Office Assistant Billing Specialist
Resume:
Teri Lewis
**** ********** **, ***********, ** 937-***-****
Experience Claims Analyst 08/2016 – Present
Caresource Dayton, OH
Accurately review and pay medical and facility claims for Medicaid members on Facets system
Work refunds/credit balances and follow up
Meet and exceed quality goals for 130 claims processing and payment daily
Perform any other job duties as requested
Patient Account Specialist 01/2014 – 08/2016
Kettering Medical Center Miamisburg, OH
Participates in training and auditing of Patient Account Representatives
Works special projects as assigned
First level of contact for Patient Account Representatives
Other duties as assigned
Responsible for all escalated follow-up and denial work
Patient Account Representative 09/2009 – 01/2014
Kettering Medical Center Miamisburg, OH
Responsible for daily billing functions including daily claim edits in Epic
Review insurance claims for accuracy
Contact BC BS for further information on unpaid claims, identifying issues resulting in non-payment and working appeals, following policies and procedures
Consistently meet and exceed A/R goals
Assist my peers with their follow-up work queues
Other duties as assigned
Patient Account Insurance Representative 01/2008 – 08/2009
Oklahoma Center for Orthopedics Oklahoma City, OK
Contact Third party insurance carriers, Medicare, Medicaid, Workers Comp processing monthly aging reports to obtain payments or appeals utilizing Citrix
Calculate allowable and reimbursement to appeal claims according to managed care contracts
Enter claims on line Medicaid to obtain payment or reasons for denial
Provide answers to inquires from patients regarding their accounts
Billing Specialist 02/2006 – 12/2007
Sooner Medical Management Midwest City, OK
Prepare and process Medicare and Medicaid aging reports
File claims to Medicaid and make corrections on the Medicaid website
Process incoming mail including appeals and denials
File secondary claims and answer patient inquiries
Process daily exclusion and claim rejection reports
Prepare miscellaneous reports for Business Manager and Director
Train employees on updated computer software
Central Scheduler 01/2005 – 02/2006
Moore Medical Center Moore, OK
Answer and direct incoming calls in the Radiology department
Accurately schedule patients for radiology procedures and surgeries using HMS system
Verify benefits and pre-certify as needed
Register patients for lab, x-ray, surgery and other procedures
Collect co-pay and payment information when necessary
Medicare Billing Specialist 07/2004 – 12/2004
Good Samaritan Hospital Dayton, OH
Perform Medicare cycle billing using passport online
File secondary insurance claims on HDS system
Process incoming mail and miscellaneous reports as assigned
Answer calls from Medicare patients regarding their accounts
Billing Specialist 01/2004 – 7/2004
Dayton OBGYN Centerville, OH
File primary and secondary insurance claims on Mysis system
Post payments and adjustments to patient’s accounts on Medic system
Follow up with clients on monthly aging report and contact insurance companies
Work incoming mail, including denials and appeals
Answer telephone calls from patients regarding their accounts
Verify benefits and pre-certify as needed
Patient Account Representative 02/2002 - 12/2003
Surgical Hospital of Oklahoma Oklahoma City, OK
File secondary insurance claims on X-pact system
Work incoming mail, including denials and appeals
Work Medicare accounts on the Pact system
Answer incoming calls from patients regarding their account using the Mednet system
Business Office Manager 10/2000 – 02/2002
Northwest Surgical Hospital Oklahoma City, OK
Supervise, Manage and Train business office personnel
Assist in financial and accounting procedures and prepare reports for CEO
Perform end of month procedures to balance and close accounts receivable
File 3rd party liens
Process end of month statements to patients
Business Office Assistant 07/1997 – 10/2000
Northwest Surgical Hospital Oklahoma City, OK
File primary and secondary insurance claims
File 3rd party liens as needed
Post payments and adjustments to patient accounts
Perform follow up actions on aged accounts to insurance companies
Print and provide monthly statements to patients
Skills
Medical & Facility Billing
Medical Terminology, CPT, ICD9
Accounts Receivable
Claims Denial &Appeal Procedures
Microsoft Office/Excel
Insurance Verification
Collections
Scheduling
Collections
Attention to detail
Problem solver
Dedicated team player
Contact this candidate