Michalae Morrow

Balch Springs, TX *****

Professional Profile:

• Healthcare professional with 6+ years of combined experience in medical billing/collections, Insurance concepts, claims, adhering to scripted content, RCM, and EOB.

• Expert in appeals/denials and UB-04/HCFA 1500 billing forms.

• Skilled in Microsoft Office applications, Auto Dialer/Queue Leads System, Dual Monitors, EMR Systems

(Infusion, PatientCare, EPIC, E-Clinical Works, etc.), Data Entry, and Typing 50 WPM.

• Excellent communication skills.

Work Experience:

Mar 2018 – Apr 2022 Prime Healthcare Remote

Patient Account Representative

• Accounts Receivable Resolution Specialist.

• Responsible for the accurate and timely payment analysis of managed care contracts to determine appropriate reimbursement.

• Responsible for Commercial and Government Insurance Follow-up.

• Monitored control of productivity levels and workflow to exceed 20%.

• Reviewed and quantified all correspondence received at the CBO.

• Oversaw Denials received and coordinates with the corresponding department to expedite resolution.

• Controlled daily Data Integrity to assure 100% compliance within the scope of the company.

• Reduced quality errors on claims denials by $260K per quarter.

• Took credit card orders via phone, processed bookings and orders within time frames, product and billing issues handle incoming calls from a national customer base.

• System proficient in EPIC, MediTech, ELOH.

Sep 2016 – May 2018 NThrive Dallas, TX

Patient Account Representative/Team Lead

• Managed timely collection of government and commercial insurance receivables.

• Handled 45-60 claims per day; facility and physician and handled denials 75% of the day.

• Saw between 30-40 UB-04 forms and 40-50 HCFA/1500 billing forms per day on average.

• Tracked and monitored claims from billing through final resolution in the revenue cycling processes.

• Reviewed and prepared claims for manual and/or electronic billing submission.

• Identified any and/or all errors and requirements for correction and resubmission of claims to insurance carriers to receive the accurate payment.

• Followed up on claims that received no payment, partial, and/or overpayment such as payments issues, low reimbursement, denials, etc. Initiated appeals when necessary.

• Researched and utilized all payer websites, as well as other resource sites such as Code Correct to make sure that all CPT and ICD-9, or ICD-10 entries are true and correct. Nov 2015 – Aug 2016 Trainer Synergy Dallas, TX

Billing Specialist/Team Leader

• Performed billing and coding daily on facility and physician claims.

• Ensured claims were submitted accurately to insurance companies.

• Posted payments from the insurance companies as well as patients’ payments.

• Reviewed EOBs and UB04/HCFA 1500 billing forms daily.

• Worked claims that were rejected and reviewed why they were denied.

• Worked the aging report and collections to ensure payment from the insurance companies and patients. Education:

High School Diploma – Seagoville High School