Accounts Receivable Data Entry

Shelly C Williams

*** **** ** ****** **. ***** 775-***-**** ***********@***.***

Dear Sir or Madame

My name is Shelly C Williams, and I moved here to the state of Nevada in 2015.

I have 39 yrs of experience in the medical billing field to include special billing and collections for WC IHS VA AUTO AARP, and all other government entities. I also have experience as Medical Only Claims Examiner for Worker’s Compensation, to include bill pay processing. I have knowledge of ICD-10 UB04 HCFC 1500. Some Outpatient Coding HIM EMR EPIC CHANGE HEALTH.

I am a dedicated worker and a team player, and I am looking for a team that I can be a solid fit. Shelly C Williams

EMPLOYMENT

2018-Pres

Carson Valley Medical Center

Collector/Biller Worker’s Compensation Tricare ChampVA Medicaid

Review online accounts in work queues for proper financial information and authorization. Contact insurance companies, government agency, patients, or necessary agency to establish payment source. Consult patients regarding financial sources for their bill. Maintain Accounts Receivable days within department goals or documents showing acceptable progression to goal.

2015-2017 Carson Tahoe Medical Centers

Collector Worker’s Compensation

Review online accounts in work queues for proper financial information and authorization. Contact insurance companies, government agency, patients, or necessary agency to establish payment source. Consult patients regarding financial sources for their bill. Maintain Accounts Receivable days within department goals or documents showing acceptable progression to goal. Billed/Coded Private Insurance, Worker’s Compensation, Medicare, Self-Pay, for Physical/Occupational Therapy. Verification of insurance coverage, eligibility, and Authorizations. Performed a wide variety of data entry both front and back office, A/R follow-up, handled self-pay collection(s) calls, set patient payment arrangements, Appeals CMS rules, regulations/guidelines for CMSP for Worker’s Compensation,

2010- 2015 Community Medical Centers

Patient Financial Service Counselor

Review online accounts in work queues for proper financial information and authorization. Contact insurance companies, government agency, patients, or necessary agency to establish payment source. Consult patients regarding financial sources for their bill. Maintain Accounts Receivable days within

department goals or documents showing acceptable progression to goal. Research accounts for refunds. Assigns accounts to bad debt as applicable. Make collection calls to patients and third party payers. Identify indigent patients and arranges for reimbursement from appropriate government agency. Conduct follow-up activity with the patients awaiting Federal/State agency eligibility approval and performs transfer of account to external agency as necessary. Identify accounts that qualify for charity. Provide excellent customer service to all patients. Verify third party payer applicability as required. Maintain production and quality statistics as required by departmental guidelines. Perform other duties as assigned.

2007-2010 Office Works Physical/Occupational Therapy

Biller/Collector/Worker’s Compensation

Billed/Coded Private Insurance, Worker’s Compensation, Medicare, Self Pay, for Physical/Occupational Therapy. Verification of insurance coverage, eligibility, and Authorizations. Performed a wide variety of data entry both front and back office, A/R follow-up, handled self-pay collection(s) calls, set patient payment arrangements, Appeals CMS rules, regulations/guidelines for CMSP for Worker’s Compensation, CPT/ICD-9 HCPCS coding for PT/OT, and Neruro-surgical, filing, medical records. Operated Soft-Aid systems.

2004-2006 Sutter Connect/Sutter Health

Lead Patient Account Representative/Special Accounts

Billed Special Transplant accounts, Worker’s Compensation, Private Insurance, Self-Pay. Performed Charge entry and corrections, A/R follow-up, trained new employees with Q and A, trained in contract modules, payment posting, data entry, collection(s) calls, Medicare, Medi-cal, CPT/ICD-9 HCPCS coding. Operated IDX/PCS systems with knowledge of AVES, CMS state regulated coding for Medicare and Worker’s Compensation.

1995-2004 Sutter Health

Patient Account Representative/Collections

Billed special programs MAP, SCEAP, Private Insurance, Self-pay, Worker’s Compensation, CCS/CHDP, and Medi-cal. Performed a wide variety of data entry, front desk, handled patient inquiries and billing issues, set patient payment arrangements, researched, gathered and updated patient information, A/R follow-up, special project account collections, payment posting, charge entry, Patient Registration. Knowledge of contracts, CPT/ICD-9 HCPCS coding. Operated Hospital Medi-Tech billing systems.

EDUCATION

Business Management

Currently Studying for Medical Coding and Billing Specialist 2009 National Health Career Associations

2000 Terry Rowans Medical School of Medical Billing Certified Medical Biller/Collector

1985 Merced Jr. College

Certified Nursing Assistant

SKILLS

Epic

IDX/PCS Medi-Tech Soft-Aid

Medical Manager Medi-Soft DBS/DDE

Front/Back Office

Microsoft Outlook

Insurance Authorization, Verification Worker’s Compensation Medicare/Medi-cal

Coding CPT/ICD-9 ICD-10

CMS 1500 UB-04/92

PPO, EPO, HMO, Managed Care Typing 55 wpm

10-Key

Excel/Spreadsheets

CERTIFICATIONS

Diploma in Business Management Certified Billing/Coding Specialist Charge Corrections

Payer Contract Module Rollout Training Payment Posting

REFERENCES

Denise Yeoman Gwendolyn Scott Gina Milner

Manager Admitting Manager

Patient Financial Counselor

562-***-**** 209-***-**** 559-***-****

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