Medical and Dental Insurance Billing, Bookkeeping

Melody B. Stansberry

*** **** ****** ****, ** ***79

334-***-**** **********@*****.***

Objective:

To obtain a position in which my years of diverse experience can be utilized within your company while learning new skills with a focus on personal and professional development.

Skills:

I have over 25 years experience in customer service and data entry. I am familiar with multiple medical / dental operating systems such as MicroMD, Office Practicum, Dentrix and computer programs like Microsoft Word, Excel and QuickBooks.

Experience:

Charles Henderson Child Health Center, Troy, AL - April 2005 - August 2020

Financial Manager

•Responsible for Accounts Payable using QuickBooks

•Reconcile month end reports / accounts in billing system and QuickBooks

•Prepare financial reports for board meeting each month with data from month end reports

•Negotiated contracts with vendors

•Prepared requested documents for auditors

Insurance Clerk - Combined with Financial Manager

•Review claim reports and file to multiple medical and dental companies

•Examine reports from the clearing house for any claim errors

•Post all insurance payments into MicroMD

•Enter insurance payments on Excel spreadsheet for financial manager reference

•Research claim denials and file corrections / appeals as necessary

•Verify eligibility and benefits

•Call insurance companies to clarify any eligibility, benefits or claims questions

•Maintain a working relationship with insurance company provider representative

•Add new insurance company information into computer billing system

•Assist in resolving policyholder issues with bills received from services not paid by insurance

•Train employees to enter insurance information into the computer

•Attend seminars and webinars in order to be more knowledgeable and efficient

•Submit patient refund or insurance refund requests to financial manager

•Work with our billing and clearinghouse IT as needed

•Filled in for cashier / data entry clerk as needed

•Volunteered to assist the financial / IT manager with projects, which included:

Check insurance payer fee schedules to help set fees charged

Add new procedure or diagnosis codes to computer systems or make corrections

Enter provider daily encounters each month on Excel spreadsheet

Helped revamp charge slip and diagnosis code sheet in preparation for ICD-10

Assisted in credentialing process for a few providers

Logged deposits on spreadsheet used in month end balancing

•Trained to assist the financial manager by writing checks in QuickBooks as well as printing reports to balance and close out the month

Receptionist - Promoted to Insurance Clerk

•Greeted patients upon arrival and check them in

•Verified Medicaid coverage

•Supplied necessary forms to new patients for completion

•Entered / verified new patient information into the computer system

•Updated any patient information changes in the computer system

•Logged all new patients to the clinic in the new patient journal

•Tallied all patients seen by each Pediatric physician at the end of the day

•Submitted monthly provider encounter and new patient totals to financial manager

Avon Independent Sales Representative - November 2000 - September 2013

•Built a customer base

•Placed customer orders

•Sorted and delivered orders to customers

•Helped customers find the best product to meet their needs

•Enter account receivables and expenditures amounts on Microsoft Works spreadsheet

Education:

Zion Chapel High School, Jack, AL - May 1988 - Advanced diploma

University of Alabama Birmingham, Birmingham, AL - September 1988 - November 1991

ICS Learning Systems, Scranton, PA - 1996 - 1998 - College Accounting diploma

Social:

Zion Chapel Band Booster - 2013 - 2017 - Vice-President during 2016-2017 school year

Organized volunteers for concession stand / booths for varsity and junior varsity home football

games

Helped the treasurer count all monies collected after games

Mt. Olive Assembly of God Women’s Ministries - 2012- 2019 - Secretary/Treasurer since 2015

Count monies collected and make deposits

Take notes of meetings

Order products for fundraisers

Write checks

Make purchases for gifts, decorations or other supplies needed

References are available upon request

Contact this candidate