Billing Specialist, Collections, Account Representative

Rita Annette Everett

**** *** * * *** ***

KATY, TX 77449

Mobile: 423-***-****

objective

I recently moved to the area and am looking forward to a new year with new beginnings. I am seeking a position within a company, where my professional experience, education and abilities stand as an advantage for personal growth.

SUMMARY OF QUALIFICATIONS

Experienced in Medical billing, Follow up, Claims processing, Receptionist, and Customer service, all of which were performed in a paper based and an electronic based environment. Exceptional data entry skills. Also experienced in Payment posting and charge entry. Primary billing and coding experience in Radiology, GI, and General practice. Coding for inpatient status as well as outpatient and office charges. Scheduling experience for multiple physician office, as well as Admissions and Pre-certification. Proficient in; IDS, Excel, Word, Medisoft, Misys, E-ClinicalWorks, Next-Gen, and Practice Manager. A total of 6 years combined experience in all of the above qualifications.

Work of experience

2011-2011 Southeastern Retina Associates Billing and Follow-up / Salary: 14.50

Insurance follow-up and working accounts through to completion. Manage co-pay assistance through co-pay foundations. Enroll patients and provide patient education regarding co-pay assistance. Also, review patient accounts for collections process if necessary. Provide customer service to patients, insurance payers and any other third party persons regarding the billing process with regards to payments, account inquiries, and claim submissions and or claim status updates.

2010-2011 Liver and Gastroenterology Center

Billing and Reimbursement / Salary: 13.50

Billing for GI practice physician with use of CPT and ICD-9 coding. Accurately codes from medical documentation and applies appropriate coding to ensure payment. Duties also include, preparing patient statements, payment posting, and account follow-up and ensuring accounts are worked to completion. Detect and resolve all issues within the billing cycle to ensure timely and prompt payment of all medical claims.

2008-2009 Medical Billing Services (NACS)

Account Representative-Follow up/Salary: 12.00

Account Rep for Hospital based practice. Including Medicare, Commercial and Managed Care Payers. Duties include claims follow-up, detecting and resolving any and all billing issues. Work all accounts to completion. Payment posting as needed.

2005-2007 Blue Cross Blue Shield Chattanooga, TN.

Claims Processor/Claims support Associate/Salary: 10.34

Received claims from distribution, adjudicated all claims through to completion. Responsibilities included processing claims accurately by verifying all key data. Review On-Line Help (OLH) for appropriate processing guidelines. Responsible for appropriate handling of all claims edits including possible duplicates, eligibility, corrected billings and manual pricing. Claims Support Associate reviews claims for accuracy and accepts for processing, while rejecting claims for incompleteness back to provider(s).

2001-2004 Hamilton Medical Center Dalton, Ga.

Outpatient Admissions/Salary: 9.50/

Medical Practice Management

Billing : 10.00

Admit patients for pre-admission testing and outpatient surgical procedures. Verified insurance and obtained precertification, collected coinsurance and deductibles. Verified procedures via Physician’s Orders and obtain consent forms.

Medical practice Management / Responsible for posting payments, posting charges, use of CPT and ICD-9 for radiology professional and technical claims. Follow up for Workers comp, self pay, and commercial insurance.

EDUCATION

Brainerd High School 1986-1989 Diploma

Chattanooga, TN.

Dalton State College 1999-2000 Paralegal

Dalton, GA.

Northwestern Technical 2007-2009 HIT/Coding

REFERENCES

Wilder Chacon, Southeastern Retina 423-***-****

Pennie White, Blue Cross Blue Shield 256-***-****

Kate Estella RN, Lifecare Centers 423-***-****

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