Follow Up Medical Billing
Resume:
Lisa A. Brown
REVENUE SPECIALIST
A highly motivated and dedicated professional, seeking to utilize 18+ years
of healthcare billing, follow-up, and leadership experience to advance
my career.
CONTACT INFO
1522 Kirk Road
Rainsville, AL 35986
**************@*****.***
EXPERIENCE
SPECIALTY BILLING AND FOLLOW UP REP II TRINITY HEALTH
Sep 2023- Current
Bill Primary and secondary claims for specialty services and hospice patients.
Documents account notes with billing notes, payment details, and follow up activities completed.
Determines appropriate billing and follow up activities and escalates when appropriate.
Performs follow up functions including investigation of overpayments, underpayments, credit balance and payment delays to maximize reimbursement for services rendered.
Verify patient eligibility through online portals and resources.
Research claim rejections and denials, submit corrected claims, and refer claims to appropriate colleagues as needed to ensure timely filing and claim resolution.
REVENUE SPECIALIST ENABLE COMP
Jan 2023- Sep 2023
Bill primary and secondary hospital and physician claims to out of state Medicaid payers.
Review Explanation of benefits, remittance advices, and medical records for secondary billing, authorization requests, and/or appeals.
Review claims for expected payment reimbursement amounts and DRG calculations.
Verify patient eligibility through online portals and resources.
Work directly with clients (hospitals) to keep their claims inventory up to date.
BILLING LEAD WAYNE GENERAL HOSPITAL
Aug 2018 – Oct 2022
Managed Medicaid claim inventory from verifying patient eligibility, submitting claims to payers within their timely filing limits, reviewed remits and worked denials, and processed insurance payments.
Assisted front end with scheduling appointments and customer service tasks.
Backup assistance for BCBS, Humana, and Commercial payer teams.
Organized new hire orientations and training.
Managed employee timecards and schedules.
Oversaw employee interviews, conducted background/credit checks and assisted with hiring and termination process.
Handled and investigated employee complaints.
CUSTOMER SERVICE REPRESENTATIVE Farmers Telephone
Jan 2016- Aug 2018
Responsible for answering incoming calls and scheduling appointments and installations.
Data entry.
Sales.
Process customer orders and payments.
Process credit reports.
Assist customers with trouble shooting.
REGISTRATION SUPERVISOR/FINANCIAL COUNSELOR Dekalb Regional Hospital Medical Center
Feb 2006- January 2016
Started out in registration and was promoted to supervisor and then promoted to financial counselor.
Scheduled appointments and managed multi line phone system answering incoming patient calls.
Verified patient insurances and conducted data entry into patient accounts.
Set up patient payment agreements on self-pay accounts and accounts with patient responsibility balances after insurance payments.
Set up accounts to process to charity.
Oversaw collections on delinquent patient accounts and set up settlement agreements with patients.
Managed employee timecards and schedules and lead orientation and training for new hire employees
Conducted investigations of employee and patient complaints.
EDUCATION
Collinsville High School-Graduate
Northeast Community College-
Criminal justice GPA 3.9
SKILLS
Microsoft office
Leadership
Time management
Communication
Critical thinking
Organization
Teamwork
Problem solving
Adaptability
Attention to detail
Epic
Contact this candidate