Olivia Smith

Medical Billing Specialist

Dallas, TX

acx0gp@r.postjobfree.com - 816-***-****

Experienced Medical Billing and Coding Specialist is seeking a position in the Medical Field. NEXTGEN Medical Software experience.

Willing to relocate to: Arlington, TX - Richardson, TX Authorized to work in the US for any employer

WORK EXPERIENCE

Health Business Specialist

University of North Texas - Fort Worth, TX - August 2016 to October 2016 Patient Accounts Representative

Saint Luke's Health Systems Kansas City - Kansas City, MO - December 2014 to June 2016 Process all admissions for multiple levels of care charge posting cash posting audits daily census updates statistics and verifies insurance benefits. Manages the account receivables for Hospital Physicians and Clinic for Government commercial insurances and managed care payers. Maintains denial reports cash receivable reports and managed care contracts

Behavioral Health Patient Accounts Billing Specialist Truman Medical Center Kansas City - Kansas City, MO - July 2014 to December 2014 Performs billing and collection activities for services provided by behavioral health division, utilizing a variety of electronic systems in the course of each investigation. Bills outpatient accounts using appropriate information utilizing either electronic paper or paper claims system. Enters data in other State or Federal systems in order to complete assigned task. Verifies accuracy of insurance information, including the verification claims have proper codes (ICD9/10, CPT4, HCPCS or Payer specific) and attachments.

Post cash remits, balancing systems to ensure accuracy. Documents sytems with status of unprocessed claims and records any pertinent information. Follows up on outstanding claims working denials and resubmitting claims. Prevents collectable accounts from becoming uncollectable/ delinquent. Reviews account balances and aging and other information to collect account in a timely basis. Maintains an accurate knowledge of applicable Billing Regulations and rules related to specific payers. Responsible for monitoring all aspects of billing activities. Verifies that billing and projects are completed accurately and timely. Ensures that assignments are prioritized and reports or any discrepancies or problems. Needs to collaborate with other departments to ensure that the programs policies and procedures as well as regulations and compliance issues occur.

Promotes quality improvement, staff and patient safety and cultural diversity throughdepartment operations and personal performance.

QA Billing Specialist

Mednax- American Anesthesiology - Arlington, TX - September 2013 to February 2014

• Verifies the accuracy of the physician procedure count to ensure all slips are coded by the coder and verifies the number of cases charged agree with the number of anesthesia cases for each physician by date of service.

• Ensures the batch reconciliation process is performed timely and accurately to ensure that all rendered services are billed to the patient's insurance plan or patient if uninsured.

• Ensures the risk of missed revenue or delay in revenue collections that will result in increased costs.

• Performs verifications and releases the charge transaction into the MedSuite system for the claims generation and filling process.

• Ensures the accuracy of the charge worksheet journal to the batch origination count and surgery schedule.

• Initiates generation of the system concurrency reports; storing various documents used/ created during the batch reconciliation process.

• Records batch charge totals on the MedSuite Balancing Log by client or site location. Charge Entry/ Billing Specialist

Texas Health Resource- Medsynergies, Inc - Dallas, TX - December 2012 to September 2013

• Enter charges for visits in Primary Care and Specialty billing, reviewing the visit documentation and the encounter to ensure all charges are captured.

• Enter all required modifiers based on CMS coding guidelines.

• Enter of medical codes such as CPT's, ICD's, surgeries, labs, nursing home and hospital charges, as well as other medical codes into the Medical Software (Centricity/ Flowcast) database to be billed to a variety of insurance companies.

• Ensure there is no charge lag or untimely filing by verifying and confirming insurance billing information. Medical Biller/ MOS

E-Clinical Works - Kansas City, MO - October 2011 to July 2012 management office software

• Scheduled appointments

• Confirmed appointments

• Handled all Time of Service money and collected co-pays

• Answered 5- line phone system

• Triaged phone messages to the appropriate person in the office, if there is any emergency message or call for the doctor or one of his nurses, I immediately access what the problem is before leaving message and or going to inform doctor/ nurse of potential emergency situations;

• Filled prescription request by E-script, fax machine and or verbally to and from pharmacies;

• Entered insurance and liable party insurance information/ precertification to insurance companies.

• Posted payments to patient accounts from DOS (Date of Service) making sure all of the Time of Service money matches and is balanced at the end of the day. Surgical Specialist

Research Medical Center - Kansas City, MO - October 2010 to October 2011 Charge Entry/ Medical Billing Specialist

• Receive and review charge documents from the clinic and hospital.

• Ensure charge information provided is correct and accurate.

• Enter charges into the Practice Management System.

• Extensive use of E-Clinical Works management software.

• Balance charge summary to tickets keyed before updating charges.

• Phone insurance payers on claim status and denials.

• Abstract CPT-4, HCPCS II and ICD-9 CM from medical records, operative notes, hospital admissions, consults, progress notes and discharges.

• Coordinate with front office staff on payment/ billing issues.

• Work Accounts Receivable report.

• Determine the reason claim has not paid; correct and/ or re-bill.

• Communicate with various insurance entities to determine claim status. Ability to read and understand an Explanation of Benefits/ Remittance Advice. Patient Account Services Diagnostic Scheduler

Rockhill Medical Group - Kansas City, MO - January 2008 to July 2009

• Extensive use of Meditech and Deltadoc software systems.

• Scheduled patients for:

• Ultrasounds

• Mammograms

• MRI's

• Nuclear Medicine Testing

• Cat Scans

EDUCATION

Diploma in Medical Billing and Coding

Anthem College - Kansas City, MO

2010

Associate in Nursing

Penn Valley Community College - Kansas City, MO

1994 to 1996

Certificate in Medical Terminology

Truman Medical Center - Kansas City, MO

SKILLS

Billing Specialist (6 years), Claims Processing (6 years), Medical Terminology (8 years) CERTIFICATIONS

LPN

2011

Medical Billing and Coding

September 2011

LPN

May 2011

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