Medical Billing Specialist

A’nna P. Gaylord

OBJECTIVE:

Medical Billing Specialist seeking a telecommute position in the healthcare industry; utilizing my diversified professional experience, training and knowledge.

QUALIFICATIONS:

• Claims Processing, Electronically and Manually/CMS1500/HIPPA 277,278,835 and 837 Elements

• Medical Terminology/ICD-9,CPT and HCPCS Coding/Insurance and Patient Follow-Up/Patient Billing/Resubmissions/Payment Posting, Insurance and Patient

• Insurance Appeals/Eligibility And Benefit Verifications/Provider Enrollment

• Real Time Reports/Front Desk Training and Re-training/Monthly Practice Reports/Experienced Team

• Customized Super Bills and Office Forms/Consultanting

• Medisoft/Medware/Medical Manager/NexGene/Kareo

• Internal Medicine/Family Practice/Podiatry/Pediatric/Speech Therapy/Occupational Therapy/Psychology

EXPERIENCE:

• Experience telecommuter

• Managed a staff of (5) entry level billers and (2) senior biller for multiple physicians

• Excellent communication skills

• Accurately and timely filing of primary, secondary insurance claims utilizing electronic or paper

Submissions.

• Generated Self Pay billing

• Expertise in Medicare and Medicaid claim reimbursement

• Persistent and effective-insurance follow-up for unpaid insurance claims and patient balances.

• Insurance Appeals

• Insurances and patients payment posting

• Expertise in patient eligibility, benefit verification, referrals and authorization

• Analyze daily claim rejection and denial reports; instrumental in correction and resubmitting claims

• Proficient in medical terminology, ICD-9, CPT and HCPCS coding.

• Perform insurance enrollment for providers

• Prepared and generated practice and individual provider financial reports

• Expertise in Front Desk training and various medical billing software

ACCOMPLISHMENTS:

• Over 20 years experience in Medical Billing and Collections.

• Generate over 10 million dollars in client revenue

• Increase clients revenue by 30%

WORK HISTORY:

Jes Us Medical Billing Services Medical Biller/Supervisor/ Manager 01/1999- Present

UCB Pharma, Inc Medicaid Clerk/Specialist/Consultant 04/1996-6/2000

Neuse Mental Health Reimbursement Specialist 02/1993-2/1996

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