Billing Specialist Medical
Resume:
Eileen McCooey Mayhue
Mc Kean, PA *****
********@*****.***
Highly motivated and dependable Medical Billing Specialist with over 30 years of relevant work experience in various managerial and operations positions. Highly skilled in improving operations, communicating with clients, and improving the workplace environment. Clients repeatedly mention how they feel like they’re talking to a friend when paying their bills. Work Experience
Medical Insurance/ Billing-Coding Specialist
Erie Audiology, Inc. - Erie, PA
March 2023 to Present
1. Coding and posting the medical claims for all insurances & file the electronic billing. As denials or notifications of claim issues reported I am investigating the reason and finding a solution to recover monies in a timely manner.
2. The accounts receivable is part of my job duties and a weekly spread sheet tracking all incoming monies received. The spread sheet also tracks products sold within the business for inventory control. Obtaining referrals for services to be rendered. But not limited to explaining a patient benefit of coverage so if there is out of pocket expenses it is understood in advance. 3. Direct patient balance billing is also under my job duties monthly. It does include making calls to the patients for collections of outstanding accounts usually securing the payment over the phone with a credit card.
4. interface with the care coordinator with answering incoming calls, checking in & checking out patents. Collecting copays, preparing contracts with documented purchases of hearing aids. Rescheduling and registering new patients.
5. Credentialing of providers with insurances for payment processing. Keep up to date provider licenses
& facility state certifications current. and filed. 6. My accomplishment with this current position was the challenge of the Pennsylvania Workmans Comp Insurance whose laws are very strict and timely filings are not forgiving. I was able to collect a claim denied and never followed up on for a couple of years. The payment was secured in a short time. It was not only refiling the forms but many phone calls using people skills to overturn what normally was not collectable to a positive recovery.
The other recoveries are knowing the time constraints associated with each insurance payor preference. Utilizing the provider reps for additional assistance in their geographic area. This type of job involves building a network of people in which again people skills are crucial when trying to recover monies otherwise lost due to timely filings.
Medical Billing Specialist
Diagnostic X-Ray - Erie, PA
September 2008 to March 2023
• Direct contact with insurance companies relative to filling of medical claims
• Billing of medical services-private/government funded insurance's
• Entering of accounts receivables
• Maintained accurate documentation on client/patient records
• Collections on patient/client accounts
Unit Secretary, One-On-One Sitter, Front Office Staff St. Vincent Health Center/Westminster Family Medicine - Erie, PA September 2001 to September 2008
• Entered in doctor’s chart notes
• Obtaining referrals
• Ordering and scheduling of patient tests, and prescription requests from doctor
• Individualized supervisory of patients the doctor deemed could hurt themselves or others Dental Site Supervisor
Community Health Net - Erie, PA
April 2000 to September 2001
• Training of staff
• Coordinated Training Programs
• Over-saw the daily operations of the office
• Supervising of staff
• Acting as a liaison between employees and upper management
• Directly involved in interviewing/hiring/discharging of employees
• Accepting responsibility and delegating work duties to create an organized and calm working environment
• Actively improved efficiency of the daily operations during day to day workflow Office Manager
Summit Dental Associates
Assistant Manager/Collection Agent
North American Collection Control
Shift Director Telemarketing/Home Refinancing
First United National Bank
Receptionist
De Ja’ Vau Salon
Education
J. H. Thompson’s Cosmetology School
Skills
• Experience in running multiple positions simultaneously
• Acute awareness of OSHA Standards and Bio-Hazard Communications
• Ability and drive to improve efficiency of the daily operations
• Championed effective communication skills
• Development and implementation of employee manual and office policies.
• Meticulous organization of schedules
• Medical Billing
• Insurance Verification
• CPT Coding
• ICD-10
• Medical Coding
• Accounts Receivable
• Phone Etiquette
• Office Management
• Medical Records
• Hospital Experience
• ICD-10
• Medical records
• Customer service
• Accounts receivable
• Accounting software
• Hospital experience
• Telemarketing
• Supervising experience
• Office management
• Accounting
• Medical coding
• Interviewing
• Dental terminology
• Medical office experience
• Medical terminology
• Dental office experience
• Front desk
• Bookkeeping
• Documentation review
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