Medical Billing Biller
Resume:
ANTOINETTE
MORROW
**** ***** **** ***** **. S., Woodstock, GA 30189 · 404-***-****
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To obtain a positon utilizing my skills and experience toward personal growth. Also to help improve operations and contribute to company profits.
EXPERIENCE
05-18 – CURRENT
BILLER/COLLECTION ANALYST, SHEPHERD CENTER (ATLANTA) Bill / Collect on inpatient high dollar medical claims ranging from 100,000-6,000,000 plus File appeals for inpatient medical claims
Work with case managers to obtain letter of medical necessity for appeals Work with team leads / supervisors at insurance companies to get payments Work with Utilization Review departments to obtain authorization Review underpaid claims
Research the validity of take backs on the medical claims Complete adjustments on the insurance balance on accounts Place money in the correct bucket (Patient/Insurance) Work various reports and spreadsheets
Update / Change insurance information
03-2016 – 05-2018
POST PAY REVIEW ANALYST, NORTHSIDE HOSPITAL (ATLANTA) View contracts to assure correct payment from the insurance companies Calculate the reimbursement from the insurance company Calculate and correct patient responsibility
Apply patient deductible, copay and coinsurance as well as non covered charges to the patient responsibility
Work credit balance, financial class, and adjustment reports Work referrals from different departments in the business office Assist with refund descrepancies
Work various insurance payors
Identify various trends in reference to underpayment reasons by the insurance companies Identify billing issues and errors and refer account for correction and rebilling Review facility medical claims to determine codes and services due reimbursement 08-2009 - 2016
INSURANCE COLLECTOR, NORTHSIDE HOSPITAL (ATLANTA)
Identify trends in denials from the insurance carriers Collect over 10 million dollars in revenue
Bill primary/secondary facility claims
Communicate with providers, patients and insurance reps in an effort to get claims processed Use online tools to obtain payment / denial information on medical claims 06/2006 – 10/2008
MEDICAL BILLER/INSURANCE FOLLOWUP, ARGYLE SOLUTIONS Bill medical claims to Medicaid and Commercial Payors Insurance Follow – up
Update insurance information in the system
Verify patient eligibility with the insurance carriers Contact patient as well as providers in an effort to obtain payment on the medical claims Review and make proper adjustments to accounts that were over / under paid Process Adjustments brining account to zero balance 04/2002 – 06/2005
MEDICAL BILLER/INSURANCE FOLLOWUP, BAPTIST HEALTH SYSTEMS TN Insurance Follow – up
Bill Inpatient Commercial claims
Resolve account balances / resolve accounts to zero balance Update and verify insurance eligibility for patients Contact patients as well as providers in an effort to obtain payment on medical claims Work adjustment work que
03/1996 – 05/2001
MEDICAL BILLER / United Healthcare Alabama
Bill medical insurance claims to all Commercial Payors Make corrections and clear errors on medical claims to ensure proper submission to payors
Work electronic reports to identify rejection errors on the medical claims Meet deadlines in an effort to make sure claims were billed in a timely manner EDUCATION
2004
MEDICAL CODING CERTIFICATIFICATE, HEALTH TECH INSITUTE The objective of the certification acquired was to be knowledgeable in the area of medical billing and coding
SKILLS
Posses the ability to work independently with
minimal supervision
Over achiever by nature
Very punctual
Take great pride in my work
Team player
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