Medical Billing Records
Resume:
Mary Beth Connor
Brinnon, WA. 98320
**************@*******.***
Education
Aug.2006-March 2007
Westwood College Denver North
Medical Billing and Coding
Successfully developed a physician’s fee schedule using the Medicare RVU system. Experience coding ICD-10-CM, ICD-9-CM, CPT-4 and HCPCS
Trained in Medisoft version 9 and 11 software applications
Understanding of Inpatient prospectus and facility-based coding systems,
insurance contracts, professional & facility- based billing.
Experience
Oct. 2022-Nov. 2023
Aston Carter Contract Employee
Cambia Health Solutions/Remote work
Clinical Analyst Specialist I
Receiving, analyzing, and setting up provider appeals for the Clinical Service Operation Team.
Triage of Multiplan appeals received in multiple ways; determine the nature of the appeal, affirming all documents required are in the appeal & set up the appeal demographics in Facets and HSR; forward documents to Multiplan for determination; once the determination is returned from Multiplan, creating client letter and messaging the provider through the Availity portal.
Admin Denials-entering the data required into the Facets notes in patients accounts. Correctly routing the denial to the proper department for review.
Proficient in Radar, Facets, HSR
May 2018 – Feb. 2020
Cordant Health Solutions
Tacoma, WA
Lab Collection Specialist
Filing of requisitions, chain of custody forms and associated paperwork, collect and scan insurance as applicable.
Collect, log, order, process and ship urine, blood, oral and/or hair specimens to laboratory; maintain organization in the collection of all specimens; assemble samples for shipping.
Patient Service Coordinator
Log, order and distribute prescriptions; coordinate with the PA-C & Cordant pharmacy regarding client prescription needs; collect co-pays; onboard new clients and inform them of Cordant policies.
Jan. 2015- Nov. 2017
EF Recovery
Gig Harbor, WA
Account Manager
High volume ambulance transport billing & coding using EMR; data entry; comprehension of ICD-10 & CPT codes, HCFA 1500 & UB-04 forms; posting payments, adjustments & refunds; reviewing billing and correcting claims online thru insurance portals and Zirmed; managing Excel spreadsheets; high volume patient phone calls; timely response to inquiries from customers and external collection agency; completing attorney requests for patient medical records, sorting & scanning medical records, insurance verification and eligibility using the online portals.
Proficient in RescueNet/ BillPlus
Feb. 2014- June 2014
Allergy Asthma and Sinus Care
Silverdale, Washington
&
Tacoma Medical Associates
Tacoma, Washington
Billing & Office Manager
Reception for the Silverdale Clinic answering multi line phone, scheduling, check-in & check-out patients, collecting co-pays & balances, preparing patient charts, mailing & faxing of medical records.
After 2 weeks as the receptionist, the job of billing manager for both clinics was offered to me and I accepted.
Job duties are as follows; utilizing 2 different billing programs:
Obtaining pre-authorization; verify eligibility & benefits;
Post charges and payments; verify all payments are in align with insurance contracts & fee schedules; unpaid (A/R) claim follow up & resolution; process denials & appeals; generate monthly patient statements; discuss current/unpaid patient balances on the phone and in person; understand all aspects of insurance reimbursement, including multiple lines of reimbursements; proficient in reading and understanding EOB's; clear understanding of profiles and fee schedules and how they apply to the medical practice.
Employee scheduling; payroll & training.
Proficient in ProData & Amazing Charts
April 2011 – Jan. 2013
Nicholas G. Nonas MD Environmental Allergy Specialist
Arvin K. Rao MD ENT Specialist
Centennial, Colorado
Medical Biller/ AR Specialist/ Receptionist
Insurance & patient billing using EMR; appeals & collections, follow up of aging claims, personal contact with patients regarding outstanding balances, questions etc.
Able to successfully work old A/R and collect outstanding balances
Proficient in PCN & AllMeds.
Receptionist
Answer multi line phone, scheduling for 3 doctors, check-in & check-out patients, collecting co-pays& balances, preparing patient charts for next day appointments, mailing & faxing of medical records.
March 2007- Jan. 2011
HealthONE ASC Central Business Office
Glendale, Colorado
Outpatient Surgical Medical Biller & Coder
High volume ambulatory surgical billing and coding using EMR; posting charges, payments, adjustments, and refunds; knowledge of insurance contracts, IDC-9 and CPT codes, HCFA 1500 and UB-04 forms, reviewing billing and correcting claims, electronic data uploading, data entry, managing daily implant and supply logs, training of full time and temporary billing staff, filing, mailing, sorting, scanning medical records, sending daily o. r. schedules; correcting insurance claims. Insurance verification online/phone.
Created a billing and insurance manual and kept it up to date.
Feb.2007-March 2007
Externship with HealthONE ASC Central Business Office
Glendale, Colorado
Outpatient Surgical Medical Biller
High volume insurance billing, posting charges, payments, and adjustments; data entry; sorting; filing and mailing.
Objective & Summary of Qualifications
A challenging position offering the opportunity for growth and advancement in which my background will be utilized to benefit my employer.
Confident, willing and executes challenges with efficiency and enthusiasm.
Strong background using various computer software applications.
Outstanding data entry skills with experience in billing software utilization, 10 key;
Excellent written/oral communication and problem-solving skills.
Proven knowledge and technical skills to perform insurance follow-up with positive financials to include accuracy, timelines, and attention to detail.
Contact this candidate