Summary
Overview
Work History
Education
Skills
Additional Information
Timeline
Generic

Carissa Fisk

Columbia Falls,MT

Summary

Flexible, hard worker ready to learn and contribute to team success.

Offering over 33 years of continued employment in the healthcare industry. Experience with Facility UB-04 and Physician HCFA 1500. Working diligently to resolve any billing or payment issues with accounts for continued confidence and satisfaction from the patient and/or family at the financial end of the healthcare encounter.

Insurance follow-up for continual prompt payments to reduce Accounts Receivable Days. Detail-focused Account Billing Specialist, recognized for high productivity levels and efficient task completion. Possess specialized skills in invoice reconciliation, financial reporting, and customer account management. Excel in communication, problem-solving, and time management, ensuring seamless billing operations and client satisfaction. Detail-focused Account Billing Specialist, recognized for high productivity levels and efficient task completion. Possess specialized skills in invoice reconciliation, financial reporting, and customer account management. Excel in communication, problem-solving, and time management, ensuring seamless billing operations and client satisfaction.

Overview

33
33
years of professional experience

Work History

Patient Account Billing Specialist

Logan Health Brendan House
Kalispell, MT
10.2024 - Current
  • Medicaid billing for room and board, and ancillary charges.
  • Posting payments, insurance, and patient.
  • Working with social services and Medicaid on applications/pending status.
  • Verifying insurance eligibility.
  • Registering patients into Meditech and PointClickCare.
  • Follow up with patients and their families on patient responsibility balances.

Tri City Cardiology, Consultants
Mesa, AZ
03.2023 - 07.2024
  • Monitors accounts receivables by utilizing monthly reports to determine payer/self-pay issues.
  • Researches all insurance denials and documents all related information to obtain maximum payments utilizing third party vendors.
  • Handles phone calls from insurance companies and patients regarding payments and balances due.
  • Verifies patient eligibility with insurances companies.
  • Work all EHR billing related tasks and correspondence.
  • Post patient payments and insurance or self pay discounts.

Insurance Coordinator

Orthopaedic & Spine Center of the Rockies
Fort Collins, CO
12.2018 - 04.2021
  • Receive patient payments. Set up payment plans. Monitor payment plans monthly.
  • Researched patient concerns or issues with claims, reviewing with management or insurance companies.
  • Filed insurance claims by obtaining and entering data related to patient, insurance provider and medical code for procedures and services provided.
  • Prepares adjustments as needed, to accounts for assigned insurance carriers.
  • Communicate with management, co-workers, and departments on recurring denials.
  • Obtained maximum reimbursement by following up on unpaid claims and reviewing monthly aging reports.

Billing Specialist/Insurance Specialist

Mountain View Hospital
Idaho Falls, ID
03.2016 - 09.2018
  • Submit claims to insurance companies.
  • Research, review, correct claim denials, explanation of benefit rejections.
  • Work patient payment variances.
  • Answered customer questions, resolving customer complaints or concerns discovered during 90 day collection process.
  • Investigated and resolved issues to maintain billing accuracy.
  • Calculated discounts, percentage allocations and credits.

Insurance Follow Up, Back up Receptionist

Grand Teton Surgical Center
Idaho Falls, ID
05.2015 - 02.2016
  • Handled payment processing and provided customers with receipts and proper bills and change.
  • Welcomed patrons to front desk and engaged in friendly conversations while conducting check-in process.
  • Signed for packages, recorded deliveries and distributed to personnel.
  • Answered multi-line phone system and managed calls by routing to proper extensions or taking messages.
  • Billed claims.
  • Managed customer complaints and rectified issues to complete satisfaction.

Medical Biller, Accounts Receivable, ER Abstractor

Kootenai Health
Coeur D'Alene, ID
06.2007 - 02.2015
  • Applied HIPAA privacy and security regulations while handling patient information.
  • Completed and submitted appeals for denied claims.
  • Reviewed claims for coding accuracy.
  • Filed and submitted insurance claims.
  • Completed appeals and filed and submitted claims.
  • Submitted refund requests for claims paid in error.
  • Maintained up-to-date understanding of insurance payment practices.
  • Abstracted Medical records to Code ER Evaluation Management charges.

HCFA 1500 Biller, Insurance Follow up

Mediserv Inc
Coeur D'Alene, ID
08.2005 - 06.2007
  • Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
  • Submitted claims to insurance companies.
  • Adjusted bills and refunded money to resolve customers' service or billing complaints.
  • Engaged in conversation with customers to understand needs, resolve issues and answer product questions.
  • Communicated with physician offices regarding insurance denials and patient information.

Filing Clerk, Biller, Insurance Follow up

Stevens Healthcare/ Swedish
Edmonds, WA
01.1992 - 02.2005
  • Reviewed files to check for complete and accurate information.
  • Pulled files for staff, management and third-party requests.
  • Retrieved requested files and delivered to appropriate personnel.
  • Investigated and resolved issues to maintain billing accuracy.
  • Leveraged integrated billing software to submit accurate claims.
  • Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.
  • Contacted Insurance companies on denied claims
  • Communicated with patients on Insurance issues, patient liabilities

Education

High School Diploma -

Blanchet High School
Seattle

General Studies/Healthcare

Shore Line Community College
Seattle

Coding

North Idaho College
Coeur D'alene, ID
02-2014

AAPC
Online learning

Skills

  • Medicare, Medicaid, Ahcccs
  • Medicare Advantage, UHC Dual Complete
  • L&I, Commerical Plans
  • Veterans Administration, Tricare West, Tricare for Life
  • Problem resolution
  • Flexible
  • Reliable and trustworthy
  • Excelling in job duties
  • Team player
  • Time management
  • Medical billing and collections
  • Billing dispute resolution
  • CMS guidelines
  • DSG Billing
  • McKesson inc intelligent coder
  • 3M Encoder
  • GE Centricity
  • Next Gen
  • Experian Contract Manager
  • Appeal Plus Task Manager
  • AAPC Medical training and coding

Additional Information

1. Kathy Ritchie-Billing Collections Supervisor -480-993-1062

2. Wendy Jo Wilson- Accounts Receivable-480-310-4149

2. Geraldine Abeytia- Accounts Receivable- 480-205-8482

3. Cortney Wilkinson- Insurance Specialist- 208-521-6783

Timeline

Patient Account Billing Specialist

Logan Health Brendan House
10.2024 - Current

Tri City Cardiology, Consultants
03.2023 - 07.2024

Insurance Coordinator

Orthopaedic & Spine Center of the Rockies
12.2018 - 04.2021

Billing Specialist/Insurance Specialist

Mountain View Hospital
03.2016 - 09.2018

Insurance Follow Up, Back up Receptionist

Grand Teton Surgical Center
05.2015 - 02.2016

Medical Biller, Accounts Receivable, ER Abstractor

Kootenai Health
06.2007 - 02.2015

HCFA 1500 Biller, Insurance Follow up

Mediserv Inc
08.2005 - 06.2007

Filing Clerk, Biller, Insurance Follow up

Stevens Healthcare/ Swedish
01.1992 - 02.2005

High School Diploma -

Blanchet High School

General Studies/Healthcare

Shore Line Community College

Coding

North Idaho College

AAPC

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