Data Entry Billing Specialist

Judi Gambino

Saint Charles, MO *****

***********@*****.***

+1-636-***-****

Professional Summary

Claims Analyst Billing Specialist Medical Biller Versatile, detail-oriented Billing Representative with strong experience in accounting and office management, highly regarded for providing exemplary bookkeeping, data entry, and leadership skills. Adaptable team player with a personable, but results-oriented approach, with a proven track record for effectively managing claims, meeting strict deadlines, and exceeding expectations. Organizationally minded leader who brings to the table an exceptional work ethic, seamless communication skills and a keen ability to evaluate, organize, and prioritize goals to achieve corporate targets.

Work Experience

Billing & Follow-Up Representative II

Trinity health-Remote

January 2020 to Present

· Perform daily billing and follow-up activities for government and non-government accounts for assigned Patient Business Services (PBS) location.

· Provide ongoing training and guidance to lower level colleagues and provide problem resolution as needed.

· Document claims billed, paid, settled, and follow-up in appropriate systems; escalate issues affecting accurate billing.

· Performs daily activities as part of the billing and follow up team in support of the revenue cycle process for an assigned PBS location.

· Communicate across departments to clarify billing discrepancies, and obtain clinical, financial, and insurance information.

· Perform all follow-up functions; investigate overpayments, underpayments, credit balances and payment delays.

· Research claim rejections, make corrections, take corrective actions, and refer claims to appropriate colleagues to ensure timely and accurate claim resolution. Billing Representative II

Mercy Hospital-Remote

January 2015 to December 2020

· Effectively communicated with multiple departments and team members in order to resolve claim discrepancies.

· Maintained daily work assignments to ensure claims are submitted timely and deadlines are consistently met while maintaining attention to detail.

· Exceeded establish productivity standards regularly and adhered to quality standards per department standards.

· Accurately and efficiently billed claims daily and corrected rejected claims.

· Processed late charges, claim edits, claim errors, consecutives, stop bills, and coverage verification.

· Maintained and corrected claims including Medicare, Medicaid, VA, and Commercial payers. Office Manager

Interstate BatteriEs

January 2014 to December 2015

· Handled accounts payable including auditing, paying, and filing vendor invoices according to policies and procedures, preparing customer invoices, purchase orders, and delivery tickets accurately and timely.

· Maintained and diplomatically collected accounts receivable within budgeted targets for days sales outstanding and percent current to 60 days past invoice date.

· Verified deposits to be timely and accurate.

· Maintained dealer files, and reviewed and executed end of month financial reports.

· Processed all new hire paperwork and managed inventory control. Owner

Compucard Inc.

January 2011 to December 2014

· Conducted staff training, as well as interviewing for open positions.

· Oversaw invoicing as well as accounts payable and accounts receivable.

· Managed communications with vendors.

· Resolved errors and discrepancies regarding finances.

· Completed order processing including sales, entry into QuickBooks, and billing. Education

High school diploma

Western Beaver-Industry, PA

September 1985 to June 1989

Skills

• Outlook

• ICD-10

• WPS (Medicare)

• Kronos

• QuickBooks Premier Plus

• Typing

• Accounts payable

• Root cause analysis

• Data Management

• Data Analysis

• Late Charges

• Medical coding

• Critical Access

• Account reconciliation

• Balance sheet reconciliation

• General ledger accounting

• Modifiers Charges

• Leadership

• Bookkeeping Web Ex

• Commercial Payers

• Behavioral Health

• Slack

• REV Code

• CPT code

• Consecutives

• Cash handling

• General ledger reconciliation

• Medical documentation

• Medical terminology

• QuickBooks

• Microsoft Access

• Epic

• Revenue cycle management

• Data Entry

• Accounting

• 10 Key

• Microsoft Word

• Coding Review

• Documentation review

• Microsoft Excel

• HIPAA

• Jabber

• Office management

• Type 60 WPM

• HCPCS

• ICD-9

• Cash Handling

• Insurance Verification

• Excel

• Accounting software

• Account Management

• Claim Edits

• Virtual Business Office

• Training

• Bookkeeping

• Microsoft Office Suite Word

• Accounts receivable

• Account Receivable/Payable

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