Caleigh M. Fitzgerald

Glendale, AZ ***** 623-***-**** ad37z3@r.postjobfree.com

Education

CERTIFICATE SEPT. 2007 – JULY 2008 APOLLO COLLEGE

· Medical Billing and Coding

Skills & Abilities

Microsoft Windows, Microsoft Word and Excel

Medical Terminology – HIPAA, CPT, ICD10, UB04

Experience

STRATEGIC OPERATION TEAM SPECIALIST PHI AIR MEDICAL (JULY 2021 – PRESENT)

· Charge and repost accounts for claims to billed and review dispatch within Flight Vector and EMS.

· Review and correct billing accounts compiled on an Exit Report completed by coders.

· Audit Self Pay accounts by ensuring all steps are completed before sending bills to patients with no insurance.

· Act as a liaison for collection agencies and attorneys for all inquiries and information requests.

· Assist with month-end reports, including prebilling functions and review of outstanding claims.

· Perform focused payer, program, and employee audits as assigned by management to identify issues to include assistance in correction of issues; oversee any payer managed outside of existing systems.

· Handle account issues, including management escalations, DOI submissions, appeals and collections.

· Review accounts submitted for agency transfer and write-offs to balancing all programs per PHI policy.

· Train and onboard new hires and existing employees with additional training needs, cover for vacant positions as needed.

· Oversee legal accounts to include state specific research for lien requirements, estate searches, and settlement funds, ensuring compliance.

· Manage prebilling functions to meet production goals and resolve issues efficiently. BILLER III PHI HEALTH / PHI AIR MEDICAL APRIL 2017 – JULY 2021

· Assist Clinical Manager with crossing accounts from EMS System into Golden Hour System.

· Work one on one with a MD from TX Flight for Life Program to receive updated paperwork for Scene Calls.

· Add Charges to accounts – Charge and Repost Zero Balance accounts for claims to get billed to insurances.

· Research accounts that are more difficult to obtain patient information from hospitals, EMS, agencies.

· Notify crew members of missing documentation from accounts or to make corrections.

· Communicate with Dispatch on Golden Hour Dispatch Inquiries.

· Verify insurance with hospitals, patients, insurance companies, agencies. BILLER II PHI AIR MEDICAL MARCH 2012- APRIL 2017

· Verify insurance with hospitals, patients, insurance companies.

· Financial Liaison for TX, KY, VA, TN, IN, CA and OH

· Billed insurances such as: Work Comp, Medicare, Medicaid, Veterans, Commercial, BCBS, Self-Pay.

· Performed Write Offs on appropriate accounts.

· Prepped Authorizations and Denial packets for IN Medicaid Appeals

·

APPLEONE TEMP BOWERS AMBULANCE 0CT. 2011 – MARCH 2012

· Insurance Verification

· Filing reports from Dispatch

· Request Medi-Cal Physician Signature Forms

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BILLING SUPPORT SPECIALIST/BILLER 1&2 GOLDEN HOUR JULY 2009 – JULY 2011

· Verify insurance with hospitals, patients, insurance companies.

· Scan, upload and copy hospital face sheets, insurance verification to accounts.

· Receive, date, stamp, log correspondence.

· Prepare outgoing claims and statements.

· Responsible for billing 3 states: California, Wisconsin, Tennessee DATA ENTRY CLERK DESERT STEAMER AUGUST 2008 – MAY 2009

· Data entry of invoices for payment onto spreadsheets

· Enter data from hard copy into the computer.

PERSONAL

I am a dedicated, ambitious, self-motivated, hardworking person. I enjoy working for a company that values their employees and sees them as an asset to the company’s success and growth.

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