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Medical Billing Payment Poster

Location:
Nashville, TN
Salary:
27.00
Posted:
March 08, 2022

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Resume:

Christine Cuma

**** ******* **** *****• Antioch, TN 37013

615-***-**** • Email:adqffp@r.postjobfree.com

Education

Medical Billing and Coding Diploma (GPA 3.66) Kaplan College, Nashville TN Expected 06/2015

Dean’s List, Honor Roll, Perfect and Excellent Attendance Awards

Skills

HIPAA & OSHA trained

First Aid trained

CPR Certified

CPT, ICD-9/10 & HCPCS

CMS-1500 & UB-04 claims

OPTUM and Virtual Medical Office EMR

Government & private insurance

Instamed/G4 Centricity/eClinical Works

Medical billing procedures

A/R & A/P

Balancing accounts

Microsoft Office Suite

Vital signs

Strong communication skills

Customer service skills

Fast to learn new things

Problem resolution

Excellent verbal communication

Experience

Payment Poster -team lead Integrated Oncology Network, Nashville TN 01/2020 to Present

Post all payments and adjustments: ensures all payments and adjustments are balanced on a daily basis

Resolves any deposits that are unable to be posted to include no tickets left unsettled

Review manual and electronic explanation of benefits to assure proper posting

Refers claim resolution issues to the appropriate area

Works closely with front office in regards to their deposits

Alert supervisor of collection problems noticed

Ability to maintain a high volume of payments within a 48 hour work window

Must be able to work at a fast pace, and troubleshoot payment problems with minimal supervision and also interact with payers professionally

Ability to work overtime/stay late for end of the month close process if needed

Post refunds in the billing system as received from Accounts Payable

Perform any outstanding conveyance as distributed by supervisor

Working closely with management to meet goals, develop new techniques, policies and procedures

Regular attendance and punctuality.

Contributes to team effort by accomplishing related results as needed.

Ensures that all processing and reporting deadlines are consistently achieved.

Perform any other functions as required by management.

Underpayment Analyst Parallon (HCA), Nashville TN 01/2018 to 12/2019

Perform second validation of discrepancy reason code assigned by the Discrepancy Analyst

Contact payer and initiate request for payment

Perform appropriate follow up with payer for payment as appropriate

Escalate contract issues to the Supervisor

Other duties as assigned

Identify trends in underpayment/overpayments, denials, revenue opportunities and revenue leakage

Review contract validation, updates and interpretation

Resolve underpaid claims in an effective and timely fashion

Review of payer policies for impact on reimbursement

Insurance Customer Service Rep AIG, Brentwood TN 08/2017 to 12/2017

Process lockbox remittance mail: opening and scanning of exception payments, logging of overnight packages, and review of reinstatement payments.

Process a variety of premium and file maintenance transactions to apply and reverse premiums, process mode changes, cancellations, lapses, and other transactions as relates to billing and collection.

Maintain accurate, well-documented case files.

Insurance Payment Posting/Workers Comp Pain Management, Antioch TN 05/2015 to 02/2017

Posts payments and adjustments exceptions from an electronic file, and ensures each batch is balanced daily.

Posts payment and adjustments from bank lock-box and ensures each batch is balanced daily.

Posts other types of payment and adjustments from collection agency, interoffice transfers, time of service and credit card payments.

Reviews Explanation of Benefits to assure proper payment and adjustment has been received.

Verifies appropriate financial classification status is loaded into registration.

Performs other duties as assigned.

Work with Medicare part B and D

Front Office/Reservations Hilton Downtown, Nashville TN 05/2011 to 05/10/2013

Provide quotes for room rates and up-sell the guest, assist in coordinating the Front Desk and Housekeeping

Verify posting correct charges and credits to the corresponding guest folio and collect payments

Ensure all cash and cash equivalents balanced at the beginning and end of each work shift

Night Audit Sheraton Downtown, Nashville TN 03/2011 to 12/2011

Front desk agent answering phones, registering guests, accepting payments, and providing customer service

Prepared the hotel’s books for the day’s financial transactions primarily data entry of accounting work in system



Contact this candidate