Staff Medical Billing
Resume:
Gary Howard
***** ******* ***. ******.****@*****.***
Homewood IL. 60430
OBJECTIVE
To obtain a position using my current knowledge and successful experience to contribute to a company’s continued growth.
WORK EXPERIENCE
Alexian Brothers Corporate Office Arlington Heights IL October 2014 - Present
Billing Coordinator for Patient Financial Services
Supervised staff of 12 associates
Interviewed candidates for available positions for the billing department.
Mentored and coached staff on daily duties.
Addressed staff and other department questions and inquiries regarding billing.
Performed staff audits daily.
Report metrics and any backlogs regarding billing weekly.
Trained new employees on the billing software.
Assisted as back-up for the billers when absent or on vacation.
Gave 6 month and annual evaluations to staff.
Performed audits on biller functions for backlogs daily.
Alexian Brothers Corporate Office Arlington Heights IL April 2014 – October 2014
Collection Specialist for Patient Financial Services
Review accounts and contact insurance carriers for the payment and other resolution of hospital accounts.
Accurately and in a timely manner, record all collection activity on accounts.
Ensure a prompt and systematic follow-up for the resolution of account, based on established protocols.
Handle written and verbal inquiries related to the resolution of patient accounts.
Ensure confidentiality of all information pertaining to patient services rendered.
Communicate effectively with other departments to obtain accurate billing information.
Kindred Hospital Chicago North Chicago IL October 2012 – April 2014
Biller / Commercial Collector Reimbursement
Bill claims for various primary and secondary commercial insurances for LTAC inpatient stays.
Insure accuracy of patient data and prepare billing according to regulation.
Prepare / maintain billing files and records, Understand net revenue scheduled and contractual log in relation to patient accounts.
Investigate delinquent accounts and make recommendations on the disposition of outstanding balances, contact third party agencies on delinquent accounts, monitor coding, and service dates for patient stays.
Respond to patient account inquiries.
Calculate expected payment reimbursement per diem rate, percentage and DRG rates according to CMS guidelines.
Medical Business Office, Munster IN Sep 2011 – Oct 2012
Supervisor for Physician and Hospital Reimbursement
Supervised staff for the call unit, medical billing, and insurance follow-up.
Mentored and coached staff on their daily duties.
Interviewed candidates for positions for the call unit and reimbursement.
Trained new employees on the system and applications used and defined in the training manual.
Assisted staff in understanding the collection processes including but not limited to turn over reports, problem sheets, aging reports, high dollar reports, and client close out reports.
Assisted managers with daily duties and tasks.
Worked client based projects.
Addressed staff questions and inquiries regarding training and follow-up.
Performed staff audits daily.
Miramed Revenue Group, Lombard IL Nov 2009 – Sept 2011
Insurance Reimbursement / Account Specialist
Worked to resolve outstanding insurance balances.
Reviewed accounts to ensure that the insurance is set up and billed correctly
Reviewed payer websites for updates and changed to policies for timely payments.
Ensured open A/R is billed to proper primary and secondary payers correctly.
Researched and appealed payer denials.
Built reimbursement fee schedules by utilizing CMS data in accordance with payer contracts.
Medical billing.
Education
Harold Washington College, Chicago IL
Basic Education 1989 – 1991
DeVry Institute, Chicago IL
Computer Information Systems 1997 – 2000
Skills
JD Edwards, Oasis, MS Word, Excel, Outlook, Internet, Epic, IDX, Medtron, QSI, Meditech, SSI, Valetude, Ecare, Availity, and all other various payer websites.
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