Accounts Receivable Medical Billing

Barbara A. Horton

**** **. **. *** *****: 614-***-****

Fredericktown, OH 43019 Email: ad3fc1@r.postjobfree.com

Qualifications Summary

Generate and send claims electronically Accounts Receivable

Identifies trends and issues Tracks and follow up pending appeals

Resolves outstand accounts Manage time sensitive task

Documenting follow -up activity Experience in Prior Authorization

Knowledge of Third-Party billing Revenue Cycle Solutions

Professional Experience

Central Ohio Urology Surgery Center, Gahanna, Ohio – Billing and IOD 2021-Current

Billing ASC and In Office Dispensing claims and payments

Posting payments to Medicare, Commercial and Medicaid payers

Resolve billing issues by insurance carriers

Upload 835 files and submitting claims to Clearinghouse, work rejected claims

Research and resolve billing problems or issues

Review claims and payer requirements

Level Medical Billing Services, Lewis Center, Ohio – Medical Billing 2017-2021

Provide insurance companies with additional documentation or records (if requested) to expedite payments and resolve denials

Resolved billing issues identified by insurance carriers and patients.

Reviewed claim denials and payer requirements for corrective action and prevention in the future.

Researched and resolved denials and EOB rejections within standard billing cycle time frame.

Received physicians’ charges via a super bill and submitted electronically to insurance carriers

Answered all patient telephone inquiries regarding their bills and insurance questions

Orthopedic One at Easton Surgery Center, Columbus, Ohio – Billing 2016–2017

Process insurance claims for private and employer insurance reimbursement

Enter charges accurately and expeditiously to ensure proper records handling and fast payment responses

Post payments and document payment records in a timely manner

Research and resolve client billing problems or issues

Process and follow up on payer denials

Central Ohio Urology Surgery Center, Gahanna, Ohio – Billing 2015-2016

• Processing claims and statements

• Reviewing and appealing unpaid and denied claims

• Verifying patients’ insurance coverage

• Handling collections on unpaid accounts

Morrow County Hospital, Mount Gilead, Ohio – Registration 2013-2015

Checking patients in

Insurance verification

Patients Demographics

Processing patients account

Cardington Family Dental, Cardington, OH – Schedule Coordinator 2012-2013

Arrange Patient Schedules & confirm appointments, verify insurance & frequencies

Patient check in/out, process patient accounts, patient demographics

Academic Background

New Springfield H.S., New Middletown, OH – Diploma

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