Meagan Brown

Data Entry / Medical Billing Speacialist

Macon, GA 31220

ad1g5x@r.postjobfree.com

+1-706-***-****

Authorized to work in the US for any employer

Work Experience

Client Service Representative

Elevos - LaGrange, GA

August 2021 to Present

Job Summary: To provide exceptional Customer Service as the direct contact for our Billing Service Clients. Manage the Revenue Management, importing of calls, and payment posting for each Billing Service Client assigned.

Duties and Responsibilities

o Import all ambulance calls submitted from the assigned Billing Services Client into the billing software. o Post all payments and denials to patient accounts manually or via electronic posting. o Responsible for making sure Billing Service Client’s accounts balance for timely month end close out of all accounts assigned.

o Properly maintain documentation of Billing Service Client’s Revenue and communicate any issues directly with the Director if found.

o Maintain an open line of communication with Billing Account Specialist to better serve the needs of Billing Service Client.

o Organize and maintain client files with all account information including monthly reports. o Provide excellent customer service and maintain a good working relationship with each assigned Billing Service Client.

o Responsible for obtaining any reports that are requested by Billing Service Client and working on any special projects that obtain to the assigned Billing Service Client. o Maintain HIPPA compliance with all medically sensitive information. Medical Billing Speacialist

Magna Care Medical Specialists LLC - Macon, GA

December 2019 to September 2021

• Responsible for verifying credits and debits for the business account.

• Verifying that any credits deposited into the business account, that the EOBs are received for payment and posted to the corresponding patient accounts.

• Problem solving issues with insurances that were not credentialed, verifying we are credentialed and maintain a current list of all claims to refile.

• Working the current AR

• Sending out statements, following up with patients who have balances.

• Files insurance for patients every day

• Follows up on unpaid claims and corrects those that need to be corrected to be paid.

• Calls insurance companies when necessary to clarify reasons for nonpayment.

• Tracks and posts all insurance payments into the practice either manually or electronically posted payments.

• Sets fees and watches reimbursement to make changes when needed.

• Registering for electronic payments

• Review accounts receivable reports monthly

• Responds to inquiries regarding EDI (Electronic data interchange) issues with enrollment, claims, payments, and/or clearinghouse activities. Conducts analysis of EDI transactions and is responsible for documentation and reports to be received.

• Responsible to work system generated claims, making sure all edits, attached records, operative reports are given to appropriate persons for correction.

• Research appeals by gathering information and resubmitting claims with appropriate information needed.

• Coming up with systems for charges, better/ faster more efficient ways of getting charges out to the insurance companies, which means being paid faster.

• Working rejections through Trizetto

• Work hand and hand with practice manager to maintain accounts receivables maintain orderly cash flow.

• Implement quality assurance for all billing processes. Billing Supervisor

Heartland EMS - Cochran, GA

October 2017 to December 2019

• Oversee the preparation of medical bills and invoices, the calculation of provider charges, and verification of patient insurance.

• Maintain insurance documents and contracts.

• Oversee the submission of claim reports and filing procedures.

• Ensure billing operations are performed in an accurate and timely manner.

• Evaluate billing processes and procedures and assist management in developing revisions.

• Monitor the revenue cycle activities and resolves any issues.

• Familiar with ICD-10, CPT, and HCPCS Coding Systems as well as claim forms such as CMS-1500 and UB-04.

• Supervise a small group of para-professional staff in an organization characterized by highly transnational or repetitive processes.

• Contribute to the development of processes and procedures.

• CAC Certified

Fast Food Worker

Brians's Giant Subs - Dublin, GA

November 2016 to August 2017

Among the major responsibilities of Brian's Giant Sub's is to prepare all the ingredients that will be needed during the shift, create sandwiches delis, salads, bake bread and cookies, operate the equipment in the station, serve customers, clean the dining section, maintain food safety and standards in food preparation and personal hygiene, and ensure that all equipment are working properly. I also must also perform cashier duties.

Billing Accounts Specialist / Supervisor

EMS Consultants - LaGrange, GA

April 2008 to September 2015

Extensive knowledge of ICD-9-CM and CPT coding principles and guidelines, reimbursement systems, federal, state and payer--specific regulations and policies pertaining to documentation, coding and billing. Understands medical terminology, anatomy, physiology, surgical technology, pharmacology and disease processes.

● Reviews medical records to identify pertinent diagnoses and procedures, selects the principal diagnosis and principal procedure, and ensures appropriate DRG assignment.

● Acted as a mentor to training coders and/or new hires by providing education and training. Participates in Coding Roundtables through presentation of materials, articles and current issues related to coding and Health Information Management. Assists in working the QA queue for their assigned client when requested.

● Verbal and written communication skills. Aggressive follow-up procedures file and re-file claims with appropriate payers to ensure maximum reimbursement.

● Worked with Prestige ePCR (Electronic Patient Care Reporting) and Prestige Billing software. Also, some experience with Microsoft Excel.

Front Desk Attendant

Jameson Inn - LaGrange, GA

December 2006 to April 2008

Register guests and assigns rooms. Accommodates special requests whenever possible. Uses suggestive selling techniques to sell rooms and to promote other services of the hotel.

● Thoroughly understand and adheres to proper credit, check- cashing and cash handling policies and procedures.Performing cashier related functions like posting charges to guest accounts, raising paid outs, currency exchange.

● Has a working knowledge of the reservations department. Takes same day reservations and future reservations when necessary. Knows cancellation procedures. Auditor / Assembler

Emerson Network Power - LaGrange, GA

January 2005 to November 2006

Assembly of IT infrastructure developments. Reading of blueprints to assemble power sources, fans, and all other optical wiring for each product.

● Inspection and overview of the product to ensure working with accuracy.

● Identification of work materials and ensuring proper placement. Education

Diploma

LaGrange High School - LaGrange, GA

2000

Skills

• Collections

• Accounts Receivable

• claims

• Billing

• ICD-9

• Physiology Knowledge

• ICD-10

• Anatomy Knowledge

• CPT Coding

• Medical Records

• Medical Billing

• Insurance Verification

• Medical Coding

• Medical Terminology

• Medical Office Experience

• Transcription

• EMR Systems

• EDI

• Data Entry

• Clerical Experience

Certifications and Licenses

Driver's License

CAC

December 2017 to December 2019

Compliance Officer

June 2019 to June 2020

Assessments

Delivery driver — Proficient

September 2023

Interpreting instructions or signs and solving problems Full results: Proficient

Attention to detail — Proficient

January 2023

Identifying differences in materials, following instructions, and detecting details among distracting information

Full results: Proficient

Work style: Reliability — Proficient

September 2023

Tendency to be reliable, dependable, and act with integrity at work Full results: Proficient

Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.

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