Entry Specialist Payment Poster
Resume:
Heather Gerdes
Saint Charles, MO, 63304 314-***-****
adtsh1@r.postjobfree.com
Medical Billing Specialist
Detail-oriented professional with significant experience in medical bills, records, and payment claims management. Track record of success optimizing process efficiency and accuracy by taking effective initiatives. Skilled in entering information about patient’s CPT and ICD-9 code, authorization criteria, and date of injury (DOI) with complete perfection and integrity. Possess strong leadership skills with proven expertise in completing the processing of unpaid accounts and patient information to achieve revenue generation goals. Familiar with medical terminology, append modifiers, and physician’s unique attributes. Outstanding communicator with ability to build professional relations with key clients, peers, and insurance companies.
Areas of Expertise
Medical Billing & Coding
Payment Posting
Documentation & Reporting
Accounting & Bookkeeping
Records Preparation
Process Redesign & Simplification
Claims Settlement
Customer Service
Complex Issue Resolution
Professional Experience
Esse Healthcare- Creve Coeur, MO 2/2022-11/2022
Payment Poster
Prepare and post all payments to the system, including manual posting and electronic remittance advice downloading. Prepared and posted denials to the system in manual and electronic format. Reviewed incorrect payment amounts and took recommended action. Identified errors related to posting and corrected them with minimal supervision. Served as a backup to the front-desk receptionist by answering Business office calls in a professional manner; transferring to appropriate personnel and/or taking accurate messages; greeting business office visitors in a friendly manner; Performed other office duties.
Reached a goal of a 48-hour turnaround batch time.
Accomplished set goals regarding error-free work, processes, transactions, and compliance requirements.
Completed processing 120 days old AR through effective planning and time management.
Met daily productivity guidelines set by the department Supervisor
Vadim Baram, Inc - Creve Coeur, MO 8 /2018 – 5 / 2o20
Charge Entry Specialist
Collected and entered specific data of patients, including CPT and ICD-9 code, authorization criteria, and date of injury (DOI). Identified and applied correct coding initiative (CCI) to improve efficiency and accuracy of charge entry work with CHMB. Prepared, reconciled, processed, and closed batches of medical charges across all systems. Generated claim edits reports and unassigned money reports to support decision-making activities. Addressed and responded to complex client’s inquiries about charges and payment methods. Collaborated with medical staff to gather and maintain payment details. Enforced established policies and procedures to increase departmental efficiency and employee productivity.
Reached a goal of a 48-hour turnaround batch time.
Accomplished set goals regarding error-free work, processes, transactions, and compliance requirements.
Completed the processing of 120 days old AR through effective planning and time management.
Drove significant reduction in denials through the precise use of mapping tools, modifiers, and linking codes.
Ensured the on-time clearance of demographic charges and service payments.
St. Louis University, St. Louis, Missouri 7 / 2014 – 5 / 2016
Credit Balance Representative/Payment Poster
Posted all insurance, credit card, and personal payments and adjustments to proper account in a timely manner. Oversaw daily payment posting and reconciliation activities to facilitate accurate AR reporting for senior management. Devised and implemented effective initiatives to maximize operational efficiency and minimize turnaround. Maintained, reviewed, and distributed deposit logs to fulfil requirements of each client.
Restructured and simplified work processes to ensure the delivery of high-quality customer service.
Recognized for organizing and posting over $100K payments on a daily basis.
Complied and verified payment information with peers and insurance companies.
Nextgen Practice Solutions - St. Louis, MO 1 / 2007 – 6 /2013
QA Analyst / AR Representative
Managed the reimbursement of unpaid accounts by liaising with payers via facility correspondence websites and phone calls. Conducted detailed analysis on unpaid accounts to evaluate status, find payer trends, and take appropriate actions using practice management system. Delivered follow-ups on denials and requests to compile additional information for payment processing and positing. Received and answered to correspondence of insurance companies, attorneys, and patients. Addressed and resolved and non-payment issues in close collaboration with senior management.
Approved account adjustments by adhering to set company policy and procedure.
Improved customer satisfaction by building positive working relationships and providing superior customer service.
Met service levels and productivity targets, while decreasing aged AR by 20%.
Investigated and settled complex AR claims by applying cash correctly, maintaining accurate patient information, and optimizing AR reports.
Additional experience as Patient Account Representative and Medical Records Clerk with multiple organizations
Education & Credentials
St. Charles Community College, Cottleville, Missouri
1995-1997
References:
Rita Cosimano Tammy Ulrich
adtsh1@r.postjobfree.com 314-***-****
314-***-**** St. Louis University
Alisha Tyler
Esse Healthcare
Senior Payment Poster
adtsh1@r.postjobfree.com
Tenisha Hardy
Credit Balance Dep
adtsh1@r.postjobfree.com
3
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