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Billing Specialist Customer Service

Location:
Chesapeake, VA
Posted:
November 07, 2023

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Resume:

SARAH WEBB

**** ***** **., **********, ** ****

Cell: 804-***-**** Email: ad0w8k@r.postjobfree.com SUMMARY

A dedicated and focused analytical business professional who excels at completing multiple tasks simultaneously in efforts to exceed all set goals and objectives in an efficient and timely manner. An individual that thrives and excels in any work environment and makes every possible effort to provide nothing less than the best to benefit the company’s needs, objectives and growth.

HIGHLIGHTS

Proficient in Word, Excel, Powerpoint, etc. Meticulous Attention to Detail

Effective Written & Verbal Communication Superior Time Management Skills

Strong Work Ethic & Self-Directed Initiative Seasoned and experienced medical biller

Exceptional Adaptability to Changes Dedicated Team Player ACCOMPLISHMENTS

● Increased revenue by tracking the existing payment trends and successfully executing improved methods to increase the monthly collections in my department(s).

● Increased office organization & more efficient productivity by improving filing systems & customer database protocols.

● Received merit raises and frequent promotions at all previous jobs due to strong attention to detail, exemplary customer service/patient care, unwavering work ethic and consistently going above and beyond all expectations. EXPERIENCE

TIDEWATER ORTHOPAEDIC ASSOCIATES November 2012 - December 2018 Billing Specialist; Leader & Business Analyst

● Billing Specialist for the following departments throughout the duration of my tenure: Worker’s Compensation, Medicaid, Medicare, Cigna & all other commercial insurances.

● Creating claims for all of the physicians, physician assistants, occupational and physical therapist’s daily encounters.

● Making sure every claim complies with all specific billing guidelines prior to submission to the insurance companies and making corrections accordingly.

● Auditing denied claims for inaccurate ICD-10, CPT(s) and/or modifier(s) and correcting accordingly.

● Accessing AR to determine if there are any general billing error trends that are causing payment delays.

● Relaying ideas and potential solutions to efficiently decrease the company's AR to Billing Director.

● Entering contractual, bad debt, small balance or billing error adjustments to balance and close out claims.

● Analyzing all providers’ dictation associated with each visit to ensure the subsequent claim created is billed accurately.

● Analyzing patient’s accounts to find and resolve discrepancies.

● Analyzing company’s financial deficients and resolving them efficiently to balance books daily, weekly and monthly.

● Training new billing department employees and continuing to be a supportive resource to them.

● Managing all bank deposits and reconciling between the bank balance and Quickbooks.

● Managing special projects and handled specific account related objectives as designated by the board and Directors.

● Working directly under the CEO and CFO to provide insight on companies revenue stream, relaying trends and offer solutions to improve business practices.

● Auditing all financial reports independently (and upon request) to proactively find flaws in the data and correcting accordingly prior to month end closing.

● Creating training manuals for the company and updating existing manuals to maintain quality and to add changes in policies and procedures.

CTR MEDICAL TEMP AGENCY August 2012- November 2012 Medical Billing Specialist

DIAMOND HEALTHCARE June 2011- August 2012

Lead Billing Specialist and On-Site Tech Support

● Configured the census for both facilities and circulated to all the company VPs daily.

● Performed quality control on all of the patient accounts within the billing system and create new patient folders.

● Created Professional Service Fee(s) accounts and manually entered all of those daily charges for all patients.

● Entered the contractual write-off adjustments for all applicable accounts.

● Solely responsible for all TDO, CSB and special project billing and the subsequent management of the A/R for all of those accounts.

● Manually entered all monthly pharmacy charges for all of the patients within the Pavilion Facility.

● Liaison and the on-site tech support specialist for our Tier billing system which includes but is not limited to the following:

1.) Fixed all programming and IT issues for Diamond Healthcare on behalf of Tier. 2.) Handles all back-end coding within the Tier system. 3.) Entered all new programs, departments, diagnosis codes, providers, etc. into the Tier system. 4.) Set up and attended all meetings with Tier on a weekly basis for account & system resolution(s). 5.) Trained employees on the Tier billing system.

6.) Personally resolved all the employee’s specific IT issues directly or micromanaged Tier’s progress on resolving the issue to completion.

JENCARE NEIGHBORHOOD MEDICAL CENTERS August 2010- May 2011 Office Manager

● Managed the business and medical staff.

● Hired and trained new employees. Overseeing their development and progress.

● Assisted patients with any questions, concerns or complaints in efforts to provide more superior patient care.

● Developed relationships with outside medical facilities for referral purposes and assistance in other PR efforts.

● Assisted in arranging and tracking patient’s care with outside medical facilities.

● Submitted invoices and all other A/P responsibilities for my office.

● Entered all new patients in our computer programs; (CSS, EMedRec, Avisena and Availity).

● Verified patients insurances.

● Managed the doctor’s schedules.

BUSINESSUITES July 2009- August 2010

Center Manager

Client Service Coordinator (promoted to Center Manager in September 2009)

● Managed the facility and tended to all in-house clients needs as well as clients with remote services.

● Hired, trained and oversaw the Client Service Coordinator.

● Programmed phones, installed computer programs and provided on-site IT support to our clients.

● Provided personal tours of the center to prospective clients and consistently followed up to generate more business.

● Prepared service agreements, closed out client files and prepared for all client move-ins and move-outs.

● Prepared, processed and distributed invoices and maintained consistent management on the delinquent accounts.

● Point of contact for all clients, vendors, prospects and guests to provide quality one on one support and assistance. EDUCATION

● Graduate from J.R. Tucker High School- Richmond, VA 2004

● Thomas Nelson Community College- Hampton, VA 2013 PROFESSIONAL REFERENCES

(Will provide more upon request)

Travis Miller

VP of Operations at Hospital Corp of America

Relationship: Previously my boss (and CFO) at Jencare Phone: 804-***-****

Anthony Tacconi, LLP

Attorney and Principal Member of IPCL

Relationship: Previous boss at Bowman & Brooke, LLP Phone: 804-***-****

Yvette Johnson

Revenue Integrity Lead

Relationship: Boss at Tidewater Orthopaedic Associates Phone: 703-***-****

Eva Klenner

Previous CEO of Tidewater Orthopaedic Associates

Relationship: Previous boss at Tidewater Orthopaedic Associates Phone: 757-***-****

Tom Marshall

CEO and Founder of Virginia Estate and Retire

Relationship: Previous boss at BusinesSuites

Phone: 804-***-****



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