Insurance Medical
Resume:
MARIANA MEGYERI
Parma, Ohio **134
QUALIFICATIONS Experience working as a A/R specialist and Collection, medical Biller, Administrative
Assistant
Ability to prepare all necessary reports and billing statements
WORK EXPERIENCE A/R COLLECTIONS SPECILIST-REVENUE CYCLE 06/2013-02/2014
Clinical Specialties, Inc, Brecksville, OH
Fallow up on claims from billing through final resolution. Review and prepare claims for manual and/electronic billing
submission. Correct and identify billing errors and resubmit claims to insurance carriers. Fallow up on payment errors,
low reimbursement, denials, etc. Review Insurance EOB’s and initiate appeals as necessary. Print and mail UB92s or
HCFA 1500s as necessary for account resolution. Work cooperatively with other fiscal/billing/entitlement staff to insure
follow-up unpaid accounts; Responds to questions/issues concerning insurance/entitlement coverage and invoices
submitted for payments; assist with the monthly close process-researching issues, running reports, balancing data.
Perform monthly and daily reporting and analysis to internal departments
A/R ANALYST/ MEDICAL COLLECTIONS 04/2012 – 04/2013
MedData, Inc, Brecksville, OH
Generate Medicare, Medicaid, Passport and VA invoices and submit for private Insurance/appropriate payers; Prepare
and submit monthly billing statements to the designated financial payers; Preparing and running aging reports,
performing trend analysis, and making risk assessments of new and existing accounts. Review aging reports and
contact third party payers regarding past due accounts. A liaison between the payer and the patient, assisting with
insurance issues and discrepancies. Work cooperatively with other fiscal/billing/entitlement staff to insure follow-up
unpaid accounts; Responds to questions/issues concerning insurance/entitlement coverage and invoices submitted for
payments; assist with the monthly close process-researching issues, running reports, balancing data. Perform monthly
and daily reporting and analysis to internal departments.
Medical Biller/Collections 09/2009 –05/ 2010 Home Care
Just Like Familee, East Cleveland, OH
Generate Medicare, Medicaid, Passport, MRDD and VA invoices and submit for private Insurance/appropriate payers;
Prepare and submit monthly billing statements to the designated financial payers; Work cooperatively with other
fiscal/billing/entitlement staff to insure follow-up unpaid accounts; Responds to questions/issues concerning
insurance/entitlement coverage and invoices submitted for payments.
Accounts Receivable /MEDICAL COLLECTIONS 11/2007 -10/ 2008
Premier Physicians Centers, Rocky River, OH
Posting all payments and adjustments for Medicaid, enters all non Payment EOB’s and determines
Which require further investigation; Create charge recording coding; Refund processing patients and
Insurance Companies; Quick and efficient researching of claims; Identifies reduces reimbursement and
Forwards to the appropriate Insurance Rep, follow-up, workers compensation look up;
Record and balance A/R transactions; research unapplied payments; distribute remits to other departments; Charge
entry; Responsible for patient/client assistance regarding billing issues;
Handles monthly cash posting and reconciliation to appropriate payers and individual client/accounts on a daily/weekly
basis.
Accounts Receivable /MEDICAL COLLECTIONS 08/ 2006 -11/ 2007
Team Health, Akron, OH
Cash applications and posting of payments; Working with a team of other AR, collections, and credit professionals;
Managing and existing portfolio of accounts based on 30-90 days; Communicating and resolving and invoice or billing
disputes; Submitting reports through Microsoft Excel to the AR manager;
Preparing and running aging reports, performing trend analysis, and making risk assessments of new and existing
accounts.
Accountant 08/ 1985 -05/ 2003
Iron and Steel Factory, Hunedoara, Romania
Preparations, processing and maintenance accounting reports and payroll for approximately 16,000 employees;
Knowledge of commonly accounting and payroll principle, practices, concepts and procedures.
EDUCATION Diploma, Medical Billing and Coding Specialist, 2005
Sanford Brown College, Middleburg Hts., OH
Diploma, Accounting and Finance, 1992 - ROMANIA
.
Contact this candidate