Elizabeth Queen

ad0s97@r.postjobfree.com

240-***-****

VIRGINIA Cancer Specialties

August 30., 2022 and Current

• Account Receivable

• Follow up Denial Claims

• Follow up Corrected Claims

• Send Secondary Claims Electronic Claims

• Send Appeal Letter for payment Re-consideration

• Send Medical Records if necessary to insurance company. Full Cycle Medical Biller

Sislen and Associates Washington DC

January 2022– June 2022

• Post Daily Charges

• Post Daily Payment

• Send Claims Electronic through Medicare and other in net work insurance.

• Self Pay collection and insurance denied claims followed up. Metropolitan Breastfeeding Bethesda MD

April 2021 – November 2021

• Followed Up Denied Claims

• Patients Collection

• Insurance Collection

• Send Patients Statements

Medical Biller

Sagebrush Treatment Center – McLean, VA

September 2020 – December 2020 (Covid – Layoff)

Handle pre-authorizations for in-patient clients

Posting payments and conducting insurance charge posting Managing claims and verifications

Collecting payments

Utilizing EMR systems and updating patient accounts Answering patient billing inquires

Medical Biller

Charles E. Smith Life Communities – Rockville, MD

June 2020 – September 2020 (Quadrant – Temp)

Determine viable payer source for residents transferring from Post-Acute Care to long term stays Assist with the preparation, mailing, receipt, and follow-up of the semi-annual request for verification of

financial resource letter sent to Private Pay residents Assist with Medicaid Pending cases as needed

Coordinate with the Medicaid Customer Support Specialist and the Medicaid Resident Accounting Specialist to ensure the monthly resource payment is accurate and received timely Assist with the preparation, mailing, receipt, and follow-up of the semi-annual request for verification of

financial resource letter sent to Private Pay residents Determine a viable payer source for prospective Long-Term Care patients Work with patients/families to address financial coverage questions and concerns and work to establish of a

viable payer source

Ensure that the initial Private Pay advance payment is collected prior to all LTC admissions or transfers

Notify residents obligation to pay estimated monthly resources to cover the cost of care prior to the start of

the Medicaid application process

Assist with maintaining the daily Financial Tracking log to ensure accurate and timely tracking and reporting of financial spend down requirements including status of residents intending to. Medical Biller Advantia Health – Silver Spring, MD October 2019 – March 2020 (Quadrant - Temp)

Drafted appeals for insurance claim denials and official documentation regarding insurance benefits Validated patient insurance applications and existing information; updated current database and records and

verified patient information

Post payments and charge entries

Resolving billing problems and answering patient inquiries Performs audits of patient accounts to ensure accuracy and timely payment Update patient demographics

Process claims

Utilized EMR systems

Handle collections

Medical Biller RCCA MD, LLC - Bethesda, MD

September 2015 – September 2019

Draft documentation for insurance records, benefits, claims, and adjustments to patients accounts and

insurance companies

Work with A/R and conduct follow up

Post payments and charge entries

Update patient demographics

Process claims

Follow up on appeals and denials.

Elevated operational coordination and efficiency of insurance claims and financial recoveries. LINKIA/HANGER • Rockville, MD • 2010 - 2015

Elevated operational coordination and efficiency of insurance claims and financial recoveries. BILLING REIMBURSEMENT ANALYST

Assessed and reviewed existing processes and proposed strategic data-driven solutions to drive improved efficiency of process and workflow productivity. Processed all medical and insurance claims, cultivated client/patient relations,

and authored official records, documentation, and proposals for medical/insurance claims. Communicated with C- level executives and aligned operations with regulatory compliance standards. Produced HCPA 1500 and UB04 claims and secured necessary permissions for medical specialty procedures. Verified all client/patient information. Key Accomplishments:

• Processed 200+ insurance billing and postings daily.

• Increased productivity by 50-100% leveraging extensive insurance knowledge and effective time management.

• Recovered $1M+ in overdue balances.

INOVA HEALTH SERVICES/PHYSCIAN BILLING (contract) • Springfield, VA • 2009 - 2010 Researched and recovered long-term claims and authored official documentation. ACCOUNTS RECEIVABLE REPRESENTATIVE

Evaluated and investigated long-term insurance claims. Drafted appeals for insurance claim denials and official documentation regarding insurance benefits. Validated patient insurance applications and existing information; updated current database and records and verified patient information. Key Accomplishments:

• Accomplished processing of 100+ follow-up claims, appeals, and denial letters on a daily basis. Education & Credentials

Certificate in Economics, Concentration - Management; Minor - Finance *Honor Roll Distinction Chemeketa Community College – Salem, OR

Professional Development

ICD-9 CM & 10 • CPT-4 HCPCS • UB92 • CMS1500 • EDI • Medical Terminology • Electronic Medical Records • Referrals, Authorization, & Insurance Verification • Tricare, Medicare, Medicaid, Commercial Insurance & Third

Party Insurance • Privacy Act & HIPPA Compliance Statutes • Medical Ethics & Patient’s Rights • Personally Identifiable Information • Information Assurance Awareness • Portable Electronic Devices

& Storage Media

Technical Proficiencies

Centricity, NexGen, Medical Management System, EMED

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