Medical Billing Data Entry
Resume:
Melinda Davis
Highly Skilled Professional
Fairmont, WV 26554
*****************@***********.***
Meticulous, detail-oriented Accounting Clerk with 25 years+ of experience. Decades of employment in billing and accounting positions has afforded me the necessary skills needed for these roles. Exceptional at resolving delinquent accounts, attaining collection goals, and maintaining high customer satisfaction ratings in a fast-paced environment.
Dedicated to positively contributing to office efficiencies through organization, critical thinking, and time management.
Authorized to work in the US for any employer
Work Experience
Billing Specialist
Spineworks - Morgantown, WV
November 2020 to March 2021
• Electronic and paper claims billed out daily
• Identify and correct billing errors on established patients so claims are billed and paid on first attempt
• Correctly enter new patient info and billing setup
• Post all payments
• Reconcile all patient ledgers
• Work and rebill denials
• Oversee all patient financials
Medical Claims Poster
AMBS - Fairmont, WV
August 2019 to March 2020
• Laid off indefinitely due to COVID-19
• Post primary, secondary, and tertiary payments to corresponding patient and provider accounts.
• Bill secondary and tertiary claims, when necessary.
• Understanding of deductibles, co-pays, other patient responsibilities, and co-insurance.
• Comprehension of coding, to correctly identify and process paid claims.
• Knowledge of insurance companies for accurate posting of EOBs.
• Increased frequency of assessing insurance payment trend/collection reports to quickly identify denials and outstanding claims
Administrative/Client Relations Specialist
Right at Home - Morgantown, WV
October 2017 to June 2019
• Perform general office duties
• Answer multi-line phones, scan, fax, greet the public, type, file, sort and distribute incoming and outgoing mail.
• Developed positive relations with external vendors and clients.
• Accurately verify and process a range of 2-5 new client applications weekly.
• Maintain strict confidentiality of all applicant information. Adhere to HIPPA guidelines.
• Oversee and correlate with senior administrator to keep daily operations running smoothly.
• Solve both routine and complex problems, calculate and perform executive decisions.
• Strategically schedule and coordinate caregivers with clients, in order to maintain optimal staffing levels at all times
• Effectively manage, and supervise, over 60 employees.
• Verify and edit employee clocked time, hourly wage, and client rate.
• Finalize billing, create invoices, prepare and process electronic and paper insurance claims.
• Receive, collect, process, and record payments by check, cash, credit card and bank drafts
• Continually improve knowledge, skills, and performance, based on feedback, and self-identified professional needs.
• Self-directed, with astute judgment skills.
• High level of personal accountability.
• Interview, hire, drug screen, train, supervise, discipline, and dismiss caregivers.
• Perform background checks, register new hires, and schedule fingerprinting through WV Cares.
• Provide on-call support for any concerns, problems, or issues, for either employees or clients during non-office hours and weekends.
Accounts Receivable Specialist
Urse Dodge Chrysler Jeep Ram - White Hall, WV
December 2014 to October 2016
• Manage and oversee receivables for the dealerships 3 locations.
• Collect, count, and track all money received, either by cash, checks, or credit cards, and prepare deposits for each location.
• Post all money to customer accounts and GL.
• Performed complex general accounting functions, including preparation of journal entries, account analysis, and balance sheet reconciliations.
• Generated invoices and tracked the status of over 100 accounts.
• Made outbound calls to vendors, and customers to discuss and resolve account discrepancies.
• Maintained records.
• Generated, mailed, and managed invoices.
• Generated financial statements, and facilitated account closing procedures each month.
• Reconciled company accounts
• Maintained integrity of general ledger, including the chart of accounts; reviewed GL entries, and assessed accuracy.
• Code, total, batch, and enter transactions.
• Contact customers with delinquent balances via phone and email; negotiate payments and account resolution.
Medical Billing Specialist
AMBS Medical Billing Services - Fairmont, WV
December 2004 to April 2006
• Manage an extensive volume of medical claims daily.
• Implement manual and electronic billing procedures.
• Post monies to patient accounts.
• Work directly with insurance companies, health care providers, and patients to get claims processed and paid.
• Maintain a learned knowledge of benefits claim processing, medical terminology and procedures.
• Review data to ensure they were properly input.
• Track the progress of all outstanding insurance claims, research, correct and resubmit any unpaid or denied.
• Prepare accounts with past due balances of more than 30 days for resolution. Medical Biller/Bookkeeper
Coordinating Council For Independent Living - Morgantown, WV November 1997 to April 2000
• Started as the Administrative Receptionist.
• Perform general office duties.
• Answer multi-line phones, route calls to appropriate staff.
• Manage office supplies, vendors, organization and upkeep.
• Greet the public, typing, proofreading, filing, sorting and distributing incoming and outgoing mail.
• Promoted to Medical Biller/A/R Bookkeeper after 3 months. Oversaw more than 100 patient accounts from 13 separate sites in over a 12 counties.
• Bill, invoice, post monies.
• Reconciliations.
• Resolve and collect over $150,000 in denied claims.
• Manage petty cash.
• Calculate and submit travel time pay for all employed nurses and case managers. Education
Associate in Accounting
Strayer University-Georgia - Remote
January 2014 to December 2014
Associate in Nursing
Fairmont State University - Fairmont, WV
August 2001 to December 2006
Certificate in Medical Assistant
OIC Training Academy - Fairmont, WV
August 1994 to December 1995
Skills
• ADMINISTRATIVE (10+ years)
• FRONT OFFICE (10+ years)
• MICROSOFT OFFICE (10+ years)
• QUICKBOOKS (1 year)
• MICROSOFT WORD/ EXCEL/OUTLOOK (10+ years)
• PAYROLL (4 years)
• DATA ENTRY (10+ years)
• OFFICE MANAGEMENT (2 years)
• CLIENT & VENDOR FILING (10+ years)
• HR (3 years)
• INVENTORY (10+ years)
• RECRUITING (2 years)
• BILLING (10+ years)
• INTERVIEWING (2 years)
• INVOICING (10+ years)
• HIRING
• CASH HANDLING (10+ years)
• ONBOARDING
• CREDIT CARD PAYMENTS
• SCHEDULING
• BANK DRAFTS
• TRAINING & DEVELOPMENT
• COLLECTIONS
• CLIENT RELATIONS
• ACCOUNTING
• INTAKES
• RECONCILIATIONS
• PROBLEM SOLVER
• FINANCIAL STATEMENTS &
• TiME MANAGEMENT
• OPERATIONS
• SELF-DIRECTED
• CONFLICT RESOLUTION
• DEBITS & CREDITS
• GENERAL LEDGER RECONCILIATION
• JOURNAL ENTRIES
• HUMAN RESOURCES (2 years)
• ACCOUNT RECONCILIATION
• BANK RECONCILIATION
• ACCOUNTS RECEIVABLE
• ACCOUNT ANALYSIS
• ACCOUNTS PAYABLE
• AUDITING
• MEDICAL CODING
• COMPUTER LITERACY (10+ years)
• MEDICAL BILLING
• BOOKKEEPING
• CPT CODING
• CUSTOMER SERVICE (10+ years)
• Administrative experience
• Front desk
Certifications and Licenses
Fairmont General Nursing Schloarship
August 2004 to June 2005
Scholarship awarded once a year to a current nursing student. Phi Theta Kappa Honorary Society
August 2002 to December 2007
A Phi Theta Kappa member must maintain a high academic standing, generally a 3.5 GPA or higher, to remain a member in good standing.
Student of the Month - OIC Training Academy
January 1995 to January 1995
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