Data Entry Billing Specialist
Resume:
Teresa McBrayer
Crandall, TX *****
***********@*****.***
WORK EXPERIENCE
Billing Specialist/Customer Service - ***
Center for Foot & Ankle/Orthopedic Specialists
Dallas, TX
January 2022 – Present
See job description below.
I left Crown Imaging due to lack of work for the people they had employed. I feel like they were not allowing me to work to the potential of my skills. Billing Associate
Crown Imaging
Dallas, TX 75232
October 2021 – December 2021
Daily activities include; denied claims, credit card payments from patients and Insurance Providers, return mail – researching addresses, checking Medicare eligibility for new referring doctors, itemized statements upon request, billing phone calls and back up for incoming general calls, monthly working of Accounts Receivable
Billing Specialist/Customer Service - ***
Center for Foot & Ankle/Orthopedic Specialists
Dallas, TX
June 2020 to October 2021
Daily activities include; filing all charges for three doctors including Private/Self Pay, Workers Compensation, Medicare and all Commercial Insurances. Follow up with each claim for status, posting payments, denials and appeals. Processing and mailing all patient payments. Auditing non billable data entry and keeping the procedure codes and diagnosis codes up to date, Working the AR Report on a regular basis by auditing time periods (timely filing) for Commercial Insurance’s, providing appropriate responses for a denied or non-paid claims, invoicing the next payer or adjusting to patient balance as delegated, posting all payments and reconciling balance at the close of business as well as end of month.
Billing Manager
Abilene Bone & Joint Clinic
Action Sports Medicine
October 2014 – June 2020
As Billing Manager I had 3 people to supervise and guide with their daily activities of filing charges, printing and mailing statements, patient payments, customer service/billing phone calls. I researched appropriate CPT codes for services provided. Reviewing denials and appeals. Research and staying current with any Insurance changes and updates that may affect current revenue. I would monitor patient accounts and AR accounts as needed. I was familiar with all types of insurances including Medicaid. For the Physical Therapy Department, I did all the new staff credentialing and kept up with license renewals. As the manager for the Billing Department, I also aided the HR Director with my staff’s insurance updates, time off requests, reviewing time off requests, staff reviews and pay increases. I interviewed and screened new applicants for other positions that would impact the billing department.
I kept up with daily operations as necessary and monthly closing. Billing Specialist
Abilene Counseling Center- Mental Health Counseling February 2012 – June 2020
Billing for all insurance and private pay patients for counseling and therapy. I was interactive with group and family play therapy with the patients. Research any denials or non-payments. Verifying benefits and setting appropriate payment plans in needed. Keeping up with the counselors credentialing and applying for insurance panels.
Billing Specialist
Orthopedic Associates
April 2012 – September 2014
Billing for all insurances and private pay. Medicare and Medicaid billing. Authorizations and Referrals. Posting and balancing monies received. Answering customer service calls. Scheduling appointments as needed. Back up for multi-line phone system. Working EOB’s daily and past due accounts.
Billing Specialist/Patient Accounting
Abilene Regional MHMR
dba - Betty Hardwick Center
February 2010 – April 2012
Routine accounting work including but not limited to billing all insurance companies including Medicare and Medicaid. Keeping up will all state changes to Managed Care and 5010 compliance issues. HHSC contracts. Funding sources and discipline/credentialing for new providers. Monitoring reporting deadlines on a weekly/monthly basis. Day to day operations of the Patient Accounting Department which includes data entry, documentation files, quality control, reconciliations, reports and analysis, nightly posting and daily balancing, inquiries and end of month processing.
Billing and reconciliation of various services performed by center staff or participating contractors including accepted and rejected services.
Entering cash receipts in system and using independent judgement to resolve balance issues. Create, review and distribute monthly reports.
Administrative Assistant/Team Leader – Customer Service/Switchboard Abilene Regional MHMR
April 2006 – February 2010
Clinical support to the Mental Health Division and Team Leader to the customer service staff. The duties included but were not limited to; provision/monitoring and oversight of daily activities of the department including both patient lobbies. Training of all customer service staff, coordination of phone coverage, data entry, various tracking systems, billing reports, vehicle maintenance and overall unit operations. Balancing and maintaining department petty cash, purchasing and stocking supplies. Assisted Chief Service Officer in coordination of monthly meetings with participants from the community. Created and maintained personnel files for the supervisors use. As Switchboard staff I greeted and assisted all consumers and outside vendors. I answered a multi-line switchboard and checked patients in for clinic appointments. EDUCATION
High School Diploma
SKILLS
• CPT Coding
• ICD-10
• Customer Service
• Microsoft Excel/Word
• DocuSign
• Administration Experience
• Microsoft Outlook
• Workers Compensation
• Medical Billing
• Accounts Receivable
• Medical Coding
• ICD-9
• Insurance Verification
• Management
• Medical Office Experience
EMR Software
• NextGen
• Centricity
• Phoenix
• Therapy Notes
• eClinical – trial period
• AthenaHealth – trial period
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