Post Job Free

Resume

Sign in

Billing Specialist Revenue Cycle

Location:
Hoschton, GA
Salary:
75,000.00
Posted:
August 02, 2023

Contact this candidate

Resume:

SHARON POSTELL

SKILLS

• Revenue Cycle Director

Surgery Center Billing (UB40)

and Medical (1500)

Associate Director - Home

Health Care

Accounting ( FM,CNI, Business,

Medical, Home Health, Payroll

& Billing)

Invoice and payment

processing

• Month-end reports

Vendor Relationship

Management

• Audit Support

• Finance

• Coding error resolution

• Medical claims coding

• ICD 9 coding

• Billing Manager

• First Aid/CPR

• Attention to Detail

• Patient account analysis

• Medicare and Medicaid process

• Medical claims submission

• Payment posting

• Tax reporting

Highly motivated and goal-driven with over 20 + years in Financial / Payroll Accounting Specialist an Medical Billing/Coding Specialist(AP/AR)and 15 + years in

Collections( B2B, CC,Personal 30,60 and 90 days)

Detail-oriented Financial/Payroll Accountant Specialist effectively maintaining accurate accounting information for large-scale financial organizations. History working as part of financial team to manage diverse financial functions. Business, Freight, Specialist in AP/AR and reporting, Payroll Financial Analyst, include processing and paying invoice, Freight payments, Payment processing, Manual Remittance, marketing analysis, investment strategy.

Medical Billing full Revenue Cycle, 1500 forms, Posting, Appeals, In/Out of Network, UB-40, Billing Coding, ICD-9, AP/AR Billing Specialist handle over 60 + million in claims daily +/- 70 -100 claims daily. Billing Manager, Supervisor handling 10 - 25 employees at a time. Proficient Associate Director delivering encouragement and feedback to help employees be successful.

Tech-savvy in use of spreadsheets, Excel, QuickBooks, Microsoft, accounting and financial management software to name a few.

Energetic professional with great poise.

WORK HISTORY

February 2022 to Current

Accounting/Senior Finance Manager Zoe Wellness Center Of America, Duluth, GA

Managed banking reconciliations and monthly balance sheet statements.

Managed journal entries, collection efforts, reconciliations and payroll processing.

Applied proper codes to invoices, files and receipts to keep records organized and easily searchable.

CONTACT

Hoschton, Ga 30548

678-***-****

adyoij@r.postjobfree.com

January 2021 to September 2021

Associate Director Right At Home, Home Health Care, Athens, GA

February 2020 to October 2020

Financial Analyst Specialist Corestaff Support Services, Inc

(Impellam), Atlanta, GA

Investigated daily variances and corrected errors to resolve discrepancies.

Supported change management by understanding and

addressing impacts of new accounting policies, financial statement initiatives and non-standard transactions.

Implemented budget and expense controls and financial policies by analyzing income and expenditures.

Completed weekly payroll for company payables and

company employees.

Performed routine closings, maintained clean, accurate and accessible records and kept close eye on transaction updates throughout each quarter.

• Daily Client complaints and disputes

Interview an Hired all new Caregivers, CNA, LPN, RN an PCA

Performed all HR duties as well as processed paperwork for Caregivers, CNA,PCA,LPN and RN. Make sure all license and Certifications are up to date and Renewed on time.

• Supervisor over Caregivers and Scheduling Staff

Processed all Payroll & Billing, LTC Insurance, Payments, an Accounting

• Processed all LTC Insurance

• ClearCare and PayCor

• Human Resource (HR)

• Spoke with troubled Clients and problem solved daily Reviewed weekly timesheets for accuracy and completeness as well as ST,OT and DT time, reconciled transactions and determined payment approval statuses

Provide daily Emails and Skype call's on a daily basses to PMO/Clients, on general trends, individual

employ's,Supervisor's, Timesheet issues, Payments, Late Payments, Short Pay's and Over Payments

Have to manually transfer all timesheets information to a excel spreadsheet and manipulate excel spreadsheets daily before I can transfer information to the system to provide invoices for the PMO/Client

