Desiree M. Hennington

*** ******* *** *******, ** 32771 Telephone 407-***-****

adq9mh@r.postjobfree.com

OBJECTIVE

Seeks challenging and responsible position in a positive work environment that will allow me to pursue my purpose in helping others.

PERSONAL QUALIFICATIONS:

Works effectively in stressful, fast paced, and demanding work environment. Copes well with the unexpected. Appreciates challenging projects. Detailed. Team Player. Independent. Analytical. Extensive Payment Posting, Patient Services, Medical Billing, AR, Financial and HIPAA knowledge. Ability to Comprehend EOBs and ERAs. ICD-9-10, HCPCS, and CPT Knowledge. Experience with CMS/HCFA- 1500 and UB040 billing.

SYSTEMS KNOWLEDGE:

Microsoft Office (Word, Excel, Outlook, PowerPoint), IMBS(Medical Billing System), Zirmed, Great Plains, Icons, E Referral system, VA Server, MSI, Affinity DDE, Express bill, IXT, Managed Med, Sun Port,Net Direct/ Medifax, Carevoyant, Softaid, Multipurpose Platform, PPM, Standing Stone, Biz Percy, Seacoast, Sceris (EMR system), Via track, and Crystal Reports, ShoreTel, CPR+, BioPoint, Point Click Care, SSI/EDI, Zoom, Central Reach, Authorized Net, NextGen,Waystar, Advanced MD, TriZeto, Caretracker, Mitel.

PROFESSIONAL WORK EXPERIENCE:

Florida Medical Reimbursements (Dec 2020- May 2022) PAYMENT POSTER

• Posts all eras, credit cards and paper payments for multiple assigned Physician's offices.

• Applies manual adjustments to claims per office contracts.

• Research and disburse refund request.

• Review patient overpayments and disburse credits of accounts with no open processing claims.

• Log each check and era to daily posting log spreadsheet.

• Balance and confirm accuracy of each batch before posting/closing in Caretracker.

• Save each scanned paper batch in Physician’s payment file by date.

• Posts each claim payment by eob and applies additional adjustments by account template per Physician.

• Meet weekly payment goals of payments expected.

• Imports 835s from insurance payment portals to upload eras to Caretracker for posting.

• Downloads payment batches from Physician sharefile, then uploads to payment files to be posted.

• Sends denials, response correspondences, and Insurance alerts to AR reps for processing.

• Assist patient’s with billing concerns, credit card payments, and Insurance updates daily by both phone, fax, and emails.

• Assists carries with claim corrections and updates of benefits daily.

• Updates time tracking and production log daily for recon reports each week.

• Keeps work organized, and posts according to my daily set task schedule.

• Posts all received payments and adjustments before closing accounts at month end. Dermatology Billing Associates (July 2019- April 2020) PAYMENT POSTER

• Ran end of day total reconciliation reports and balanced prior day from Dr.’s office and billing office's payments received.

• Checked and responded to email requests and corrections sent by the offices, management, and other departments.

• Logged in end of day totals and balanced daily with month to date posted.]

• Posted payments both manually and electronically from several different Dr.’s offices daily.

• Ran and posted credit card payments from lockbox and mail.

• Posted all zero EOBs and denials as soon as received electronically, by lockbox, and by mail.

• Pulled, posted, and filed both lockbox and Era payments and correspondents daily.

• Forwarded correspondents and denials to AR Reps at end of day unless there is an urgency of request.

• Logged all posted payment amounts on each Physician spreadsheets and Eft monthly balance totals spreadsheet for next day balancing.

• Successfully reconciled and sent management monthly balance total spreadsheet at month end each month.

• Met daily goals and maintained posting accuracy as expected each work day. Florida Autism Center (Temporary assignment Jan. 2019- July 2019) RCM PAYMENT POSTER

● Received, broke down, and updated the deposit bank log daily.

● Posted all electronic payments from Central Reach era lists.

● Reviewed each electronic payment to ensure accuracy when applied.

● Pulled and saved all remits for non electronic payments.

● Broke down each remit by units and patient responsibility amounts to ensure all timesheet lines reconciled once posted.

● Posted all manual checks and filed as necessary.

● Completed correction requests from other departments by both task and email.

● Created spreadsheet to track all payments and balancing while posting.

● Assisted management at any time needed with payment updates and concerns.

● Researched patient accounts for posting errors and inaccuracies to clean accounts.

● Reported account discrepancies and consistent account errors to management as found.

● Pulled and posted all patient payments from Authorized.net daily as required.

● Updated and sent reconciliation FAC Cash Tracker to management end of day daily. Consulate Healthcare (Nov. 2017- Aug. 2018)

CBO CASH POSTER

• Worked assigned facilities on Master Treasury daily.

