Customer Service Medical Billing

BRYAN J. LOCKHART

**** ****** ** ***** ********, Ga. 30088

*************@*****.*** 404-***-****

Medical Collections / Billing / Account Management

Objective: To obtain a full-time permanent position with a company where I can be an asset and will utilize my experience and skills in collections, medical billing & coding and where I can implement my customer service skills in an effective and efficient manner.

Microsoft Office Suite; Microsoft Word, Excel, Power Point, Outlook; FSS, IDX, Navicure, Healthlogic, Epic, Premis, Mysis, Artrac, Patcom, Medical Manager, NextGen, Achieve, Lytec, BaseMed & Allscripts, and internet applications.

.

EXPERIENCE

CONCENTRA September 2019 – Present

A/R Representative

Work from a monthly A/R 180 days, high dollar accounts, obtain claim # from Insurance companies that the The employer filed a 1st report of injury, check the status of bills that have been billed to insurance companies Hardcopy and electronically forward to supervisor small balances and bills that have denied also appeal denied Claims with medical notes to support, work a follow up que for claims that need to be followed up on for Reimbursement, direct bill employers that don’t want to go through workman’s comp also send demand to Employers that have not filed a report to insurance companies also bill the patients if the bill denies not work Related (controvert) etc.

SANDY SPRINGS PLACE (part-time) November 2018 - Present

Administrative Coordinator (Concierge)

Answer the phones and greets all greets all guests in the community

Under the directions of the Executive Director, assists in compliance with all laws, rules, regulations, Policies and procedures within the community. Assists with coordinating new hire orientation and training/ In-services for all team members. Coordinates and assists in the administration and the accuracy of Personnel records, additional duties as assigned

Children’s Hospital of Atlanta (CHOA) Temporary May 2017-September 2017

Medical Collector (Managed Care)

. Collect on outstanding Physician accounts, Checked the status of claims by phone and online, appealed claims That denied, Sent to coding for review and coding request that we appealed the claim using Medical records to Support diagnosis for reconsideration, Verified patients benefits, COB, billed claims to 2ndry ins with primary Insurance Eob, Wrote off balances up to 250.00, Follow up on claims with outstanding balances 180 days and Over, Worked from a weekly A/R etc.

Anchor Hospital May 2014 – April 2017

Medical Biller and Collections

Collect and Bill on outstanding Hospital accounts through Commercial Providers, Medicare and Medicaid.

Verified Insurance

Appealed denied claims in accordance to guidelines and contracts.

Georgia Vascular Specialists, P.C., Atlanta, GA December 2010 – April 2014

Medical Biller and Collections

Check-out duties.

Translate medical procedures into appropriate ICD-9, ICD-10 and CPT codes.

Responsible for coordinating and supporting initiatives relative to the evaluation, processing, and handling of claims for an organization.

Manage AR records.

Obtain Claim status and resolve problem accounts with insurance companies.

File letters of Medical Appeals, Timely filing and Medical necessity.

Workers’ Compensation claims submission.

Research, correct and edit rejected or denied claims.

Acts as a liaison between the organization, its insurance provider and agents, claimants, and policy holders regarding the status and eligibility for coverage for all relevant claims.

Reviews claims to make sure that billing requirements are met, updates accounts as necessary, answers inquiries, and makes recommendations for resolution.

Relies on experience and judgment to plan and accomplish goals.

Performs a variety of complicated tasks with creativity and latitude.

Restore Health Group, Atlanta, GA May 2009 – October 2010

Worker’s Compensation Biller and Collections

Reviewed and worked weekly account receivables. Researched high dollar and over 90 day delinquent accounts for Neurobehavioral inpatients.

Reviewed insurance payment reports for accuracy and timely payments.

Analyzed and identified those chronically delinquent accounts and implemented a plan of action specific to the account.

Advised management of private pay & insurance carrier payments outside the current contracted reimbursement schedule.

Appealed denied claims in accordance to guidelines and contracts.

DeKalb Medical Center, Atlanta, GA May 2007 – July 2009

Patient Account Representative/Patient Discharge

Served as in-take processor for walk-in triage patients and as liaison to triage nurse and patients.

Verified and reviewed financial / insurance criteria for admission to the Emergency Department. Ensured accurate CPT and ICD-9 Coding for UB92 and electronic billing transmission.

Collected patient copayments, coinsurance, and deductibles at the time of admission.

Responsible for the processing of patient admission; accurately entered patient demographics into the organization’s computer system and discharge.

Apollo MD, Atlanta, GA September 2006 – July 2007

Reimbursement Specialist

Research and resolution of delinquent accounts, misapplied payments, and payments made outside of the contractual reimbursement schedule.

Resubmitted claims to insurance companies within filing guidelines.

Submitted claims to management for the approval of write-offs once all collection efforts and opportunities had been exhausted.

Georgia Lung Associates, P.C., Austell, Georgia October 2002 – September 2006

Medical Biller and Collections

Responsible for working weekly reports for aged accounts receivable 180 days and over, general remittance statements to review for errors that have occurred up to billing.

Pulled EOMB’s (Explanation of Medicare Benefits), Verified correct insurance information and codes.

Processed small balance write-off and submitted appropriate accounts to bad debt collection agency.

Assisted in self-pay collections, patient financial assistance, installments and hardships.

EDUCATION

Computer Operations

Sullivan County Community College Loche Sheldrake, New York

Contact this candidate