Medical Billing Referral Coordinator
Resume:
Kenita Miller-Neal
*** **** ****, ****** *****, MD 21220
adtybf@r.postjobfree.com
PROFESSIONAL PROFILE :ACCOUNTS RECEIVABLE SPECIALIST/ MEDICAL BILLER In search of a position which will utilize my expertise in organizing and administering billing; as well as collection activities within a reputable health care organization. Experience with EPIC, NEXTGEN, TIGER, MOD MED, THERA OFFICE, IDX, INVISONand SMS
PROFESSIONAL EXPERIENCE
MedStar Physicians Unified Billing
Accounts Receivable Specialist II
August 2022- Current
Under general supervision, performs accounts receivable follow-up/collection procedures to obtain timely reimbursement from third party carriers and other payment sources on moderately complicated invoices in a Direct Contract assignment and/or with an invoice balance Performs collection activity for assigned divisions, third party carriers and individual providers. Maintains contacts with third party carriers and communicate billing/reimbursement changes to management in a timely manner. Assists in evaluation of A/R and participate in development of collection strategies to decrease outstanding A/ R
Baltimore Medical Systems
Referral Coordinator
November 2021- Current
Responsibilities:
The referral coordinator is responsible for referral operations at assigned clinics, establishing and standardizing systems and procedures for the distribution and use of health information throughout the organization, coordinating and referral functions with all other departments. Fax and Mail out referrals to patients and providers.
Updated referral status in I2I, obtain authorizations for procedures that the patient requires . Centers For Advanced Orthopedics-Hanover, MD
Accounts Receivable Specialist II
May2021- October 2021
Responsibilities:
Reconcile Accounts, Complete corrected Claims Via,Thera-Office, Avilaity, Novitas, UHC, etc… Page 2
Process Patient payments, complete correspondence with providers, patients as wells as Insurance Co.
Baltimore Medical System, Inc, Baltimore, MD
Accounts Receivable Specialist
August 2012 – September 2020
Responsibilities:Responsibilities:
Consistently demonstrates excellent knowledge of specific 3rd party payer regulations Aggressively pursue unpaid balances in the most efficient manner Error rate is consistently below 2%
Identify and process appeals
Identifies processes and maintains a record of appropriate write-offs Demonstrates working knowledge of specific 3rd party payor regulations Submits corrected insurance claims through both electronic and paper processes Enters account correction for all types of insurance and sliding fee agreements based on patient data
Responds to patient’s billing questions in a timely and courteous manner Pediatric Medical Center, Houston, TX
Office Coordinator
August 2010 – July 2012
Responsibilities:
Established and maintained HER records as well as e-scribe Wrote HIPPA policies for practice in both English and Spanish Follow-up with past due claims
Handled payroll, employee benefits, patient referrals and staffing Williams Personal Care, Pasadena, TX (Satellite Office) Admissions Coordinator/DME Biller
January 2002 – July 2009
Responsibilities:
Admits patients by completing admission and financial responsibility forms; coordinating and arranging physical, social, emotional, and support service requirements, including transportation Obtains applicant information by requesting completed applications and medical information; verifying and clarifying information ; interviewing patients and family members; explaining admission criteria
Wrote HIPPA policies for practice in both English and Spanish Handled payroll, employee benefits, patient referrals and staffing EDUCATION
Community College of Baltimore County, Essex, MD
Associates Degree
August 2010
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SKILLS:Certifications and Licenses Medical Billing and Coding June 1997 to June 1998 Assessments Principles of accounting — Familiar March 2021 Preparing financial records according to federal policies Full results: Familiar Medical billing — Proficient August 2021 Understanding the procedures and forms used for medical billing Full results: Proficient Protecting patient privacy — Proficient August 2021 Understanding privacy rules and regulations associated with patient records Full results: Proficient Advanced attention to detail — Completed September 2021 Identifying differences in materials, following instructions, and detecting details among distracting information Full results: Completed Work style: Reliability — Completed September 2021 Tendency to be reliable, dependable, and act with integrity at work Full results: Completed Work style: Reliability — Completed September 2021 Tendency to be reliable, dependable, and act with integrity at work Full results: Completed Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued
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