• Posted electronic payments imported from workflow to PCC accounts.

• Posted direct checks received manually.

• Pulled remits and save for each payment to match and verify posting is accurate.

• Made all importing corrections for assigned facilities before posting.

• Obtained remits from insurance portals, by contacting payers by phone and email.

• Cleared SSI workflow daily to keep BOM informed of progress.

• Updated Medicare LVA spreadsheets to track all settlement payments.

• Worked posting requests and inquiries by email promptly throughout the day.

• Kept in contact with facilities when updating unapplied payments in systems and tracking high importance payments.

• Completed requested write-offs and reverse adjustments daily.

• Researched and clears any necessary I applied GL accounts of credits and offsets daily.

• Met all month and deadlines as required.

• Assisted management with projects when assigned.

• Kept spreadsheet tracking all payments and batch numbers. BioPlus Specialty Pharmacy (August 2013- August 2017) RCM PAYMENT POSTER

• Signed out both patient and insurance check mail deposits in date order.

• Completed deposit coversheets in entirety before being logged.

• Logged, numbered, and broke down checks in both written and spreadsheet form.

• Identified claim payments on received EOBs by prescription numbers, patient’s names, MRN, and invoice numbers.

• Researched missing payments and corrected dates to make sure payments are applied correctly.

• Reviewed pre claim responses to confirm the prescription number and verify expected amount being paid on EOB.

• Added all checks from each deposit to system log and balance amount received with the amount to post.

• Ran patient credit card payment reports daily to post to patient accounts.

• Logged and reported all credit card voids and credits to accounting departments by spreadsheet.

• Posted credit card payments to patient responsibility claim lines by date of service paid.

• Adjusted all credits and voided payments from patient accounts when report shows they occur.

• Ran patient check by phone report and create a Patient Check by Phone spreadsheet daily.

• Logged all patient check by phone payments to system before applying payment.

• Posted check by phone payments to patient responsibility claim lines by date of service paid.

• Received both patient and insurance refund requests to review, apply and disburse to payers.

• Researched unapplied payments and account credits to determine if payments should be applied or refunded.

• Filed all reports and deposits by date once completed to back office file room.

• Researched missing back payments by requesting payment remits from the payers and payer portals.

• Took on unexpected tasks to assist collections and cash posting team resolve to discrepancies and achieve team goals.

• Completed projects accurately and in satisfying order when assigned by management.

• Assisted appeals department when needed to obtain accurate posting files needed for process. Clinical Pathology Lab. (Completed Temp assignment/ from Nov. 2012- Jan. 2013) MEDICAL BILLING SPECIALIST

• Entered requisitions into system to for claims and invoices to be created for billing.

• Scanned all requisitions and patient documents into EMR system for billing records.

• Worked edits in billing systems by correcting the appropriate diagnosis and CPT codes for claims and invoices to be billed correctly.

• Verified patient insurance coverage and updated patient demographics before billing.

• Identified problems and inconsistencies by using management reports, summarized findings and made recommendations to resolve billing issues.

• Contacted clients by telephone and fax to obtain any billing information needed based on management reports reflecting account edits for claims to be processed accurately. Quality Assured Services DBA Alere Home Monitoring Products, Inc. (DME) (April 2010- Oct. 2012)

CLAIMS REPRESENTATIVE/ A/R REPRESENTATIVE

• Billed to and collected monies from Medicare, Medicare Replacements, Medicaid, Medicaid HMOs, Tricare, Workers compensation, and all Managed Care payers that the provider was participating or nonparticipating for DME supplies.

• Collected current and aged claim balances from both insurance and patients.

• Verified patient’s benefits and updated both invoice and billing systems.

• Requested authorizations on correct form by fax and by phone when needed.

• Created and corrected both paper and electronic claims to bill to payers for processing.

• Would update and make any corrections needed for claim to pass through electronic clearinghouse

• Appealed insurance claim and prior authorization denials.

• Followed up on claims by inquiring with carrier with in a timely manner after billing.

• Requested medical documents from PCP or referring physicians.

• Updated both ICD and CPT codes when prescriptions and Letter of Medical Necessity were received from the patient’s referring physician.

• Received and posted insurance payments based on payer EOB sent along with payment.

• Created patient responsibility statements and billed after insurance balances to the patient’s.

• Posted patient credit card and check by phone payments.

• Collected A\R from 14 -30 days to over 180 days daily from carriers.

• Completed both individual and group projects assigned with in on or before deadlines given.

• Assisted patients with applying and qualifying for hardship waivers when indigent or unable to pay for their responsible portion of claim.

*Follows all privacy requirements per Company Policies and HIPAA guidelines. EDUCATION

High School Diploma

(NHCA)

Certified Healthcare Collector

Contact this candidate