Cathy M. Uimari

Billing Specialist, CPB, CPC, ***64576

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906-***-****

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ad36f6@r.postjobfree.com

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Marquette, MI. 49855

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CAREER OBJECTIVE

To obtain full time remote employment, apply my billing, coding experience and account receivable best practices follow up to improve the timeliness of payment for services rendered by providers, which has a positive impact on Revenue Cycle. I have been frequently praised as professional, hard-working by my peers; I can be relied upon to help Rehmann achieve its goals.

EXPERIENCE

DME BILLING SPECIALIST, Marquette, MI

Peninsula Pharmacy Inc., July 2020-Present

Review new orders, medical records, select HCPC code, diagnosis and data enter HCPC codes into Bright Tree Software for multiple DME services including but not limited to diabetic, ostomy, wound care, enteral nutrition, catheterization supplies and other aids to daily living.

Insurance benefit verification either by phone or insurance website to determine if necessity is met for DME order or products were benefits under patient insurance policy.

Gather medical necessity documents requirements to support continued need.

Review product cost to ensure profitability of potential new orders products.

During a recent Medicare audit, I gathered 40 DME catheter patients medical records, refill requirements, prescription or CMN along with proof of delivery, delivery ticket and sent to CGS Medicare for targeted probe, which resulted in retained insurance payments.

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BILLING SPECIALIST, Marquette, MI.

DLP Marquette Physician Practices, Inc., October 2019-January 2020

As billing and coding specialist, I coded Neurology, Neurosurgery provider base, and outpatient encounters.

Apply my knowledge of billing and coding on a daily basis.

Proficient in utilizing billing software to create detailed reports and track financial transactions.

Used ICD-10 CM, HCPC, Level II, CPT, billing rules and regulations.

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BILLING MANGER OF REVENUE CYCLE, Marquette, MI

DLP Marquette Physician Practices Inc., January 2015-January 2019

Daily I applied extensive knowledge of insurance rules and regulations, local coverage determinations and national coverage determination for successful resubmissions of denied claims; when necessary appealed denials from insurance plans for insurance payment.

Account receivable follow up, resolving unpaid or denied claims.

Managed Account Receivable team size 12-45 people, maintain less than 38 days in AR using Athena software.

The physician group also grew by merging a Cardiac practice into DLP Revenue Cycle.

This new specialty, involved learning the Cardiology billing software along with AR follow up 4-1-2018, accounts receivable dropped by 5+days with in a year.

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BILLING MANAGER, Marquette, MI

Marquette General Hospital January 2011-January 2015

Managed 30+ employees, processed payroll, time and attendance, employee development and training, resolved billing issues, researched rejections, assisted with appealing rejected claims.

Work directly with insurance companies to resolve nonpayment of claims due to processing issues.

Assist with enrolling the organization with insurance carriers to be able to submit claims electronically and EFT (electronic payments).

Resolve patient billing concerns.

I worked to resolved claims formatting issues sent from Mysis Tiger.

The NDC was inadvertently omitted due to programming issues; once I formatted the software correctly for claims to include the NDC numbers.

The medications administered to patients were getting sent on the claims to insurance carriers, which reduced the need to hand enter claims into processing systems and allowed us to be paid for drugs administered to patients.

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OPTICIAN, BILLING AND PAYROLL SPECIALIST, Marquette, MI

Superior Eye Health Center, January 2003-January 2011

Worked in QuickBooks daily, paid invoices, processed payroll, payroll taxes, fitted and adjusted glasses, train patients how to put in contact lenses in.

Collaborated with optometrists or ophthalmologists regarding patient diagnoses or treatment plans.

Maintained accurate records of customer orders and prescriptions using a computerized system.

Processed payments for purchases made by customers using point-of-sale systems.

Resolved customer complaints in a professional manner while demonstrating empathy.

Demonstrated strong knowledge of optical products and services as well as eyewear fashion trends.

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EDUCATION

ENROLLED IN AAPC DISTANT COURSE, IN-PATIENT CODING COURSE

January 2019

AAPC VIRTUAL MEDICAL TERMINOLOGY COURSE

January 2017

AAPC VIRTUAL ANATOMY COURSE

January 2017

AAPC VIRTUAL COURSE COMPLETED; OBTAINED CERTIFIED PROFESSIONAL CODER

January 2017

AAPC BOOT CAMP COMPLETED; OBTAINED CERTIFIED PROFESSIONAL BILLER

January 2015

AAPC BOOT CAMP, EVALUATION AND MANAGEMENT COURSE

January 2013

Northern Michigan University, January 1991

HIGH SCHOOL DIPLOMA

Negaunee High School, January 1989

SKILLS

Billing Dispute Resolution

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Month-End Closing Procedures

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Coding Proficiency

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Diagnostic Codes

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Accounts Receivable Expertise

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Audit Procedures

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Medical Billing and Collections

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Insurance Confirmation

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Billing Best Practices

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Monthly Billing Management

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A/P and A/R Expertise

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Submitting Insurance Documents

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Benefits Verifications

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CERTIFICATIONS

AAPC, Certified Professional Biller

AAPC, Certified Professional Coder

References upon request

Contact this candidate