Remote Medical Billing Specialist with 5+ Years Experience

Deirdre Hardy

Schaumburg, IL *****

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

Detailed-oriented Medical Biller 13+ years of experience. Expert in problem solving and managing daily office functions. Well organized and work efficient in fast pace business setting. WORK EXPERIENCE

Blue Cross-Medicaid-Commerical Collector

AMITA Health - Arlington Heights, IL - August 2012 to Present Responsible for Account Collection Activity- Contact payers on a daily basis by the scheduled follow up date to check claim status regarding unpaid or underpaid balances. Medicare and Commerical Biller

ALEXIAN BROTHER HEALTHCARE SYSTEMS - Arlington Heights, IL - August 2011 to August 2012

- ARLINGTON HEIGHTS, ILLINOIS

Successfully handled over 50 to 70 bills per day for two hospitals. Responsible for billing UB04 claims for in- patient and out-patient services. Verified charges and cpt codes with internal departments. Worked unbilled claim report and other reports that coincide to releasing claims that require certain billing criteria. Review and correct billing errors upon releasing claims through Emedeon. Work and review 72 hour overlap report for in- patient to out-patient claims. Including out-patient to out-patient same day of service report to combine related charges to one account only. Rebill adjusted claims with required codes and or remarks in Medicare DDE System, process claims, analyze rejected and outstanding claims in t-status mode. Update patient account and information on a daily basis. Trained new employees on multiple medical billing programs and data entry software.

Commerical/Secondary Biller

Medical Billing Specialist

ALEXIAN BROTHER HEALTHCARE SYSTEMS - Arlington Heights, IL - October 2010 to August 2011

- ARLINGTON HEIGHTS, ILLINOIS

Successfully handled over 50 to 70 bills per day billing third party insurance carriers. Billed primary claims by electronic submission with applying corrections if needed by adding missing information to avoid timely filing. Contact insurance providers to verify correct insurance information.Billed secondary claims within 24 hour in receipt of primary payments daily. Retrieved eobs to bill for co-insurance and deductibles in more than one data base via scanned correspondence and or eobs. Also forward paper claims to an outside vendor by down loading and creating a file in the m-drive to send claims daily. Medical Biller Supervisor

Medical Biller Supervisor

RESURRECTION HEALTHCARE - Evanston, IL - April 1995 to October 2010

- CHICAGO & EVANSTON, ILLINOIS

Supervised and trained billing staff of 12 employees to over see billing responsibilities for eight hospitals. Responsible for overseeing daily office operations. Prepared and delegated work assignments daily. Conduct quality reviews monthly with staff to give feedback on their work performance along with coaching tips to re- assure billing procedures and protocols were being maintained. Researched aging reports which were 90 days in arrear status. Performed regular telephone contact with providers to discuss status of rebilling and reimbursement process to ensure account resolution. Verified payments done by insurance companies were accurate and according to contract guide lines. Supervised out side billing agency and held weekly meeting to provide billing and collection update for out standing accounts past 30 to 120 days. Scanned medical records and other perinent information to the agency working on behalf of ressurrection to reconcile outstanding accounts to insurance companys only upon written request from the insurance companys. Processed rebills upon request due to missing or requested information via request from insurance carriers. Processed and issued refunds upon request due to overpayments.

EDUCATION

TRUMAN COLLEGE - Chicago, IL

January 1988 to January 1989

SENN HIGH SCHOOL - Chicago, IL

1988

SKILLS

Type 75 wpm, Data-Entry, Excellent Customer Service,Word Microsoft office, Excel, 10-key Calculator CERTIFICATIONS/LICENSES

Phlebotomist

CNA

ADDITIONAL INFORMATION

Summary of Skills

• Insurance Processing Medical Terminology

• Claims Appeal Procedure Code Correct/Coding Edge

• HIPPA Compliance Medicare Manager

• HBOC/McKesson Medical records

• Nebo/Ecare Current Procedural Terminology (CPT)

• Passport/Insurance Eligibility HCFA Common Procedure Coding System

• Meditech Managed care contracts

• Medicare Biller Navinet, JP Morgan, Valco, HCIMS

• Commercial /Secondary Biller

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