Billing Specialist Worker's Compensation
Resume:
Shelia D Williams
Greenwood, MS *****
*********@*****.***
To apply and dedicate myself to my job at hand with great expectations, effectiveness, and support my co-workers with all their needs to complete the task at hand. Work Experience
Revenue/Credentialing Specialist
Mallory Community Health Center
2023 to Present
Clinical Billing
Dental Billing
Credentialing Specialist role
Follow up on denied and non-processable claims
Bill all commercial insurance claims
Submit invoices to different institutions for payments Bill all worker's compensation claims by mail, fax, and email Reconciliation of account
Medical Billing Specialist
North Sunflower Medical Ctr - Ruleville, MS
2013 to 2023
Follow up on denied and non-processable claims
Bill all commercial insurance claims
Submit invoices to different institutions for payments Bill all worker's compensation claims by mail, fax, and email Submit front end edit to different departments by email for corrections Follow up on rejected and denied bills
Bill Medicare claims electronically to FI for processing Send Medical Records, Itemized list and Bills to W/C Carrier for processing. Bill using the UB-04 and HCFA 1505
Bill medical claim electronically or by mail to Insurance Companies AR analysis of accounts
Certified Coding and Billing Specialist
Reconciliation of account
Oversee negotiations of finalized accounts
Trained new incoming employees for commercial billing Review and correct the work of other billers
Facility Assistant
Fresenius Medical Care - Greenwood, MS
2011 to 2013
Assist Clinic Manager in patient assignments
Submit clinic EOM report to head office
Update the eCube Clinical, Financial, and Crownweb systems Create and receive PO
Establish new, transient, and transfer patients
Dispose of defected products
Update Physicians Books
Submit charges and reports to billing
Verify and validate patient and medicine numbers daily Send off old record to be filed with off sight storage Order materials needed for the clinic Audit all in-center clinic patient charts Medicare Billing Specialist
Greenwood Leflore Hospital - Greenwood, MS
1999 to 2010
Submit front end edit to different departments by email for corrections Follow up on rejected and denied bills
Bill Medicare claims electronically to FI for processing UB04 and HCFA1505 Administrative Assistant-Assistant
Complete in-house reports for Administration Email different Administrators completed reports Workers Comp and Commercial Ins Biller
Send Medical Records, Itemized list and Bills to W/C Carrier for processing. Bill using the UB04 and HCFA 1505 Bill medical claim electronically or by mail to Insurance Companies Temporary Supervisor for ER Registration
On call when other employees have work issues Train all new registrars Assist Director on issues concerning department Attend departmental meetings ER/Admission Clerk
Register patient through outpatient admitting for services in the hospital Prepare patient medical records who have been seen in the ER Dept Verify patient information and enter health insurance information into the hospital systems ER Secretary
Discharge patient from ER computer Systems
Key in patient orders for ER Doctors
Collect ER patients records for ER Registrar to process Education
3 years of college in Computer Science
Mississippi Valley State University - Itta Bena, MS 1992 to 1998 High School Diploma Leflore County High School - Itta Bena, MS 1991 Skills
• Time Management (2 years)
•Administrative Experience (10+ years)
• HIPAA (10+ years)
• Data Entry (10+ years)
• Microsoft Word (10+ years)
• Medical Billing (10+ years)
• Medical Office Experience (10+ years)
• Customer Service (10+ years)
• Medical Insurance (10+ years)
• Typing 40+ wpm (10+ years)
• Microsoft Excel
• Management Experience
• Business Management
• Microsoft Powerpoint
• Computer Science
• Healthcare Management
• Medical Scheduling
• Workers' Compensation
• ICD-10
• EMR Systems
• CPT Coding
• Medical Coding
• Insurance Verification
• Employee Orientation
• Practice Management
• Microsoft Office
• Microsoft Outlook
• Medical Terminology
• Data collection
• Clerical experience
• Leadership
• Managed care
• Revenue cycle management
• Accounts receivable
• Information management
• Accounts receivable
• Information management
• Communication skills
Certifications and Licenses
Critical Access Hospital Codong and Billing Specialist October 2021 to Present
Medical Billing Certification
Assessments
Medical Billing — Highly Proficient
July 2020
Understanding the procedures and forms used for medical billing. Full results: Highly Proficient
Medical Terminology — Familiar
July 2020
Understanding and using medical terminology
Full results: Familiar
Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.
References
Tijuanda Beckworth
**********@***.***
Michelle Porter
********.******@**************.***
Gloria Tidwell
**********@***.***
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