Medical Biller/ Follow-up, Scheduler, ofc mgr, Intake rep

Tina M. Spangenburg

*** ********* ******** **, ******* GA 31220 C: 478-***-**** *****.****@*****.***

Career Overview

To obtain a position with a well-established company, where I can utilize my knowledge and skills to promote growth for the company as well as myself.

Work Experience

UM Service Representative June 2016 – Aug. 2022

Secure Health

Macon, GA

Receive incoming departmental calls, & when necessary route to appropriate personnel.

Manage incoming voicemails.

Manage physician referral database correspondence to ensure all clinical information is attached to appropriate authorization.

Collect requests for clinical review from all methods of delivery. Organize, track, distribute and file request.

Maintain accurate & complete information in medical management databases.

Conversion of authorization data derived outside the claims system.

Assist UM nurses; supporting pre-certification, case management, disease management functions with services related to care coordination.

Billing Specialist

GA Orthotics & Prosthetics, Inc. Sept 2015 to June 2016

Macon, GA

Verified Insurance Coverage for Billing.

Obtained Pre-Certs for DME Equipment.

Followed up with insurance companies regarding claim status/payments/denials.

Business Office Manager

Certified Patient Acct Rep Sept 2007 to June 2016

Bleckley Memorial Hospital

Cochran, GA

Managed all aspects of the Business Office including Bad Debt Write-Offs, handling all issues with patient accounts, bills medical insurance for visits, collect co-pays, obtain pre-certs, oversee AR accounts and timeliness of receiving insurance payments.

Enter charges on accounts, make changes in charge master, help resolve IT issues with printers/computers.

Operate all office equipment including Bose Whitney Postage machine.

Generate multiple reports including Process Improvements.

Act as Switch Board Operator.

Set up new billing program (Quadax) for electronic billing of medical claims and denial tracking.

Bills medical insurance for facility visits utilizing Quadax and reports.

Oversee AR accounts and timeliness of receiving insurance payments.

Generate multiple reports for follow up purposes.

Collect and post payments on accounts.

Handles all issues with patient accounts.

Claims Adjuster June 2007 to Sept 2007

Geico Insurance Company

Macon, GA

Answered phone calls for accident claims.

Determined liability, scheduled appointments with adjusters, issued payments, and issued correspondence.

Made outgoing calls to all parties involved in accidents and documented everything in the computer system.

Scheduler/Team Leader Oct 1999 to June 2007

Fairview Park Hospital – Dublin, GA

Scheduled all diagnostic testing (radiology, labs, surgery, etc.) in Meditech system, Pre-Registered patients for appointments, confirmed appointment times, reviewed all prep instructions for procedures, and obtained demographic and insurance data.

Collected required documents for testing (Physician Orders, Prior Authorizations), indexed orders in the computer system, verified medical necessity.

Maintained monthly reports and departmental dictionaries.

Educational Background

12/2013 Middle Georgia State College - Cochran, GA

A.S. Business Administration

03/2000 Heart of Georgia Technical College - Dublin, GA

Business Office Specialist - Medical Office Specialist

05/98 Bleckley County High School - Cochran, GA

Skills

Type 60+ wpm

Multi-tasking, Customer Interface, Customer Service, Computed Data Reports

Microsoft Office: Outlook, Excel, Word

CPSI, MEDITECH, QUADAX

Multi-line phone system, Switchboard

CPAR CERTIFIED

References

Jennifer Davis C: 478-***-****

April Brown C: 478-***-****

Charrissa Davis C: 478-***-****

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