Administrative Assistant Medical Billing
Resume:
SUMMARY
SKILLS
EXPERIENCE
LISA
WEST
adw6or@r.postjobfree.com
Monument, CO 80132
** ***** ** ******* ******* Accounts Receivable full cycle billing experience. 20 years in Healthcare the last 10 in full cycle billing AR. I have experience with multiple practices and specialty providers Pulmonary, Pediatrics, Pain management, Behavior Health, Primary Care Billing and more.
• Full Cycle Medical Billing
• Medical Billing and Coding
• Excellent Administrative Abilities
• Insurance Policy Coverage Knowledge
• Critical Thinking
• ICD-10 Coding
• Medical Billing and Collections
Accounts Payable and Accounts
Receivable
•
• Thorough Claims Reviews
• Claim Validity Determination
• CMS-1500 Billing Forms
• Adjustment Posting
• Insurance Claim Requirements
• A/P and A/R Expertise
• ICD-10
• Billing Data Verification
• Attention to Detail
• MS Office
• Problem-Solving
• Diagnostic Codes
• Sequence Selection
Computerized Maintenance
Management Systems
•
• Insurance Claims Analysis
• Coding Appeals
• Correspondence Writing
• Patient Data Management Systems
• Electronic Health Records Systems
• Physician Coordination
• Spreadsheet Tracking
• Medicare and Medicaid Process
• Policy evaluation
FULL CYCLE REIMBURSEMENT SPECIALIST 03/2018 to Current John Fleming Practice And Specialty Clinics - Colorado Springs, Co
• Prevented delays and claim denials by correcting information prior to submission Guided office staff on how to effectively complete prior authorization forms and appeals documentation to achieve positive results
•
Helped minimize escalations by reaching out to clients in advance of expected problems
•
Coordinated with insurance providers to verify customer's policy benefits in relation to claims
•
Managed book of business in accounts receivable, applying insurance expertise and exemplary customer service
•
• Built proactive, client-specific edits into system to prevent future denials Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving
•
Established workflow processes, monitored daily productivity, and implemented modifications to improve overall performance of personnel
•
Updated reports, managed accounts, and generated reports for company database
•
• Coordinated special projects and managed schedules
• Managed large volume of medical claims on daily basis Used administrative guidelines as resource or to answer questions when processing medical claims
•
Assessed medical claims for compliance with regulations and corrected discrepancies
•
Processed insurance payments and maintained accurate documentation of payments
•
• Resubmitted claims after editing or denial to achieve financial targets and reduce EDUCATION AND
TRAINING
CERTIFICATIONS
outstanding debt
• Calculated adjustments, premiums and refunds
• Reviewed provider coding information to report services and verify correctness
• Responded to correspondence from insurance companies Researched and resolved complex medical claims issues to support timely processing.
•
MEDICAL BILLER 01/2011 to 01/2016
Peak Vista Community Health Centers - Colorado Springs, Co
• Collected payments and applied to patient accounts
• Posted payments and collections on regular basis
• Adhered to established standards to safeguard patients' health information
• Communicated with insurance providers to resolve denied claims and resubmitted
• Delivered timely and accurate charge submissions Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records
•
• Verified insurance of patients to determine eligibility. Saddleback College - Mission Viejo, CA
High school diploma
05/1998
Associate Of Business Administration
Accounting And Business Management
CMAA - Certified Medical Administrative Assistant CMAS - Certified Medical Administrative Specialist
Contact this candidate