Customer Service Home Health
Resume:
Nastacia Sloan
Villa Park,IL *0181
PROFESSIONAL EXPERIENCE
Cadence Hospital PFS 12/08/2014 to Present
Managed Care Collector and Replacement Plans
Follow up on resolving any issues on claim that are in my Epic work queue
Contacting insurance company for payment info
Requesting Medical Records for Insurance Denials
Robert Half-Loyola University Medical Center 9/2014 to 11/17/2014
Medicare Collector /Biller
● Follow up on resolving any issues on claim that are in my Epic work queue
● Sending Appeal letters to Medicare appealing mue issue
● Billing Medicare secondary claim with the appropriate value and condition codes
● Checking for LMRP issues and clearing OCE edits
● Billing Labs with L1 modifiers
● Verify and billing Overlapping Snf, Hospice and Home health claims
Areotek - Advocate Hospital 5/2014 to 8/2014
Medicare Biller/Collector
● Billing claims out of Nebo(Rehab Pshy, Transplant, Therapy,Vad,kidney, Inpatient, Outpatient, Snf,
Hospice, and Home health)
● Add Therphy Occurrence codes, G Codes, Kx modifier
● Billing Medicare secondary claim with the appropriate value and condition codes
● Checking for LMRP issues and clearing OCE edits
● Meet daily goals of 67 claims as a collector and 76 claims as a biller
● Billed Medicare replacement plans and verified other insurance with ECare online
● Able to bill 121 Medicare Part B claims
Vaughan Holland Consulting 08/2010 to 4/2014
Medicare Supervisor
● Manage 5 employees daily productivity and attendance
● Assist with the training of new employees, ensuring that they learn and apply proper procedures.
● Work on revenue office projects related to billing inventories, A/R.
● Process all Follow-up accounts and maintain them less than 30 days on a monthly basis with a minimum
of 100% completion.
● Positive communication and problem solving with fellow staff members to insure accurate billing
practices are maintained.
● Meet organizational targets given operational and technical constraints.
● Complete A/R reports daily to gather, qualify and enter appropriate billing notes to release claims to
Medicare.
● Maintain up to date knowledge of regulations to ensure compliance.
● Maintain strict confidentiality; adhere to all HIPAA guidelines/regulations.
McKesson 02/2010 to 08/2010
Accounts Receivable Specialist
● Follow up on all insurance claims from billing through final resolution
● Prepare/submit medical claims electronically
● Identify and resolve any claim delay issues that impact billing and collection.
● Post denials/co-pays and deductibles
● Follow up on payment errors and denials
● Post cash and reconcile daily reports
Life Watch 10/2008 to 02/2010
Billing Integrity
● Calling insurance company to get deductibles, co-payments, co-insurance and coverage per the service
rendered
● Contact medical groups for HMO authorizations
● Review benefits with patients
● Take phone calls regarding any insurance Questions
● Knowledge of billing varies medical groups
Revenue Cycle Solutions 02/2007-10/2008
Patient Account/Representative
● Receive and resolve inbound and outbound calls
● Research patient accounts on patient account system, Check insurance eligibility on passport eligible
service, Interpret insurance contracts and EOBs, process credit card payments.
● Pre-qualify patients for financial assistance.
● Contact insurance company to check claims status and payments.
● Capture and update insurance information in the patient account system.
● Receiving Supervisor calls to resolve any deficient customers.
● Customer Service Representative
● Handle inbound and outbound calls for many different hospital clients.
● Resolve account balances owed to our clients.
● Take insurance information and send patients out itemized bills.
EDUCATION
Diploma, Accounting 1999 Westinghouse Career Academy, Chicago, IL
Medical Billing and Home Health care Genesis Health care Development Center, Bolingbrook,
Coding Certificate, 2007
Pharmacy Technicians Penn Foster
Finishing by 2015
SKILLS
Hospital Systems:
ECare, Plus (Patient System), Acm (Clearing house) system, Epic, Emdeon, Epremis, Florida Shares(FISS),
Access, Allegra, Artiva, Activdash, and Ndas
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