Billing Specialist Workers Compensation
Resume:
Dianne Dorsey
Mesa, Arizona **208
*************@*****.***
Objective: To secure a position with a growing Company that will utilize my previous experience while allowing advancement opportunities.
Work Experience:
Billing Manager, Valley Heart Associates Chandler, Arizona 12/18-Current
Manage the staff in the Billing Department which entails verifying insurance benefits, referrals, payment posting, collections accounts and Authorizations for testing. Enter office charges and testing charges by coding claims correctly for payment for 3 Doctors and 3 Nurse Practitioners using Intergy Software. Responsible for follow up A/R and filing grievances for payment and ensure that the Insurance Companies are paying according to contract. Resolve credentialing issue that arise from the Insurance Companies. Answer phone calls from patients and take payments on accounts. Answer phone calls from patients that have issues that need to be addressed. Assist the Medical Assistants for coding of hospital procedures. Assist the front office with any issues regarding billing. Interview and hire new Employees. Reduced A/R from Insurance Companies 61-121 days outstanding from 24% in 2018 to currently 2.27%.
A/R Representative Cardiovascular Associates of Mesa Gilbert, Arizona 12/10-12/18
Responsible for working A/R, filing grievances and verify claims that they are paid accordingly to contract for 8 Doctors and 6 mid-levels using Centricity software. Responsible for all Medicare, United Healthcare, Tricare, Medicare Replacement Plans, Skilled Nursing Facilities, Workers Compensation, and Veterans Administration. Mail claims to secondaries and help others when needed. Verify claims that they are coded correctly before they are submitted. Also worked on the PQRS incentive for Medicare.
Patient Account Representative, Omniflight Helicopters Mesa, Arizona 5/08-12/10
Responsible for a workload of 700-800 accounts. Ensure that files are properly and completely documented with the Insurance information and all other information indicating the handling of a transport and that the proper charges are entered for each transport. Maintain appropriate follow up with the Insurance Companies to ensure maximum reimbursement. File appeals when Insurance Sources do not pay properly. Call patients regarding account balances and send patients to collections for non-payment.
Billing Specialist, HPS Solutions Gilbert, Arizona 9/07-1/08
Responsible to post payments, file grievances and utilize the Accounts Receivable aging report to track and maintain balances for several Doctors using Allscripts Software. Also, responsible to send patient statements and send patients to collections for non-payment on accounts. Also assist other billers as needed.
Billing Specialists, the Center for Total Back Care Mesa, Arizona 8/05-9/07
Responsible to coordinate and facilitate all Insurance Claims submissions including filing claims electronically, contact Insurance Companies and patients regarding account balances, filing grievances, account refunds and posting charges and payments using Medisoft Software. Also, responsible to send patient statements and send patients to collections for non-payment on accounts, utitlize the Accounts Receivable Aging Report to track and maintain balances, contact Insurance Companies to verify patients benefits and consult with patients regarding their benefits.
References: Available upon request
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