Medical Billing Accounts Payable

PROFESSIONAL SUMMARY

A Certified Medical Billing and Coding Specialist, specializing in coding, payment processing, and insurance claims. A proven track record of identifying process improvement opportunities to enhance billing procedures.

PROFESSIONAL SKILLS

• Identify major laws, regulations and guidelines related to medical billing

• Understand various insurance types, carriers, and plans and appropriate rules for coverage determination

• Recognize ICD-10-CM, CPT, HCPCS, and modifiers and how to utilize them for billing

• Accurately complete and submit heal insurance claims for reimbursement

• Comprehend payment adjudication, various claim statuses and the resubmission process

• Gather, review, and verify crucial patient information and documentation

• Audit medical billing and prevent fraud and abuse assigning diagnostic and procedure codes and how to submit clean claims for reimbursement

• Submit reimbursement claims to insurers and optimize healthcare providers maximum payment for medical procedures performed

EDUCATION

MedCerts

Medical Billing Specialist Program: AMCA: MCBC Certified (In progress)

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Bay State College

Applied Science in Accounting -

PROFESSIONAL EXPERIENCE

National Braille Press

Staff Accountant & Human Resources Asst. -

The Dimock Foundation

Accounts Payable Coordinator & Assistant Payroll - SHAVON TAYLOR

MCBC – Medical Billing Specialist

617-***-**** **********@*****.*** Boston, MA

• Peachtree, QuickBooks, ADP, ACCPAC, Microsoft Office, ACES, Biceps, and IMS Livonia, MI

Aug 2024 Dec 2024

Boston, MA

Sep 1998 May 2000

Boston, MA

Feb 2018 Present

Processed 40 vendor invoices and internal special check requests using Oracle software, securing approvals for payment from relevant personnel

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Reviewed 1500 invoices monthly for accuracy in general ledger coding, quantity, unit pricing, extensions, and discounts; entered data into the Oracle accounting system

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Collaborated with the Purchasing Assistant to handle an average of 20 purchase orders monthly, utilizing Oracle and NetSuite for accurate data entry and managing reconciliation of purchase card statements to ensure compliance

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Boston, MA

Nov 2016 Jan 2018

Lord’s and Lady’s Enterprises

Accounting Clark & Retail Compliance Specialist -

VOLUNTEER EXPERIENCE

Nutritional medical billing @ Children’s Hospital

Managed 200-300 accounts payable invoices, purchase orders, and check requests in Oracle, aligned purchase orders with invoices, inputted invoices into the system, and conducted weekly accounts payable check run

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Handled vendor inquiries by answering phone calls, conducting research, and providing appropriate responses

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Supported the finance department by executing various projects and tasks as needed, including managing bi-weekly checks for 600 hourly employees and monthly checks for 100 supervisor employees, as well as processing refund checks

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Boston, MA

Dec 2006 Sep 2016

Maintained accurate payroll information for 300 employees by meticulously collecting, calculating, and inputting data, resulting in a time saving of 2 hours per pay period

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Analyzed and resolved payroll discrepancies, addressing inquiries and requests, upholding payroll operations according to policies and implementing necessary changes

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Executed monthly reconciliation of vendor statements, managed intercompany transfers and expenses, including gift cards between salons, conducted intercompany reconciliations, reconciled bank statements for four salon locations, and oversaw aged payables with check disbursement processing

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