Toshiba Mitchell

**** ******** ***

Dallas, TX **249

972-***-****

acu1et@r.postjobfree.com

Objective

Seeking a position utilizing my 15+ years of experience, skill, and knowledge in Accounting fields and 3+

years of experience in Medical Billing and Coding fields.

Professional Summary

10+ years experience with multiple Accounting applications (QuickBooks, AS400, et al)

Team player with excellent customer service, communication, negotiation & trouble shooting skills with the ability to prioritize and multitask

Skilled in all areas of accounting technology, terminology, procedures, policies and confidentiality

Knowledge and experience with medical claims management/Collections/Appeals procedures (CMS 1450, 1500, 837I & 837P)

Extensive knowledge of Medical Terminology and Anatomy & Physiology & Basic Health Insurance

Knowledge & experience with Medical records management/EHR/EMR & alpha-numeric filing systems

Knowledge and experience with Medical Coding (ICD-9-CM, CPT-4, HCPCS, ICD-10 &10PCS) & UHDDS guidelines

Professional Experience

Vibra Healthcare Contract Analyst Irving, TX

05/2014-05/2016

Responsible for analyzing various HMS reports to ensure receivables net correctly and patient bills and statements are generated accurately in a timely manner.

Coordinates resolution of errors to the daily HMS report process, i.e. bill selection reports, payer log balancing report, and patient logs.

Serve as a facility representative in communication with Vibra Healthcare facilities, patients, and insurance companies concerning issues affecting patient bills and charges.

Analyze patient accounts to determine accuracy of balances to ensure the correct payment and adjustments have been applied and prepare refunds when needed.

Read and interpreted UB04, 1500, Medicare, Medicaid, and Commercial remittances and tracking exhausted days and other Medicare issues. Using DRG and CMG Medicare coding to price claims on a daily basis.

Resolve and research issues related to claim processing and underpayments to ensure full payment per contract.

Christus Health Patient Financial Service II, Analyst Irving, TX

12/26/12-04/2014

Responsible daily for evaluating paper and electronic remittances of insurance and patient payments received from lock boxes and electronic funds transfer to ensure proper payments received.

Reading and interpreting Explanation of Benefits from insurance companies.

Auditing high dollar accounts to determine the cause of discrepancies and errors.

Maintain Lean Six Sigma processes and procedures.

Researching and resolving insurance underpayments to ensure proper validation of patient accounts, utilizing Ecare to verify insurance.

Reading contracts to ensure payment received from insurance is according to contract and regulations.

Multiplan, Inc. Auditor II, Fee Negotiations Arlington, TX

04/11- 11/12

Review proposals and claims for errors. Provide feedback to team lead on weak areas identified for department/specific negotiators.

Provide daily count of claims reviewed. Work with team lead management to identify workflow issues and suggest improvements.

Verify proposal is being sent with correct discount. Supports the Negotiator Proposal Queue and the Autotrack/Fastrack proposal queue.

Meridian Distribution Accounts Payable Specialist Dallas, TX

11/08 – 03/10

Performed customer service inquiry, Data Entry & 3-way matching invoices for freight distribution service

Processed freight, utilities, and miscellaneous invoices for payment for various company locations

Performed processing of distributor checks and expense reports for staff at their various locations

A/P Specialist Contracts Accounting Assistant Dallas, TX

11/06 – 10/08

Performed Inbound and outbound customer inquiry to complete account resolutions

Performed Data Entry, balancing daily operations, fuel inventories, bank reconciliations,

Provided coding and processing of AP and AR accounts, and various petty cash transactions

Skills/Software

Customer Service Data Entry

Ten-Key Excel

Word Keyboarding 50wpm

Medical terminology Record management

Collections ICD-9-CM

CPT coding QuickBooks

MS Office Suite, 2003 & 2007 HIPAA Privacy & Security & EDI Training

Medisoft 14 & Medical Manager Compliance/Fraud & Abuse Training

Meditech Collect Logix

SSI Navinet/Ecare

Education

MedVance Institute Grand Prairie March 2011

Medical Billing and Coding Diploma Program

Mountain View College Dallas, Texas July 2002

Associate of Applied Science, Accounting

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