Payment Poster

NATALIE NICKERSON

Phone: 713-***-**** Email: ************@*****.***

SUMMARY

A dependable, self-motivated healthcare Payment Operations Specialist with over 15 years’ experience in the healthcare industry. An effective multitasker with strong customer service and data entry skills plus superior research talents. Excellent communications skills – routinely working with customers, patients, insurance companies and team members. Areas of expertise include:

Microsoft Office Suite MPower

HIPPA certified Medisoft/Practistoft &

Seasoft,Dentrix

ICD-9, CPT & HCPCS Coding CMS-1500/UB-04

10-Key by touch Hospital Billing

Medical Transcription NCCT Certified

Appointment Scheduling Telephone multi-line

Insurance Billing

EPromise

SMS Invision

Accounting/Collections

Epic

Meditech

PROFESSIONAL EXPERIENCE

TEXAS CHILDREN'S HOSPITAL, HOUSTON, TX 2021-2025

Senior Payment Operations Representative

Reconcile any missing payment request received through customer service or any other departmental area to ensure payment ensure accurately posted to accounts.

Reviews and approves insurance and self-pay refund requests.

Ensures payments received by insurance payors are correct, proper contractual discounts/allowances have been applied according to reimbursement rates prior to refund.

Actively participates in special assignments, programs, or initiatives relating to departmental performance such as special training in new collection techniques, new laws or payor in-services.

Reports to management credit trends, overpayments, or problem issues, with payors, processes, or policies, that will aide in improving the cash performance or accounts receivable management.

Conducts and reviews employees audits of productivity, work queue assignments, credits, and any other specified audit determined by department leadership. TEXAS CHILDREN'S HOSPITAL, HOUSTON, TX 2017-2021

Payment Operations Representative

Post and reconcile all payments and/or adjustments, Separate incoming payments received via mail or electronically, Process credit card payments

Identify and process adjustments both contractual and administrative

Complete a daily cash summary, cash allowance reconciliation report, and deposit tickets daily, reviews correspondence received in the lock box

Actively participates in special assignments, programs, or departmental related performances. PATIENT ACCOUNT SERVICES, HOUSTON, TX 2016-2017

Insurance Representative

Insurance claim follow up via telephone, internet and or fax

Review and interpret the terms of Managed Care contracts to ensure claims are being paid correctly

Process appeals with the insurance companies on denied claims

Identify and process adjustments both contractual and administrative

Assist and resolve patients inquiries/request

Claims Billing via electronic and hardcopy

LABCORP, Houston, TX 2010 - 2016

Healthcare Billing Specialist

Back-Up Manager for Exception Reports – ran reports on billing files that contained improper data. Analyzed issues and resolved them, updating incorrect information and resubmitting for payment.

Original member of the LEAN committee which resolved various workflow issues. Solutions improved productivity and/or quality, reducing costs.

Employee of the Month for March 2015 for achievements in productivity and quality.

Consistently exceeded production and quality goals, ensuring timely and accurate billing/revenue collection for procedures performed.

Researched information to complete patient demographics which permitted billing for procedures. Utilized databases like LEXIS/NEXIS, EMDEON, NPPES, as well as insurance websites and contacting physician offices and patients.

Entered collected information into database billing systems such as MPower and LCBS. Performed quality checks on entered data to ensure accuracy and minimize payment denials. Submitted insurance claims to companies for payment.

DR. HANSA B. MEDLEY, Houston, TX 2007 - 2010

Billing Specialist

NATALIE NICKERSON

Phone: 713-***-**** Email: ************@*****.***

Verified patient insurance, consulted with patients about their financial responsibility, and sent and received insurance claims.

Ran accounts receivable aging reports and contacted patients for follow-up collection.

Supervised and trained other associates and students.

Phoned in prescriptions, scheduled appointments, and managed patient charts. EDUCATION

Associate of Applied Science, Health Information Technology Kaplan University, Chicago,Illinois, 2015

Certificate, Medical Office Specialist, Texas School of Business, Houston, Texas, 2007

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