Data Entry Specialist

RHONDA SUMMERS

PROFESSIONAL EXPERIENCE

LUMINIS HEALTH, Annapolis, MD November 2023 – Present

Patient Account Rep

·Efficient utilization of billing system database to update facility file and patient demographic information; assures correct balance of charge and payment batches, bank deposits, and proper reconciliation.

·Ability to edit a claim and send/receive claim notes in the billing system.

·Demonstrated ability to post charges, payments, adjustments, and knows how to work unpostables.

·Understands the credit, collection, and zero pay work lists and knows how to effectively use them. Demonstrates the ability to understand and utilize kick codes correctly and shows competence with coding knowledge.

·Effectively maintains collections and follow up account activity by ensuring the proper organizations, tracking, filing and documenting of all correspondence.

·Demonstrated ability to utilize Outlook email and navigate in the Word and Excel software applications.

·Demonstrates Competence with the Collection Process: Responds to patient billing and insurance inquiries and facilitates resolution of financial issues promptly.

·Demonstrates basic knowledge in interpreting and understanding billing slips and the Athena workflow dashboard.

·Accurately completes payment/deposit batches with proper allocation of monies. Completes and understands month end productivity and statistical reports. Understands applicable financial policies to include cash discounts, payment plans, sliding fee schedule, etc. Reviews patient invoices and claims for accuracy and completeness before submission.

·Prepares account history information for physician review and/or transfer to collection agency.

·Answers patient calls in a professional and timely manner, projecting proper telephone etiquette; understands when it is acceptable to release patients protected health information.

·Business Conduct: Displays professionalism in the workplace maintaining a positive team attitude; demonstrates dependability through perfect attendance and reliability via non-existent tardiness.

VIRGINIA CANCER SPECIALISTS, Fairfax, VA August 2022 – October 2023

Accounting Assistant/Accounts Receivable

Handled A/R

Created billing summaries with charges and adjustments

Processed invoices

Maintained and updated Excel Spread Sheets

Performed general data entry as requested

Maintained vendor item list in accounting files

Performed other duties as assigned

Reviewed voice messages for the Insurance and Balance Team and documented patient calls in the database

Scanned voicemail messages and provided updates to team members 3 times a day

Posted third-party carrier/patient payments on the Omnifund website

Scanned medical records and filed correspondence

Managed TIGER write-offs via Excel spreadsheets and provided updates to the State Business Administrator

Updated patient address in TIGER and IDX provided updates to the system

INOVA HEALTHCARE SERVICES, Falls Church, VA June 2021 – April 2022

Physician Insurance Analyst

Acted as PSR III and was responsible for timely accurate editing, submissions, and/or follow-up of assigned claims

Processed claims for multiple payer types (Commercial Managed Care, BlueCross, Medicare, Medicaid, etc.)

Ensured appropriate follow-up on assigned work lists

Ensured all work met departmental productivity and quality review standards

Ensured appropriate and timely documentation of all account activity

PERINATAL ASSOCIATES OF NORTHERN VIRGINIA, Fairfax, VA June 2012 – June 2021

Medical Biller

Billed, followed up, and resolved patient account balances by promptly collecting the maximum reimbursement

Achieved account closure through knowledge and application of billing and collection regulations, as well as department policies and procedures

Submitted HCFA-1500 claim forms (electronic and paper) to third-party carriers accurately and timely

Ensured that claims met billing guidelines for assigned carriers

Maintained tracking system to ensure claims submission to carrier billing requirements, and assisted in changes to the system and manual billing processes

Ensured that supporting documentation was provided at the time of claim submission to facilitate timely reimbursement

GEORGE WASHINGTON MEDICAL FACULTY ASSOCIATES, Washington, DC July 1995 – February 2011

Billing Specialist – OB GYN

Charged entry for billing sites GW and PG Hospital

Maintained a daily report for revenue status for payment

Verified the accuracy of keyed charges

Maintained a file of daily input and output documents

Assisted with the resolution of claim and registration edits with Medicare and Medicaid

Inputted professional and technical charges from fee tickets and log reports on OBGYN medical records for the purchase of patient billing

Notified the supervisor/manager when a departmental operational problem arises

Ensured completeness of financial and demographic information on the medical record

Placed ICD-9 and CPT codes on patient charts for billing

EDUCATION

WASHINGTON BUSINESS SCHOOL, Tysons Corner, VA

Some Coursework Completed, 1988 – 1989

LOUDOUN VALLEY HIGH SCHOOL, Purcellville, VA

High School Diploma, August 1984 – June 1988

SKILLS

Billing, Claims, ICD-9, Medical Billing, ICD-10, CPT Coding, Medical Coding, Insurance Verification, Athena, IDX HER, and IKNOWMED Generation 2 (McKesson)

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