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Senior Medical Billing

Location:
Palatine, IL
Posted:
October 23, 2023

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Resume:

Illinois Bone & Joint Institute, LLC Park Ridge, Illinois

Insurance Collector 7/21-11/22

Follow up with insurance payers to resolve unpaid claims, file appeals and reconsiderations.

Applied understanding/interpretation of EOB’s.

Communicates outstanding balances in writing and over the phone to appropriate parties.

Review patient medical records to compare documentation to coding.

Medical Management Solutions, Rolling Meadows, Illinois

Medical Billing Assistant 8/20-3/21

Daily billing of medical claims for nine podiatrists.

Payment posting, includes ERA’s and EFT’s and balancing to deposits.

Insurance aging review includes resolution of unpaid claims.

Primary point of contact with insurance companies and patients.

Handling patient messages and issues.

Chicagoland Eye Consultants/Prairie Foot and Ankle, Elgin, Illinois

Senior Medical Billing Specialist 6/19-1/20

Senior medical biller for three physicians (two Ophthalmologists and one Podiatrist).

Primary responsibility of overseeing full revenue cycle for both practices.

In charge of weekly bank deposit.

Insurance aging review includes resolution of unpaid claims.

Primary point of contact with insurance companies and patients.

EDI setup.

Ampcus Incorporated, Schaumburg, Illinois

Enrollment Coordinator 3/19-6/19 (Contract)

Managed provider enrollment life cycle from beginning to end.

Processed EDI enrollments for hospitals and physician practices.

Utilized internal payer list parameters to determine enrollment routing for claims and ERA’s.

Enrolled providers with payers through NPI/TAX ID information.

Demonstrated strong project management skills and managing multiple projects congruently.

Ability to work with hard deadlines and function in a fast-paced high volume environment, utilizing

strategic thinking and time management skills.

Staffing Now Incorporated, Buffalo Grove, Illinois

Medical Coding Specialist 8/18-11/18 (Contract)

Daily coding of outpatient medical records for Optometry, Podiatry, Dentistry and Audiology.

Trained and managed six coders on company processes and procedures.

Distributed and managed daily work for the coding team.

Audited and submitted coded claims to the insurance companies.

Additional projects, as assigned.

Evanston Premier Healthcare Research, Evanston, Illinois

Medical Biller 9/17-5/18

Daily billing of medical claims, which included reviewing assigned ICD 10 coding and CPT coding for physician charges for two physicians.

Daily deposits, included payment posting from insurance and patients.

Month end reporting for unpaid claims and receipts.

Front desk responsibilities included patient check in, check out, collecting balances and copays.

Practice Management, Arlington Heights, Illinois

Revenue Cycle Manager 11/14 - 6/15 (Contract)

Created training and work process documents to ensure proper workflow.

Provided full cycle revenue management oversight for clients, and serving as the single point of contact between our company and client.

Performed daily billing of medical claims which included physician charges, hospital inpatient, outpatient, nursing home, home health certifications. ERA and EFT payment posting.

ML Medical Billing Company, Northbrook, Illinois

Medical Billing Account Manager 11/10 - 4/13

Provided full service, multi-client, multi-specialty support for Medical Billing Company.

Performed full revenue cycle management of insurance billing and medical claims.

Managed collections involving primary/secondary insurance, workman’s compensation, Medicare, Medicaid and patient self-pay balances.

Oversaw and verified coding of physician charges in the areas of internal medicine, pulmonology, cardiology, neurology and physical therapy.

Performed payment posting and adjudication; verified and updated insurance coverage.

Garfinkle’s Fine Jewelry, Highland Park, Illinois

Sales Associate, Administrative Assistant (Part-Time/Full-Time) 9/95 – 9/18

Assisted with in-house and online sales, increasing store revenues and productivity by 45% on a quarterly basis.

Maintained customer logs, which included updating information with in-house computerized master files database.

Assisted with and performed quarterly inventories of merchandise and reporting procedures.

Computer Systems

Epic, E Clinical Works, Salesforce, Practice EHR, IMS, Collaborate MD, Practice Fusion, Allscripts PM/EMR, Nextgen, GE Centricity, Medical Manager, MD Synergy, Medisoft, Cerner/Meditech, Tiger/Mysis, Greenway EMR, Microsoft Word, Excel, PowerPoint and Access. Payer websites: Availity, Cigna, Aetna, NGS Connex

Education

College of Lake County, Grayslake, Illinois

Associates in Applied Sciences Health Information Technology Degree - May 2006

Medical Coding Specialist Certificate - 2005

Medical Billing Specialist Certificate - 2003

Barat College, Lake Forest, Illinois

Bachelor of Arts Humanities Degree - 1995



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