Medical Billing Supervisor
Resume:
Megan Messer Ward
High Ridge, Mo. *****
SUMMARY
Over 18 years experience in medical insurance. Strong emphasis in development of customer relations. Strengths include communication skills; focus on accuracy and meeting production deadlines. Ability to learn different systems and policies quickly and adapt to a variety of environments. Experienced with IBM PC (Windows, MSword, Excel) and Apple Macintosh computer systems.
EMPLOYMENT EXPERIENCE
Carelinc Options/ Rehab Choice
Billing Supervisor 2004 - 2011
• Billing Manager for multi-company outpatient therapy provider.
• Supervised billing staff at corporate office that provided all aspects of billing functions
Filing claims to Medicare, Workers Comp, and private insurance companies.
Cash posting
A/R follow-up
Patient collections
Month end reconciliation
• Provided all credentialing to Medicare & private insurance companies.
• Set up all directories to clearinghouses and Medicare carriers in several different states
• Reduced outstanding accounts receivables by 60%.
• Knowledgeable in Medicare regulations and policy and procedures.
Personal Touch Homecare 2002-2004
Billing and Payroll Manager
• Managed the Billing and Payroll Department for our regional home healthcare office. Worked heavily with our satellite offices and New York based corporate office.
• Responsible for overseeing the processing of weekly payroll, including garnishments and stop payments for all the nurses and home health aids.
• Handled all billing for Medicare PPS, Medicaid and private insurances, including cash posting and A/R follow up. Set up all the fee schedules for different insurances in our AS 400 system.
• Proficient with several online billing systems.
General American Insurance Company 1997-2002
Claims Analyst III
• Responsible for processing group health claims for a major airline.
• Processed medical, hospital, dental and orthodontia claims using a computrak system.
• Preformed all adjustments including refunds and stop loss reviews.
• Knowledgeable in pricing and interpreting fee schedules for the PPO networks
• Consistently exceed production goals of 128 claims
Selected several times as a mentor to audit and train new associates with an excellent record in developing quality associates.
EDUCATION AND ADDITIONAL COURSEWORK/ ACTIVITIES
St. Louis Community College at Meramec-
Volunteer at Children’s Hospital
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