Regina White

adcx6s@r.postjobfree.com

781-***-****

SKILLS

●ICD-9, 10, CPT

●Medical Billing

●Insurance Verification

●Medical Terminology

●Medicare

●EPIC Software

●Microsoft Office

●Scheduling Appointments

●Patient schedule/Registration

●Medical Collections

●Customer Service

●Medicare, Medicaid, Commercial Insurance, Managed Care

●Data Entry

●Epic Billing/Scheduling surgery and preadmission

EXPERIENCE

The Center or Pursuit

Billing Specialist

June 2019 - Current

●Responsible for assisting A/R with client billings, collections, weekly correspondence with selected customers, etc.

●Bill monthly for United Health Care(Evercare) and Amerigroup through Availity

●Request for prior authorization and check insurances verification

●Paper claim sent out to Cigna and Blue Cross Blue Shield on a CMS 1500 Form

●Generated Invoices through Blackbaud/Financial Edge

●Identify and resolve clients billing complaints

●Research and replied in a timely manner to insurance, patient and internal clients/guardian inquiries.

●Preparing for month end close as well as assisting Accounts Receivable with any other tasks related to month end close.

●Scan and maintain files documentation thoroughly and accurately, in accordance with company policy and accepted accounting practices

●Assist with collection efforts on older customer balances

●Collecting customer payments in accordance with payment due date

Mercy Medical Center Billing/Scheduling (Contract) Toledo, Ohio

May 2019 - June 2019

●Schedules patient procedures and PAT to ensure efficient and accurate processing of information.

●This includes procedures in the operating room, for various departments and arrangements for 23-hour stay.

●Coordinates with anesthesia groups to confirm scheduling for coverage.

●Accurately uses procedure codes to ensure proper billing.

●Verifies information being entered into system is correct, i.e. spelling of name, DOB, gender, insurance information, etc.

●Ensuring all necessary paper work for any patient -add on'' is received by the appropriate staff.

●Communicates changes to schedule to appropriate staff, w

●orks closely with OR director to avoid equipment or supply conflicts.

●Alerts administration when new doctors or procedures are scheduled.

●Cross trains with other areas.

●Completes consents and ensures accuracy before submitting to the chart builder.

●Promote positive relationships with scheduling coordinators, physicians and nursing staff members throughout the scheduling process.

Harris Health System

Patient Financial Services (Contract) March-2018-October-2018

• Collaborates with management to reduce aging of accounts by providing verbal and written communication.

• Resolves edits related to billing within established Epic® charge review and claim edit work queues to ensure claims are billed appropriately and timely.

• Identifies, analyzes and escalates trends impacting AR collections

• Exceeds established follow-up productivity goals of 70 accounts per day.

• Demonstrates expertise of all payers, including Medicare, Medicaid and commercial payers, and applicable department's revenue cycle operations.

Elite Surgical Affiliates

Billing Representative (CONTRACT) Dec-2016-March 2017

●Enter necessary information on a spreadsheet such as patient, insurance ID, diagnosis, treatment codes, modifier and the provider information daily for the laboratory.

●Support a wide range of billing activities for the department

●Responsibilities include with resolving billing issues, providing accurate lab information to the department and outside locations identifying trends in timely manner by using proper reporting and established metrics.

●Code ICD 10 and perform various tasked as deemed by the department codes

●Verified patient benefits, eligibility and insurance coverage

METHODIST (Contract) March 2016-Dec 2016

Cardiovascular Surgery/Patient Affairs Cord.

●Microsoft Office, Patient Registration and Billing Software, Ancillary Services Software Systems. Working knowledge of Athena preferred.

●Understands basic medical terminology and has knowledge of insurance requirements for physician visits and procedures.

●Working knowledge of CPT, ICD-9 and/or ICD-10 preferred

●Excellent customer service, communication and scheduling skills

MD ANDERSON (Contract) December 2015-February 2016

EPIC Conversion Pre Reg

●Looked up patient's registration record

●Reviewed the patient selection window carefully to make sure I choose the correct patient

●Use spreadsheet for the patient's guarantor type and demographic information

●Responsible for transition patients information to a new electronic health record (EHR) system

●Created and added guarantor accounts and information

●Called patient's to verify and update information

●Worked the work queues, determine which patient contacts are in the guarantor review required after conversion(WQ)

Providence Rhode Island (Contract) March 2015 – April 2015

EPIC Support Registrar Providence, RI.

●Responsible for acquired knowledge of EPIC Clinical Software, working independently in completing project tasks for Clinical System Implementation.

●Provided support for registration, insurance verification, scheduling appointments, answering phones, assisting with x-rays, labs, MRI’s, etc.

●Completed EPIC super user training program.

●Worked with all clinical, business and IT constituents in a collaborative team manner.

●Problem solver in helping with navigation of EPIC system and reporting any issues or discrepancies.

US Anesthesia Partners (Contract) January 2015 – March 2015

Medical Collection Specialist Houston, TX.

●Responsible for auditing medical accounts and receivable information.

●Performed appeals, denials and managing refunds.

●Handled accounts with Medicaid, Medicare and Commercial Insurance.

Boston Medical Center (Relocated to Houston) August 1997 – May 2014

Billing Coordinator Boston, MA.

●Processed insurance claims by working closely with McKesson, and ensured payments were received and managed collections when deemed necessary.

●Verified patient demographic, financial and insurance information.

●Responsible for timely and quality recording for Department of Urology, including Professional Billing.

●Ensured reconciliation of daily patient visits and submitting encounter forms.

●Performed quality screening of encounter forms and data entry.

●Utilized third party billing software, including Medicare, Blue Cross; IDX, SDK, GE Centricity BAR, TES, ETM, and EWS.

●Gathered information for preadmission, registration, schedule appointments and obtain co-payments.

●Established strong relationships with internal and external contacts, including staff and providers, departments and vendors.

EDUCATION & CERTIFICATES

●Certified Modern Office Systems

●Certified Medical Office Administrator

●Certified Medical Terminology

Diploma

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