Medical Billing and Collections Specialist

MEDICAL BILLER & COLLECTIONS SPECIALIST

SUMMARY OF QUALIFICATIONS

21+ years of extensive knowledge in all aspects of medical billing and collection procedures

Comprehensive understanding of charge posting to include ICD-9 and CPT coding with a high degree of accuracy

Thorough knowledge of insurance and patient payment posting, both ERA and manual

Maintaining a very current A/R with tenacious follow up on claim rejections and denials- submitting appeals when necessary and insurance and patient aging

Vast knowledge of electronic claims and statements submissions in a time efficient and accurate manner

Verification of insurance eligibility and obtaining precertification when necessary

Setting up payment arrangements and contracts with self-pay patients or patients with large balances and utilizing collection agencies when necessary

Daily and monthly reconciliation and bank deposits

Issuing patient and insurance refunds when applicable

5 years supervisory experience of 10+ front office employees to include hiring and training of new employees, accounts payable, employee payroll and ordering of office supplies

Exceptional customer service and verbal and written communication skills

In depth knowledge of medical terminology

Detail oriented, proficient, and highly organized

Strong ability to multi task and work unsupervised with commitment to completing required tasks

Various Practice Software knowledge to include Epic, Centricity, Allscripts, eClinicalWorks, Revenue Cycle Manager, Powerworks, NextGen, Medisoft, Payerpath, Kronos and Microsoft Word, Office and Excel

WORK EXPERIENCE

Woodward & Garner P.C. MDVIP\BBW Bookkeeping 11/2011-09/2012 Atlanta, GA

Billing Supervisor

Posted office charges

Posted ERA and manual payments, both insurance and patient

Electronic claims and statements submissions

A/R follow up and accounts payable

Daily and monthly reconciliation and bank deposits

Spoke with patients regarding accounts

Supervised employees, employee payroll and ordered office supplies

MEDICAL BILLER & COLLECTIONS SPECIALIST

WellStar Douglas Surgical Associates 11/2004-09/2010

Douglasville, GA

Billing Coordinator

Posted office, hospital and surgery charges

Posted ERA and manual payments, both insurance and patient

A/R follow up and collections

Electronic claims and statements submissions

Set up payment arrangements and contracts with self-pay patients or patients with large balances and utilized collection agencies when necessary

Pre certified office procedures and surgeries and pre verified medical benefits

Daily and monthly reconciliation and bank deposits

Dr. Amita Dave, Internal Medicine 05/2002-11/2004

Dr. Niranjan Dave, Cardiology

Austell, GA

Billing Supervisor & Medical Transcriptionist

Posted office, hospital and cardiac procedure charges

Posted insurance and patient payments

Spoke with patients regarding accounts and set up payment arrangements

Electronic claims and statements transmissions

A/R follow up and collections

Daily and monthly reconciliation and bank deposits

Pre certified office and cardiac procedures and pre verified medical benefits

Medical Transcription

WellStar Douglas Internal Medicine 06/1994-05/2002

Douglasville, GA

Billing Coordinator

Posted office and hospital charges

Posted insurance and patient payments

Spoke with patients regarding accounts and set up payment arrangements

Electronic claims and statements transmissions

A/R follow up, collections, and accounts payable

Daily and monthly reconciliation and bank deposits

Pre certified office procedures and pre verified medical benefits

Supervised all front office employees, hired and trained new employees, employee payroll and ordered office supplies

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