Follow Up Customer Service
Resume:
Carolyn Mills adykq7@r.postjobfree.com
PROFESSIONAL EXPERIENCE
STEWARD HEALTHCARE- Richardson, TX Sept 2019- present
Revenue Cycle AR Claims / Correspondence
Handled collections for Manage Care Commercial accounts. ● Read & understand EOB’S
●Contacting and follow up on denied and, Aged claims with Insurance Co.
●Queue claims in Meditech to Bill out to correct payer.
●Mailing out Appeals and Denial claims, also sending letters to patient
●Mailing 2ndary and 3rd claims to Payer
●Training Teammates on the process of Denial claims and how to follow up with Ins Co.
●Going into the office scanning Attorney Req., Correspondence with Denial,
●Medical Records Req., EOB, Patient Req, etc…
●Working Lockboxes and attaching documents to patient accounts in Meditech.
●Working Bad Debt, Adjustments, Bankruptcy, Refund Accounts.
●Working All mail that comes thru Correspondence Fax, and forward the to correct dept.
UT SOUTHWESTERN HOSPITAL, Dallas, TX Aug 2017 – Sept 2019
Collection -Biller
●Bills and collection for Commercial, Medicare, Medicaid
●EOB’S
●Works reports for UB04claims
●Maintain daily productivity of 50- 80 claims
●Reviews billing and coding to ensure claims are submitted to insurance as clean claims
●Follow up on problem claims with payers to get the claim paid in a timely matter
●
METHODIST HOSPITAL, Dallas, TX Nov 2016 – Jul 2017
AR-Collector
●Handled collections for Commercial accounts.
●EOB’S
●Worked UB-04's
●Followed up on denied and Aged claims
●Worked high volume appeals and denials
●Mailing 2ndary and 3rd to Payer
●Zirmed Health System
CHRISTUS HEALTHCARE INC., Irving, TX Jul 2013 – Oct 2016
Medicare & Managed Medicare & Medicaid Biller/ Collector
●Billing UB04- ACUTE, SNF, REHAB
●EOB’S
●Handle collections for Medicare DDE, Medicaid, Managed Care & Commercial accounts.
●Follow up with payers to determine claim payment status
●Handle an average of 50+ claims per day
●Cash Posting
●Good verbal and written communication skills.
●Have the ability to make independent decisions that are generally guided by established procedures.
●Reading and understanding EOB’s
●Sending claim to the correct internal agency, (HIM, CASE Management, Audit & Admitting) to resolve the claim.
●Understanding DRG payments, and contracts.
●Working Correspondence
●Mckesson Health System
MULTIPLAN INC., Arlington, TX
Biller/Commercial Claim Processor
●Billing 1500
●Reading and Understanding EOB’s
●Worked Denial
●Contacted Payer about claims
●Customer Service
●Worked overpayment & underpayment claims
●Collector and validating claim
Jan 2008 – Jul 2013
METRO CARE SERVICES, Dallas, TX
Apr 2002 – Jan 2008
Biller/Collector / Insurance Verification
●Verified coverage for Medicaid, Medicare & Commercial patient.
●Billing Physician claims
●Reading and understanding EOB’s
●Collection and appeals
●Enter Patient Demographics ● Analyzed weekly reports
EDUCATION
EVEREST COLLEGE-Certified Medical Coder- 2009
Skills:
Epic, Meditech, Zirmed, Nthrive, DDE, SSI, Excel, Connance, Cerner, TrailBlazer, Medicare DDE system
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