Revenue Cycle Billing Specialist

Heather J Leek

**** ***** **** ** ******, OH ****2 ad0qe5@r.postjobfree.com 513-***-****

Summary

Experienced medical professional with a wide range of studies in the clinical setting, revenue cycle, and EMR/EHR systems (EPIC/Nextgen/Experity) as well as Commercial/Private Payor Clearinghouses. Though I have experience in all aspects of healthcare, the Revenue Cycle is my passion. My desire is to find a permanent position in Billing to utilize my expertise.

My desired salary expectation is $22/23 hr

Work Experience

Carefirst Urgent Care - Cincinnati, OH Nov 2022 to Present Billing Specialist: Claims

completion of claims to payers

Incoming calls from Patients

Incoming Calls from Payors

Submit billing data to the appropriate insurance providers

Resolve denials in a timely matter according to each payer

Be sure authorization is on file for all required procedures

insurance verification Primary/Secondary/Tertiary

Cincinnati Eye Institute - Blue Ash, OH May 2022 to Nov 2022 Medical Billing Specialist

posting charges

completion of claims to payers

Submit billing data to the appropriate insurance providers Process claims

Resolve denials in a timely matter according to each payer Be sure authorization is on file for all required procedures insurance verification Primary/Secondary/Tertiary

Oxford Physical Therapy - Mason, OH 45040 Sept 2021 to May 2022 Medical Billing/Posting Specialist

Payment Posting/Submit Replacement claims/Corrected Claims

From EOB/Any other adjustments/contractual adjustments

Patient Payments CC/Check payment

Pull Credit Card payments from Zelis/Instamed/Alveo/Pay trace

Take payments/post payments from internal calls from patient

Work Accounts in A/R file

1

Resubmit claims/replacement claims

Electronic/Paper Billing (UB-40/1500)

Billing Systems*Alveo/Availity/AARP/Tricare/Zirmed/Epic

Ensemble Health Partners Blue Ash, Ohio/REMOTE Sept 2017 to May 2021 Revenue Cycle Specialist/Scheduling and Billing

Epic Systems EMR

Schedule Patient imaging tests

Assist Physicians office with scheduling stress test/MRI/CT/US

Run medical Necessity

Pre Reg app

Verify orders and attach to app

Work with imaging depart/radiologists to ensure all orders input in Epic correctly for Billing and Radiologist

Follow up/Denials **submitted corrected claims/replacement claims thru clearinghouse. Paper and electronic

Proscan Imaging /Midtown Location - Cincinnati, OH June 2012 to Sept 2017 Billing and Collections Specialist Lead

Inbound and outbound calls assisting patients with billing questions

Assisting patients with making payments/payment plan options

Following up with insurance claims

Inputting correct insurance information so Claim Reps can re-file/appeal claims

Phone Call Buckets

Loss Recovery

Literate in Centricity/Zirmed/Revlink/POL2/EPIC

Premier HealthNet - Dayton, OH 45459 May 2008 to Feb 2012 Registered Medical Assistant

Worked front and back office

Assisted Dr with minor office procedure/GYN

Called in scripts Using Care 360

Made patient app through computer scheduling EPIC

collected copays/input insurance/updated patient demographics/scheduled app

APRIL GARDNER and Associates Lebanon, OH 45036 Jan 2002 to May 2008 Registered Medical Assistant

Front/back office duties/update patient insurance

Check in/out/collect copays/scheduling/update demographics/insurance

ICD-9/CPT codes* Submit Fee sheet to insurance

Pharmacy calls/scheduled app

Assist Dr with minor office procedures

Education

RETS COLLEGE Aka FORTIS Centerville, OH 1992 Associates in Medical Office Assistant

2

Diploma in Music/Science Hempstead High School - Dubuque, IA Graduation June 1987

Skills

• CPT Coding

• ICD-9

• ICD-10

• Insurance Verification • Medical Billing

• EMR Systems

• Epic

• Medical Records

• Anatomy Knowledge

• Clerical Experience

• HIPAA

• Medical Terminology

• Phone Etiquette

• Medicare/Medicaid/Anthem/Aetna/Buckeye/Caresource • Communication skills

3

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