Medical Biller Data Entry

Kathy A. Davis

* ********* *** #**, *******, MA *1960

Home: 978-***-****

E-Mail: *****@*******.***

Work Experience

Sr. Medical Biller (March 2008-Current)

Mass General Hospital Boston, MA

Commercial & Medicaid third party insurance follow-up on unpaid and problematic medical claims. In depth knowledge of coding & billing guidelines to resolve technically demanding & cutting edge technology claims (“unlisted CPT codes”). Heavy phone contact & problem solving skills are an integral part of this overall process. Occasional patient contact via phone to resolve patient balances. Account reconciliation and review of payment posting for insurance refunds. Familiar with all general billing and coding guidelines, insurance requirements, preauthorizations & referrals.

Insurance Recovery Analyst (Sept 2004-March 2008)

The CCS Companies Newton, MA

Obtain worker’s compensation insurance for initial claim submission. Also, follow up on previously billed claims and work them through until payment is received. This position involves extensive contact with insurance companies, employers and employees to obtain necessary information.

Third party follow-up (Sept 2002-August 2004)

Lahey Clinic Burlington, MA

Follow up on previously billed claims, appeal insurance denials (electronically and on paper), patient registration and patient insurance maintenance, electronic claims submission, direct contact with insurance companies to settle claims, patient disputes, and correcting over/underpayments on previous paid claims.

Medical Biller (April 1999 - July 2002)

Frederick O. Buckley Jr. M.D., Inc., Salem, MA

Data entry of daily office visits and surgeries, ICD-9 & CPT coding, post payments from patients and insurance companies (HMO/Commercial/Gov't), resolution of insurance disputes, answer phones, collections calls and payments, printing monthly patient statements, electronic billing (Healthwire), submission of paper claims, ordering office supplies, and surgical scheduling fill in. I successfully helped streamline the billing process and electronic claim submissions.

Medical Biller (January 1998 - April 1999)

Harbor Medical Group/Charter Prof Services, Salem, MA

Data entry of office charges, posting commercial/HMO insurance payments, contact with insurance companies for claim resolution, resubmitted of previous denied claims, patient billing and bill dispute settlement, answering phones, and contact with physicians for billing clarification.

Software Knowledge

Medisense, IDX, FACS, Application Extender and Med-1 billing software, Healthwire claims submission

Education

2001 Endicott College, Beverly, MA

BA Business Administration

1983 Peabody High School, Peabody, MA

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