Customer Service Data Entry
Resume:
VALERIE E. GREEN
**** *. *** ******* **** E. #***
Humble Texas 77396
OBJECTIVE
Searching for a position that will utilize skills and knowledge of the medical billing and collecting processes.
HIGHLIGHTS OF QUALIFICATIONS
Proven success in customer service and leadership
Strong practical and theoretical foundation in improving the billing and collection process Proficient in various software programs
EDUCATION
HIGH SCHOOL: Chapel Hill High, Tyler, Texas: Graduated 1986 COLLEGE: University of Houston Downtown: Course of Study: Business/Accounting 1991-92 Texas Southern University: Course of Study: Chemistry 1993-1999 CODING SEMINARS: 2010 Orthopedic Coding, McVey Associates, Inc, Terry Fletcher, Houston, Texas 2011 AMA Coding; American Medical Association, Dallas, Texas SOFTWARE SYSTEMS: Advantix, Athena, Eclinical, Managemed, Medinformatx, Medisoft, MOMS, Seasoft, Pratice Fusion, Medical Manager
PROFESSIONAL EXPERIENCE
Hire Priorities 2009-2018
Various medical office assingments which included insurance verification, strong data entry, billing, collections, posting payments, filing medical claims {UB82 and HIFA1500}, appointment scheduling, surgery scheduling, filing, scanning, and general office duties.
Dr. Naddim Zacca, MD
Billing/Collections Specialist: Cardiology2016-2018 Verified patient insurance information for billing purposes. Generated authorizations for outpatient/inpatient procedures. Coded and billed stress test, echocardiograms, ultrasounds, heart caths, angiograms, stents, ekgs, and office visits. Transmitted all claims through Claim MD. Reviewed rejection reports and made corrections when necessary. Filed secondary claims. Posted all insurance payments and adjustments. Sent monthly patient statements. Documented all collection information. Audited patient account histories for insurance follow up as well as collection and credit balances Monitored daily cash flow. Appointment scheduling as well as surgery scheduling. Backed up computer systems daily. Scanned, filed and faxed documents. Answered phones. General office duties. ORTHOPEDIC INSTITUTE FOR SPINAL DISORDERS: 3/2009
Billing/Collections Manager
Ensured front and back office maintained HIPPA rules and regulations. Verified patient insurance information for billing purposes. Generated authorizations for outpatient and inpatient services. Set up Advantix Software System to submit claims electronically through MDOnline, live date May 1, 2009. Entered all patient demographics and super bills. Filed claims electronically to Medicare, Medicaid UHC, BCBS, Atena, Cigna, Humana, etc. Reviewed rejection reports to ensure proper claim submission. When necessary dropped secondary claims to paper and mailed for payment. Billed and collected on all workman compensation accounts as well as filed appeals when necessary. Responded to calls from insurances companies, attorneys and patients. Documented collection information. Maintained medical records request. Audited patient account histories for insurance follow up, collection and credit balances. Discussed and implemented payment agreements. Posted payments and adjustments. Generated and mailed out patient statements on a monthly basis. Monitored daily cash flow. Insured accounting system balanced on a daily basis. Ran end of month reports including A/R aged summary and revenue activity reports. Made recommendations regarding bad debt and hardship write offs. Reviewed and investigated significant insurance write-offs, refunds and appeals to all insurance entities (Medicare, Medicaid, BCBS, UHC etc.). Appointment scheduling as well as surgery scheduling. Backed up computer system daily. Attended bi- weekly meetings with doctor and monthly meetings with staff. Ensured doctor’s credentials were satisfied through CAQH . Scanning, filing and faxing. Substituted for office staff in their absence.
PULSE STAFFING: 3/2000-1/2009 (Various contract assignments) Billing/Collections Specialist
Strong IC9/ CPT4 billing and coding services for anesthesia, cardiology, gastroenterology, neurology, and orthopedic inpatient and outpatient hospital services; hospitals included M.D. Anderdson, Methodist, Herman, Memorial Northwest, Nexus,etc. Insurance verification. Appointment and surgery scheduling. Generated authorizations for outpatient as well as inpatient services. Entered patient demographics into computerized system. Filed claims (UB82 and HICFA 1500) electronically. Reviewed rejection reports. Dropped secondary claims to paper and submitted by mail. Filed workman compensation claims. Submitted appeal letters for proper reimbursement to insurance entities. Posted payments and adjustments . Generated and mailed patient statements. Billed and collected on past due insurance and patient accounts. Documented collection information into computerized systems. Reviewed dictation and made corrections when advised. Entered medical record audits into computerized system. Prepared spreadsheets for weekly, monthly and quarterly reports using power point and excel. Prepared risk management incident reports. Attended monthly JACHO and Quality Assurance meetings. Documented
,recorded and prepared minutes from meetings. Scanning, filing and faxing. General office duties.
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