Back Up Billing Specialist
Resume:
Pamela A. Onesko
Fredericksburg, VA 22407
WORK EXPERIENCE:
Billing Specialist
Cardiology Associates of Fredericksburg, Ltd
Fredericksburg, VA 22408
January, 2014 to present
DUTIES:
*Sort Mail and patient/insurance checks
*Answer telephone and assist patients with billing questions
*Post Patient, Insurance payments to accounts
*Import Clearinghouse (NextGen) ERA’s
*File Appeals and re-billings for denied claims (only as back-up help)
*Work past due insurance accounts
*NextGen computer system
*Bill paper secondary/tertiary claims
*Manage Credit Reports and request refunds (patient and insurance) as needed
*Back-up to help key charges
*Back-up to send claims via NextGen Clearinghouse
Front Desk
Primary & Urgent Care
10009 Southpoint Blvd
Fredericksburg, VA 22407
March 2015 to October, 2018
*Answer telephone and assist patients
*Check in patients/update information
*Verify insurance and collect correct copay/balance on accounts
*Request patient refills
Office Coordinator
Mary Washington Health Care
Medical Center of Stafford (Family Practice)
Stafford, VA 22554
November 2011 to January, 2014
DUTIES:
*Greeting patients and obtaining correct and up to date
demographic and billing information
*Proficiency in keying all demographic/ insurance information into computer (AllScripts
PM software)
*Posting Occupational Medicine payments/adjustments/charges. Follow-up on
accounts paid incorrectly/past due
*Balancing out end of day totals. Processing spreadsheets for Finance Department
*Processing phone calls/messages/e-mail in a proficient manner
*Scheduling patient appointments
*Filing and locating charts
*Training new staff hires
*Processing Prior Authorization/referrals/coverage for treatment with insurance
companies
*Delivering mail to appropriate person(s)
*Scanning records into the AllScripts EEHR system
*Participated in the ARRU Meaningful Use Work Group for Physicians
*Basic knowledge in Microsoft Word/Excel
*Process Medical Record Transfer requests by preparing charts to be copied, emailed
and/or faxed
*Helped implement the practice’s quality assurance and control program. Efforts
ensured compliance with HIPPA and OSHA regulations, improved patient
care/satisfaction
*HIPPA trained
Receptionist/Billing Clerk
Medical Center of Stafford, Stafford, VA 22554
June 1999 to 10/31/2011 (business sold to Mary Washington Healthcare)
DUTIES:
*Greeting patients and obtaining correct and up to date
demographic and billing information. Keying all demographic/
insurance information into computer.
*Checking patients out and collecting old balances on
accounts and making payment arrangements if needed.
*Billing statements to patients, reviewing accounts for
re-bills, billing insurance companies.
*Posting insurance payments/adjustments and follow-up on
accounts paid incorrectly.
*Balancing out end of day totals.
*Answering phones, taking messages, directing calls to
appropriate persons.
*Follow-up on workers compensation accounts, including appeals
of denials
*Filing and locating charts.
*Training new staff hires.
*Calling insurance companies to verify for referrals and
coverage for treatment.
*Delivering mail to appropriate person(s)
*Billing insurances electronically thru Payer
Path Billing System.
*Basic Background/Security Clearance for handling of Medical Charts
Supervisor Admission/Registration Department
Mercy Hospital, Wilkes-Barre, PA
November 1997 to May 1999
DUTIES:
*Supervise department of 14 staff members, including
scheduling, training, and education on insurance
changes and updates.
*Work daily worksheets and reports for follow-up to obtain
correct billing information. Such as: pre-certification
numbers/policy verification. Quality check on daily
registrations with corrections performed.
*Individual staff compliance report cards—reviewing for
errors on registrations and feedback to/from frontline
staff.
*Interviewing and hiring for open positions.
*Training/Department Orientation for new staff hires.
*Developing policies to improve work area—served on work
re-design task force.
*Developed policies for three (3)hospitals—regionalization
project.
ACHIEVEMENTS:
*Member of Mercy Hospital (In-house) Cash Flow Task Force
*Leadership Educational Series offered by Marywood College
*Participated in the Joint Commission of Accreditation of
Healthcare Organizations—Hospital Survey completed on
May 10,11,12, 1999.
*Education Series on Observation Status Patients
*Edge Learning “Improving Human Effectiveness” Series
*Member of The National Association of Healthcare Access
Management (NAHAM)
Emergency Room/Outpatient/Admission Registrar
Mercy Hospital, Wilkes-Barre, PA
September 1985 to November 1997
DUTIES:
*Greeting and registering/admitting patients
*Reviewing emergency room charts for completion, splitting
charts, sending to appropriate departments
*Admitting patients to the floor from the Emergency Room
*Training new staff members
*Follow up with Physicians offices for pre-certifications/
referrals
*Follow up on incomplete admission records
*Contacting insurance companies with appropriate
information to pre-certify and verify benefits for
admissions.
Business Office, Billing Clerk
Mercy hospital, Wilkes-Barre, PA
April 1983 to September 1985
DUTIES:
*Billing appropriate insurances
*Follow-up and verify insurance benefits
*Review accounts for re-billings and non-payments
*Answer incoming calls from insurance companies and
patients/families regarding accounts.
Receptionist/Billing Clerk
Arthur B. Mitchell, MD
141 So. Maple Avenue
Kingston, PA 18704
September 1985 to May 1999
DUTIES:
*Posting insurance payments/adjustments
*Making new/returning appointments for patients
*Verifying insurances
*Billing/re-billing insurances
*Answering telephones
*Follow-up on unpaid accounts
EDUCATION:
AAPC Certified Professional Biller
August, 2017
Graduated E. L. Meyers High School, June 1982
Wilkes-Barre, PA 18702
Basic CPT Medical Coding
Germanna Community College
February, 2004
Insurance Billing, Claims & Collections
Cross Country Education
Richmond, VA
October, 2008
Fraud Waste & Abuse Training On-Line Program
November, 2009
Medicare Advantage Compliance Training
National Health Care Anti-Fraud Association
November, 2009
Medical Terminology Course
American Association Professional Coders
May, 2012
PROFESSIONAL REFERENCES:
Kim Montgomery
13 Fox Run Lane
Fredericksburg, VA. 22405
Kim Hill, RN
10 Blacksmith Court
Stafford, VA 22554
Chloe Alwes
9530 Cosner Drive
Fredericksburg, VA. 22408
Carson Edmondson, Jr
5280 Weems Drive
King George, VA 22485
PERSONAL REFERENCES:
Carmel Domingue
6004 No. Cranston Lane
Fredericksburg, VA 22407
Michael/Shanon Fleming
10741 Greenbriar Lane
Spotsylvania, VA 2253
Sandra Hutchison
14330 Fredericksburg Tpke.
Woodford, VA 22580
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