Data entry and billing
Resume:
Terra Curtis
Las Vegas, NV • 614-***-**** • *********@*****.***
Results Oriented Professional
Results-oriented Professional specializing in Health Professional Credentialing, Contracting and Enrollment and Revenue Cycle Management. Skilled in team leadership, process optimization, rules and regulation standards, compliance and strategic financial reporting using Excel, GAAP, and healthcare software systems.
SKILLS and EXPERTISE
Credentialing and onboarding
Communication – verbal & written
Conflict resolution
Time management
Problem solving
Proactive planning
Microsoft Office
Dependability
Self-Starter
Detail-oriented
Compliance
Active Listening
Software Experience
Kareo
Insync
Zirmed
Quickbooks
Smartcare
CPR+
Epic
Cerner
Quadax
CATT
Availity
CAQH Proview
PECOS
PROFESSIONAL EXPERIENCE
Independent Project Contractor, Bright Life Wellness – Remote, Nevada Jun. 2022 – Sep. 2023
Credentialed and Contracted Clinic and Providers in start up
Built Clinic and Team by Credentialing and Contracting outpatient MH clinic from start up
Enrolled Outpatient Behavioral Health Clinic in Medicare, Commercial and Medicaid plans for in person and telehealth services
Enrolled clinicians in Medicare, Commercial and Medicaid Plans for in person and telehealth services
Electronically Bill behavioral health outpatient and telemedicine claims
Apply payments to claim balances
Prepare Patient invoices and payment plans sliding fee scale
Negotiated Fee Schedules and Payer Contracts, updated fee schedules in systems
Super User for Electronic Health Record billing and credentialing system conversion and set up from Kareo to Insync
Set up and manage EDI, ERA and EFT for all payers and accounts
Ensure Provider participation with contracted payer by taking appropriate next actions to complete enrollment and address any roster, notification issues and more.
Initiate contact with payers and practices via telephone or electronic methods with respect to provider enrollment, billing errors utilizing proper customer service protocol.
Effectively guide Practitioners through a complex CAQH enrollment and provider portal setup process
Review accounts where an adjustment may or may not be present to clear potential inaccuracies.
Review and provide contractual support on high dollar accounts at month end to ensure net revenue is estimate appropriately.
Built Billing practices to successful collections and financial reporting
Completed Successful System Migration and configuration
Run Accounts Receivable reports, census, Billing and bad debt reports throughout month and at month end for financial reporting.
Reimbursement Manager, Soleo Health – Remote, Ohio Sep. 2020 – Jun. 2022
Investigated and Executed Home Infusion Billing and follow up Services
Assisted patients by Implementing Patient Payment plans to successful collections
Successfully remained in the top Accounts Receivable Collections
Electronically correct and rebill home infusion claims
Apply payments to claim balances
Conducted Trend Analysis producing positive appeal outcomes
Prepare and review patient invoices and enroll payment plans
Effectively communicated between departments and clients
Accounts Receivable Supervisor, I am Boundless – Worthington, OH Jan. 2017 – Jul. 2020
Supervised team of 5 Billing Specialist
Enrolled Outpatient Behavioral Health Clinic in Medicare, Commercial and Medicaid plans for in person and telehealth services
Enrolled clinicians in Medicare, Commercial and Medicaid Plans for in person and telehealth services
Electronically Bill behavioral health outpatient and telehealth claims
Apply payments to claim balances
Updated Fee schedules In electronic health system every quarter
Set up and manage EDI, ERA and EFT for all payers and accounts
Super User for Electronic Health Record billing and credentialing system conversion
Prepare patient invoices by payment plans and sliding fee scale
Ensure Provider participation with contracted payer by taking appropriate next actions to complete enrollment and address any roster, notification issues and more.
Initiate contact with payers and practices via telephone or electronic methods with respect to provider enrollment, billing errors utilizing proper customer service protocol.
Effectively guide Practitioners through a complex CAQH enrollment and provider portal setup process
Review accounts where an adjustment may or may not be present to clear potential inaccuracies.
Review and provide contractual support on high dollar accounts at month end to ensure net revenue is estimate appropriately.
Built Billing practices to successful collections and financial reporting
Completed Successful System Migration and configuration
Run Accounts Receivable reports, census, Billing and bad debt reports throughout month and at month end for financial reporting.
Mentored, encouraged and trained team members
Planned and Prioritized Staff and Billing Meetings and delegations
Reimbursement Specialist III, Bioscrip – Columbus, OH Nov. 2014 – Jan. 2017
Billing and Follow up of Home infusion Claims
Reviewed home infusion claims for accuracy
Corrected, rebilled and appealed denied home infusion claims
Continuous contact with insurance provider claims reps regarding contracts, fee schedules and claims
Escalated claims and contract issues to provider reps
Created and follow appeal to completion
Trained New staff
Participated in Provider Relations Meetings
Regional Accounts Receivable Coordinator, Rescare – Remote, OH Jan. 2009 – Jul. 2014
Biller and Monthly Financial Reporting
Billed MRDD I/O Waiver claims to several State Medicaid systems
Achieved 36.7 Million in Annual Revenue
Electronically billed Waiver MRDD claims for OH, MD and DE Medicaid
Billed ICF claims for OH, MD and DE
Corrected, rebilled and appealed denied claims
Prepared and Reviewed Month End financial reports and statements
Completed Monthly close
Trained team members
Planned and Prioritized Staff and Billing Meetings and delegations
EDUCATION & CERTIFICATIONS
Bachelors Degree; HealthCare Admin and Info Systems, University of Phoenix 2015-2017
Associates Degree; Accounting, University of Phoenix 2005-2009
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