correct reimbursement to patient &

I nsurance

• Follow up of unpaid accounts, review denied claims, unpaid claims & account balances. Enter or update notes on

account

• Work with Insurance companies to resolve payment of claims via telephone, to bring current or collect account

s tatus.

• Send in all Medical Records to correct party to establish payment of claims

• Commercial and Manage Care Payers

• Reviewed EOB and established COB when necessary to complete

09/2008-04/2010 Springfield Service Corporation, T inley Park I L

I nsurance Edit Processor/Medical Biller

• Resolved edits within EPIC WQ Claim LOGIC system for North Shore University Health Systems

• Reviewed accounts, updated registration, rebilled claims after fixing denials

• Sent in Appeals to resolve payment for claims

• Commercial & Manage Care Payers

• Resolving daily clearinghouse edits from payer confi rm edits & actions

• Resolved Denials & wri te off adjustments per fee schedule on claims

08/2002-2007 N CO Financial Systems, Richton Park I L

Follow up Rep/Medical Biller

• Implemented billing & collection flow process

• Billing policies & procedure to ensure consistency in reimbursements

• Corresponded wi th employers to verify Workers Compensation claims and Adjusters for payment of claims

• Reimbursement follow-up with insurance payer, resubmitted claims to thi rd party payers

• Updated registration information when necessary

• Sent statements to Patients for copay & coinsurance

• Commercial & Manage Care Payers

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