Anita Cavanaugh

Indianapolis, IN *****

adrwm3@r.postjobfree.com

317-***-****

Work Experience

Billing Specialist/IOP Office Specialist

Options Behavioral Health Hospital - Indianapolis, IN September 2019 to Present

Timely resolution of patient accounts for room and board F/U on outstanding A/R accounts

Billing of patient charges

Data Entry

Filing, preparing accounts for collections

Communication with insurance providers on billing issues Customer service to patients on resolution of payment plans for remaining balances on accounts Medical records

IOP Outpatient Office Specialist and Billing Specialist Greet Patients

Set up Transportation

Pre-Authorization

Financial Counseling

Insurance Follow-Up

Medical Record/Charts

Scheduling IOP start dates for new patients

Data Entry

Charge Entry

Maintain Spreadsheets

Phones

Customer Service

Other Clerical duties as assigned

Billing Specialist

Rehab Medical - Indianapolis, IN

August 2018 to Present

Coordinating and processing patient and insurance billing paperwork necessary for the company to bill for services provided

File Claims with Medicare, Medicaid and private insurance companies. Assist with claim and finance inquiries

Collections-follow up with insurance companies as needed on payment and non-payment statuses of claims

Create patient accounts in billing system to bill DME claims to payors and patients Review medical documentation to bill correct payors and products Creates and mails insurance claims

Resubmits claims to insurance companies and third parties to secure payments Follow-up on outstanding accounts

Maintain monthly AR Report

Other duties as assigned.

Provider Enrollment Sr. Analyst

Indiana University Health - Indianapolis, IN

June 2016 to Present

Timely submission of enrollment applications for providers with government healthcare plans such as Medicare, Medicaid, Anthem, Tricare, Md Wise, and assisting with Delegated/Commercial plans from beginning to end of enrollment process for Physicians and Mid-Level providers. Verification and follow-up of provider status with healthcare plans and documentation thru tracking system.

Set up billing for providers thru GE/IDX billing system along with practice location builds Continual communication with Business Partners and Service Line/Practice Administrators concerning the flow of the enrollment process for providers and practice locations Enrollment projects which include Medicaid Default Locations and APP which was to enroll all Mid-Level Providers as Rendering Providers with Indiana Medicaid Taxonomy and Zip+4 updates with Indiana Medicaid and GE/IDX Systems Verification of provider status with Credentialing as well as update the CAQH profiles. Bar Edit Charge Reports

Problem solving and Troubleshooting of Enrollment and Billing issues Data Entry

Peer Interviewer and other duties as assigned

Claims Analyst

Hewlett Packard - Indianapolis, IN

November 2009 to June 2016

Created and implemented training guides for departmental use along with Resolution and Adjustment pages

Identified issues with State policies within the Reso Pages Created, updated and implemented Provider Manual quarterly Focused on building strong relationship with the State of Indiana Counterpoints Attended Reference related meeting with the State of Indiana Assigned to assist with Claims related system projects Assigned to schedule daily inventory of all claims analysts and assisted Team Lead with training for staff members

Exceeded expectations in a production- based environment with a Service Level Agreement contract Assisted with the State of Indiana Medicaid Annual Provider Conference Tasked with research and resolution of claims being audited by state and federal entities Required to research all claims coming thru the tracking system of Service Manager that have been identified by departments within the Title XIX Indiana account Data Entry

Education

Associates of Applied Science in Medical Billing and Coding Ameritech College - Draper, UT

April 2014

High School Diploma

North Central High School - Indianapolis, IN

June 1997

Skills

• Medicaid (8 years)

• Claims (8 years)

• Data entry (10+ years)

• Billing (5 years)

• Customer service (10+ years)

• Healthcare (10+ years)

• Problem solving (9 years)

• Training (10+ years)

• Written and verbal (10+ years)

• Subject matter expert (5 years)

• Process implementation (5 years)

• Accounts Receivable (5 years)

• Medical Terminology (10+ years)

• Microsoft Excel (8 years)

• Outlook (8 years)

• Collections (3 years)

• Collections

• Excel (8 years)

• CPT (8 years)

• Medical Terminology

• Microsoft Excel

• Outlook

• accounting

• Filing

• Medical Billing

• Receptionist

• Microsoft Office

• Taxonomy

• Medical Records

• Medical Coding

• ICD-10

• Insurance Verification

• EMR Systems

• Medical Office Experience

• Hospital Experience

• Word processing

• Databases

• Typing

• Microsoft Word

• English

• Medical Scheduling

• HIPAA

• Phone Etiquette

Additional Information

Skills

• Healthcare

• Claims Adjudication

• Medicaid

• Training

• Customer Service

• Provider Relations

• Attention to Detail

• Develop positive working relationships with Business Partners

• Billing

• Subject Matter Expert

• Multi-tasking

• Process implementation

• Billing/Charge Reports

• Problem Solving

• Effective Communication written and verbal

• Data Entry

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