Medical Billing Specialist
Resume:
EMILY CROUCHER
Independent Billing Consultant Saint Paul, MN *************@*****.***
WORK EXPERIENCE
Medical Biller Specialist / Trainer/ Consultant
EI Consultants - Saint Paul, MN
Minneapolis, MN
Red Lake, MN
August 2018 to March 2021
Project A: Native American Community Clinic (NACC) Minneapolis,
MN
•Work with the Principal of Ei Consultants to educate and train the Intensive Outpatient Program staff to use the electronic health record and billing software (Procentive)
•Collectively created and documented policies and procedures for intake, documentation and billing for services provided.
•Analyzed medical billing procedures and initiated processes to bring medical billing internally.
•Performed insurance verification.
•Performed all aspects of medical billing from demographics, charge entry, and payment posting.
•Processed insurance appeals and negotiated and recovered past-due accounts with strong ability to resolve billing issues with insurance.
•Contacted insurance companies for unresolved claims:
maintained ongoing follow up through resolution.
•Performed periodic audits of claims sent to insurance and the documentation attached.
Project B: Hiawatha Navigation Center (Homeless Encampment)
Minneapolis, MN
•Processed chemical health and medical claims for services provided by licensed nursing staff
•Trained nursing staff how to use the electronic health record (Procentive) to document all encounters with clients.
•Conducted spot audits on encounters coding, documentation and payments for accuracy.
•Performed insurance verification.
•Collaborated directly with clients to help them understand the billing process concentrating on the use of releases of information and explanation of HIPAA standards and guidelines.
•Coordinated with nursing staff to organize a medical education group that met weekly to discuss medical issues specific to the community we served.
•Collected all supplies and created care packages for clients to include things they needed and even things I thought they would want.
Project C: Red Lake Tribe Chemical and Mental Health Programs:
Red Lake, MN
•Helped to improve processes and resolved complex medical billing concerns, by using my strong knowledge on billing practices I helped to resubmit previously denied claims for payment.
•Identified billing errors trends and worked with the management team and fellow consultants to develop solutions.
•Collaborated with the billing staff and consultant team to develop and document policies and procedures.
•Designed training material and lesson plan to assist with training.
•Trained billing team on how to execute the entire claim process.
Claims Analyst
UCare Insurance
Minneapolis, MN
November 2017 to April 2018
•Processed all incoming insurance claims.
•Sent denial letters.
•Made corrections to incoming claims as needed.
•Produced reports bi-weekly to reflect denial trends, claim errors and payments issued to customers.
Billing & Quality Assurance Specialist
Progressive Individual Resources -
West Saint Paul, MN
2012 to October 2017
•Claims submission.
•Review of previous billing
•Work claim denials
•Staff training in the new EMR system.
•Client & Insurance Information Entry
Billing & Quality Assurance Specialist
Metro Social Services-
Saint Paul, MN
December 2012 to March 2017
•Claim Submission
•Accounts Receivable
•Quality Assurance
•Enter and confirm client insurance information.
•Billing Reports
•Monitor staff time and service line entries.
•Procentive software staff training
•County Collaborative Billing
•Procentive billing software implementation and training
Billing Specialist
Brookdale Chiropractor -
Brooklyn Center, MN
February 2008 to July 2010
•Claim submission.
•Accounts Receivable
•Client consultations
•Communication with attorneys and insurance company for payments and settlement information
•Manage client files.
EDUCATION
Diploma in Medical Billing and Coding
National American University -
Bloomington, MN February 2015
Skills
•Strong skills in accounts receivable and claims submission.
•Goal orientated, strong communication skills.
•Adaptive Person
•Ability to meet & exceed expectations.
•Ability to meet deadlines.
•Strong organizational skills
Contact this candidate