Eleanor Davenport

**** **** ******* ****

Hayes, VA 23072

Phone: 804-***-****

Email: ad3ha2@r.postjobfree.com

Objective: Highly organized and dependable Medical Billing Specialist with over 20 years of hands-on experience. Offering skills in medical billing processes, with a special focus on the accuracy of billing information and processes.

Work Experience:

10/22-Present Myriad Genitics, Salt Lake City, UT

Reimbursement Specialist 2

3/22-10/22 Personal Touch Home Healthcare/ Medical

11/21 – 02/22 Billing / Collector

Diamond Healthcare LLC, Williamsburg, VA 23188

Supports the billing office by verifying eligibility, benefits and working up patient estimates.

Acting as a liaison between the business office, admissions and the patient.

Meet with the patient often during their stay.

Assisting in insurance collections.

Knowledge of revenue cycle to include patient estimates, insurance verification, patient and insurance collections.

The ability to promote positive and productive relationships with staff and patients to support the mission and the values of the organization.

03/17 – 11/21 Medicaid Billing Specialist

Riverside Health Services, Newport News, VA 23606

Bill Medicaid insurance for hospital, outpatient services and specialty services.

Follow up on denied, unpaid, and underpaid claims for all insurances.

Verify and update the insurance information of patients if incorrect.

Post payments and make adjustments to patient accounts.

Answer patient questions about the charges on the patient accounts.

05/13 – 03/17 Medicare / Medicaid Billing Specialist

Department Behavioral Health and Developments Services/Eastern State, Williamsburg, VA 23188

Established Medicare billing control for IPT unit.

Entered 3rd party guarantor information into Avator ensuring the benefits detail is customized and accurate third party payment estimation is calculated.

Established billing control for ICF Medicaid billing for ESH and SEVTC, along with input of billing documentations (MAPS).

Complied and input Medicare claim through utilization of the intermediary automated Medicare billing system.

Downloaded electronic remittances for Medicare and Medicaid.

Create batches for Part B Ancillary in order to initiate electronic submissions.

Post remittances manually, reconciles payments posted in order to ensure accurate posting of cash and contractual adjustments.

05/12 – 04/13 Medical Billing Specialist

Medical Inc., Hampton, VA (Corporate Office: Sugarland, Texas)

Billing Medicare for Ohio, Kansas and Indiana for Durable Medical Equipment (BIPAP and CPAP).

Follow up on delinquent accounts, contacting insurances and patients to work out payment arrangements.

Liaison between patients, therapist and sales staff.

10/09 – 02/12 Medical Billing Specialist

Dominion Medical Associates, Inc. Richmond, VA 23219

Managed medical claims and accounts for Internal Medicine group which included follow up on rejected or denied claims.

Communicated with Medicare, Medicaid and third party payers and attorneys in order to troubleshoot and resolve issues with medical claims.

Create and organized payment arrangements with delinquent accounts.

07/07 – 09/09 West Virginia Medicaid Billing Specialist

HCA Richmond Shared Services, Richmond, VA 23225

Processed primary and secondary Medicaid claims for West Virginia hospitals.

Managed medical reversal and replacement refund forms.

Complete reconciling all accounts that were not billable or were outside of the contractual network.

QUALIFICATIONS:

Diverse work experience in accounts receivable including medical and general accounts.

Exceptional knowledge in administrative, reimbursement, and bookkeeping in medical billing this includes Medicare, Medicaid, and Commercial insurances.

Strong willingness to assist and cross train in any area needed in the work environment.

Skills:

Strong working knowledge with CMS, CMHC, Avatar, N Thrive, Medipac and electronic billing software.

Educated and skilled in using Payerpath, Pay Link, Onbase, Host, Billing Module, Artiva, SSI, All Script and Sorian Documents.

Contact this candidate