Accounts Receivable Medical Billing
Resume:
Reber L. McMorris
Cell: 540-***-****
Email: ***********@*******.***
Employment History
August 2004 – Present, Accounts Receivable Specialist 2 / Medical Biller / Reimbursement Specialist, McKesson / Per Se Technologies / Change Health Care, Fredericksburg VA 22407
Ms. McMorris is a Senior Accounts Receivable /medical biller & Reimbursement Specialist with the Fredericksburg Virginia Division of McKesson / Per Se Technologies / Change Health Care and performs verification and validation on various medical billing accounts. Current customers are Medicare, Blue Cross Blue Shield, Medicaid, MDIPA, Optimum Choice, Tricare & Champ VA plus various third-party insurances.
Interact with customers gathering support data to ensure invoice accuracy and also work various specific billing discrepancies
Provide input to policies, systems, methods, and procedures for the effective management and control of the billing function
Educate customers regarding the availability of receiving invoices and remitting payments through online applications.
Monitor outstanding balances and take appropriate actions to ensure clients pay as billed
Manage the preparation of invoices and complete reconciliation of billing with accounts receivables
Perform Quality Assurance and audit of billing activities
Resolves questions and problems, and refers only the most complex issues to higher levels.
Conducts follow up calls to various insurance companies to check claim status.
Process Patient insurances and credit card refunds.
Understands and applies principles, concepts, practices and standards, with a full and competent knowledge of industry and company practices. Developed solutions to a variety of complex problems.
Served as a consultant to management and interacted with senior internal and external personnel on significant matters often-requiring coordination between organizations.
Prepared and edited typewritten correspondence.
Filed, sorted, and prioritized various forms of correspondence.
November 2002 – August 2004, Medical Billing Specialist Customer Service Technical Representative, Next Med Systems Fredericksburg, VA 22401
Served as a Senior Customer Service Consultant with Next Med Systems of Fredericksburg, performed verification and validation on various medical billing accounts. Customer were Medi Docs, Psyche Associates of Fredericksburg and Mary Washington OBGYN
Performs analysis at all levels of the Medical Billing process. Ensures the logical and systematic conversion of the customer requirements into the Medical Billing System
Performed electronic and manual processing of insurance claims while staying abreast to constant changes in the insurance industry. Those to include Blue Cross / Blue Shield, Tricare, Medicare and Workers compensation and most private insurances.
Performed medical transcribing and data entry on Medical Manager System.
Assisted in determining the best course of action in order to get claim reimbursements in a timely manner with maximum results.
October 2001 – November 2002, Customer Service Technical Representative, Per Se Technologies Fredericksburg, VA 22407
Conducted follow up calls to various insurance companies to check claim status.
Served as a consultant to management and interacted with senior internal and external personnel on significant matters often-requiring coordination between organizations.
Prepared and edited typewritten correspondence.
Filed, sorted, and prioritized various applications, letters and handouts.
Customer Service Advocate:
Initiating and Maintaining Internal Communications by:
Keeping management informed of immediate and projected customer concerns and requirements.
Creating a Customer Service focus.
Ability to analyze and assess needs
Excellent problem-solving skills
Self motivated, reliable
December 1999 – October 2001, Medical Billing Clerk, Leading Edge Transmittal Fredericksburg, VA 22407
Verified Medical Billing codes and processed electronic and manual insurance claims.
May 1995- December 1999 Physical Therapy Technician/Massage Therapist, Hilltop Physical Therapy, Fredericksburg, Virginia
· Performed various massages to include the following soft tissue, strain counter strain, Deep tissue, Swedish,
Sports Massage and Cranio-sacrial.
· Worked with recovering injury patients on a daily basis administering physician-prescribed treatments, including exercise regiments, muscle stretching/relaxation.
· Trained and administered electrotherapy and thermal therapy.
· Updated charts to reflect procedures performed and patient progress.
Achievements:
Employee of the Month October 2006 Per Se Technologies, Fredericksburg Virginia
Employee of the Month December 2001 Per Se Technologies, Fredericksburg Virginia
Education:
1996 Associate Degree in Computer Information Systems Strayer University
1998 Piedmont School of Professional Massage WOODBRIDGE, VA
Attended Formal Schools curriculums included:
Certificate in Customer Service Training, Certificate in Customer Relations, Beginners and Intermediate Reflexology, Hands and Arm Carpal Tunnel Syndrome, Alexander Technique Fibromyalgia, Trigger Point/Deep Tissue Strain/Counter strain, Range of Motion, Cranial Sacral Pre-event and Post-event Sports Massage, European Stone Message.
Business Skills:
Workstations 95, 98, 2000, XP
Excel, Power Point, Word
Geminix Medical Billing Software
ICD-9 and CPT software
One Claim Plus
MD4
Medical Manager
EPIC
Advanced MD
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