Data Entry Medical Billing

CASSANDRA BROWN

209-***-**** *****.*.*****@*****.***

Summary of Qualifications

Highly skilled Accountant with over 20 years of expertise in accounts receivables management. Sufficient knowledge of US GAAP. Efficient in performing various accounts receivable functions. Superior familiarity with claims procedures, collections techniques and customer query resolution. Reputation as a self-directed professional with superior problem solving, communication, and leadership skills. Successful in time management, prioritizing tasks, and organizing projects. Detailed and quality oriented. Strong presentation skills. Superb communication skills, both written and oral. Strong proficiency in Microsoft Office (Word, Excel, Pivot Tables and V-lookups, PowerPoint, and Outlook), QuickBooks and Google Sheets and Docs. Experience with Xero, Expensify, NetSuite, Salesforce, and EPIC Software.

SKILLS

Bookkeeping

Financial statements

Aging Reports Analysis

Month-end close operations

Data analysis

Data Entry

Customer Service

GL Reconciliation

Cash application

Accounts payable/Accounts receivable

Knowledge in ICD10, CPT, prior authorizations, and medical terminology.

CONTROLLER 12/2014 to 05/2022

Strategic Digital Media

Responsible for all financial operations of the company.

Oversaw the company’s fiscal activity, including budgeting, reporting, and auditing.

Led the management and strategic vision for all financial departments.

Evaluated the company’s sales and marketing structures to plan for continual improvements and a continual increase of operating efficiencies.

Directed and managed employees, ensuring that the company's goals and objectives were met.

REIMBURSEMENT MANAGER 02/2010 to 03/2013

Telecare Corporation

Performed fee-for-service billing for Skilled Nursing Facilities, Residential Care Facilities, and Outpatient Community-Based Programs.

Compiled and submitted individual line-item invoice billing to VA and Regional Centers.

Submitted medical and Medicare claims, including Medicaid billing for other states.

Managed all third-party denials and appeals, making certain that all appeals were completed accurately and on a timely basis.

Designed and maintained reporting on third-party reimbursement.

Reconciled month-end reports.

Interacted with clients and insurance companies to resolve balances on accounts.

Compiled electronic claims data, submitted electronic claims, and reconciled electronic payments using a variety of electronic billing systems required by contracting entities.

ACCOUNTS RECEIVABLES MANAGER 07/2007 to 02/2010

Health Diagnostics, Inc

Interviewed prospects for hire.

Trained new hires within the Accounts Receivables department.

Monitored activities of team members and provided feedback to management regarding performance and personnel issues.

Provided direction and guidance to other team members.

Audited account receivables representatives and reported quality findings.

Billed claims for commercial, Medicare, Medi-Cal, Worker’s Compensation, HMOs, PPOs, IPAs,

Personal injury and liens.

Audited payments and collections.

Generated bi-weekly patient statements.

Collection follow-up on insurance and patient balances in accordance with established procedures.

Identified and responded to claim denials and rejections from insurance companies by preparing and submitting formal appeals.

Assisted in fee schedule maintenance.

Posted and processed payments using an internal medical billing system.

Coded.

Performed special projects when assigned by management.

ASSISTANT SUPERVISOR ACCOUNTS RECEIVABLES 05/2004 to 07/2007

Team Health, Inc

Trained employees in all facets of billing functions.

Monitored activities of team members and provided feedback to management regarding performance and personnel issues.

Performed quality audits on all account receivables representatives and reported quality findings.

Processed, compiled, and assigned work files to accounts receivables representatives.

Billed and maintained claims for Commercial, Medicare, Medi-Cal, Medicaid, Worker's Compensation, HMOs, PPOs, and IPAs.

Resolved outstanding Accounts Receivables for Emergency Room services for six states.

Analyzed and researched complex claims utilizing Health Plan financial matrixes.

Identified and responded to claim denials and rejections from insurance companies to ensure payment of submitted claims by preparing and submitting formal appeals.

Researched, processed, and resolved patient account balances.

Performed complex general accounting functions, including preparation of journal entries, account analysis and balance sheet reconciliations.

Performed special projects when assigned by management.

Education

Bachelor of Science, Accounting

San Francisco State University, San Francisco, CA

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