November 2018 to February 2020

Accounting Specialist HD Supply, Norcross, GA

March 2016 to November 2018

Billing Manager/Contract All Spine Surgery Center, Decatur, Ga

Process all timesheets threw the system (Bartend, Barphellam, Gateway,Corestaff,etc.) to provided Invoices to the Client/PMO for payout to employee's each week

• Manual Remittance Spreadsheets (over 30+ million a day) Process Payments each day from Clients (20 +/- million a day) with in 7 business days of receiving date of payment

• Handle Clients in UK, Canada, Germany, France and US Process invoices, corrected invoice, pay freight, RTV, credits, take backs and Pay invoices in a timely manner due to terms of contract. Input financial data and produced reports using Excel

Generated financial statements and reports detailing accounts receivable status

Working closely with Category Manager and Financial Manger. Providing invoices to each supplier for ( POP /Non

-POP) marketing events and processing payments as well as having knowledge of each suppliers SBA contract and marketing terms.

Monthly meetings providing each Category Managers with updates on there supplier. Providing them with total balance spent,total balance left for the year, spiffs, payments received, credits, free goods payment, collections and up coming marketing events

Credits, Take backs, Retractions, problem solving, Account Mangers, Emails, High Volume calls all withing a 24 hr time.

Trained and mentor staff on Revenue Cycle procedures, compliance requirements, EOB, Cash Posting, In/ Out of Network, and collections techniques.

Reviewed billing problems, researched issues and resolved concern.

• Month in and Month Out Reports

• Performed account reconciliations and resolved variances

• Interact with all major Insurance Company's daily Developed and implemented improvements to billing

system to maximize efficiency, reduce delinquency and increase accuracy

May 2014 to March 2016

AR Senior Billing Specialist/Contract Prospira Pain Care, Roswell, GA

June 2009 to May 2014

AR Billing Specialist And Coder ENT of Atlanta/ Milton Hall, Alpharetta, Ga

May 2004 to June 2009

AP & AR Billing Specialist Rivermend Health(Drug, Alcohol

& Mental Health), Alpharetta, GA

Correctly coded and billed medical claims for Surgery Center

• Over seen 10 employee's

Correction of posting, In/Out of network, Claims 90-120 days not paid, Insurance issues, full account clean up

Monitored Infection Control and Critical Incidents, Risk Management and Quality Improvement plans

Posting(EOB,Cash), CPT Code corrections with modifiers

,ICD-10

• Clean up of accounts from 2016 - current on 1500 forms

• Revenue Cycle

• Processed monthly reports for department performance Managed efficient cash flow reporting, posted cash receipts and analyzed chargebacks, independently addressing and resolving issues with patients and Insurance company's.

Conscientiously reviewed Billing Form to identify

appropriate coding base on CMS HCC categories

Collections AR Specialist 100 Million /- Expert in reading EOB Communicate with Insurance Company on daily bases Perform data entry and data retrieval services, providing data for inclusion in medical records and for transmission to physicians

Produce medical reports, correspondence, records,

patient-care information, statistics, medical research, and administrative material

Accurately posted and send out all Medical Claims Correct Interact with providers and other Medical Professionals regarding billing issues and signed notes.

• UB-40 and 1500 Forms

30-120 days outstanding claims, Collections and self pay, In/Out of network filing using all laws for insurance claims.

• Prepared accounts with new claims as well as claims that were never billed. Past due balances of more than 90-120 days and transferred those cases to collection agency. Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers on UB-40 forms and fixing ICD-9 issues and modifiers

Speaking with Insurance company daily and knowing

Insurance language and laws for insurance issues. Process 70-90 claims day.

Orchestrated day-to-day operations of billing department, including medical coding, payment posting, accounts receivables /collections reviewed patient diagnoses codes to verify accuracy and completeness.

Contacted patients set up payments as well as explaining insurance payments and insurance terminology.

EDUCATION

High School Diploma

Winder-Barrow High School, Winder, GA



Contact this candidate