Hospice Billing & Authorization Specialist
Resume:
Lisa Askren
Seeking a Remote Position
Full Time Monday through Friday- Day Shift
Hospice Billing Specialist / Authorization Specialist 828 Red Barn Lane
Elgin, IL, 60124
**********@*******.***
CAREER OBJECTIVE
Highly motivated, detailed oriented and quality focused individual seeking a position in the medical field that will enable me to utilize and further my knowledge and experience in the medical business.
• KEY ADMINISTRATIVE SKILLS
• DME, CPTS, ICD-9, ICD-10
• Medical Terminology
• Word, Excel, and Outlook
• Experience with the IL MEDI System for Illinois Medicaid
• Experience with the EMOMED System for Missouri Medicaid
• Sending authorizations to IL MCO'S
• Submitting claims through Waystar Clearinghouse
• Experience in Home Care Home Base and Netsmart
• 10 years’ experience of Hospice Room and Board Billing
• Communication, organizational, interpersonal and teamwork skills EMPLOYMENT HISTORY
• Traditions Health - Billing Specialist Hospice Room and Board 12/01/2020-Present
• Job duties include, but are not limited to verifying eligibility, sending clinical documentation to the MCO'S for authorization, submitting claims through the clearing house, balancing thousands of dollars of outgoing billing on a monthly basis, cash Posting, AR follow up, sending in admission paperwork to IL Medicaid, established a great relationship with our facilities that helped our patients pass through billing on their behalf, monthly invoicing, and processing for reimbursement.
• Harbor Light Hospice - Billing Specialist Hospice Room and Board (Acquired by Traditions Health) 05/16/2016-11/30/2020
• Job duties include, but are not limited to verifying eligibility, sending clinical documentation to the MCO'S for authorization, submitting claims through the clearing house, balancing thousands of dollars of outgoing billing monthly, cash posting, AR follow up, sending in admission paperwork to IL Medicaid. Established a great relationship with our facilities that helped our patients pass through billing on their behalf, monthly invoicing, and processing for reimbursement.
Total Home Health DME 11/2012-04/01/2016
• Obtaining signed physician’s orders necessary for billing purposes
• Applying for and obtaining prior authorizations through Medicaid and commercial insurances for medical equipment and supplies
• Billing claims for medical equipment and supplies to insurance for reimbursement
• Following up on unpaid claims & using problem solving skills to get claims paid.
• Maintaining knowledge of Medical Terminology, Durable Medical Equipment, HCPCS, ICD-9 and ICD-10 codes
• Blue Cross and Blue Shield, Humana, Aetna, Meridian, Molina, County Care AVIS BUDGET Car Rental Group 03/1987-08/2012
• Served as company spokesperson for internal and external customers
• Answered all incoming calls ensuring courteous, appropriate and efficient responses
• Responsible for cash collection, credit card and driver license verification
• Data entry which included the documentation of customers checking in and out
• Responsible for the scheduling of employees
• Following up on overdue vehicles requiring extensive research
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