Alisa Bennis
Birdsboro,PA
Summary
I am a seasoned Medical Assistant and Billing Representative with a comprehensive background in healthcare-related CPT, HCPCS appeals, Customer Service Accounts Receivable, Collections, insurance verification, and posting payments from EOB's. My experience spans across various healthcare settings, including Radiology, DME, Hospital, Medical Office treatment billing, where I have developed a keen eye for detail and a strong ability to adapt to specialized billing areas. I am proficient in Microsoft Office, including Word, Excel, and Outlook, and have a solid understanding of Medicare/Medicaid and commercial billing. My strong organizational skills, coupled with my ability to work independently and excellent interpersonal and communication skills, make me an ideal candidate for positions requiring meticulous attention to detail and a high level of professionalism.
Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Revenue Cycle Specialist-remote
Revology
Iowa City, IA
03.2024 - Current
- Resolve and/or remedy claim errors, edits and rejections to ensure proper and timely submission to payers.
- Follow up with insurance companies regarding the status of outstanding claims and pursue appropriate steps for remedy.
- Review and respond to insurance correspondence as needed to ensure complete and accurate reimbursement.
- Compose highly-detailed correspondence such as appeal forms, claim forms and other client- and/or patient-facing correspondence.
- Engage with patients and/or guarantors as needed to provide guidance on proper resolution of insurance claim balances. Demonstrate service mindset in all interactions.
- Be resourceful to maintain working knowledge of payer rules and regulations applicable to assigned work.
- Provide input and feedback on revology products and solutions through early adoption of use to enhance the end user experience.
- Consistently achieve productivity and quality metrics.
- Navigate several computer applications simultaneously; document all actions taken in appropriate revology and/or client systems.
- Comply with and hold with utmost regard all compliance requirements to protect patient privacy and confidentiality.
Accounts Receivable/Collection Specialist-remote
Cigna
Newark, NJ
08.2022 - 10.2023
- Tailored Management contract to hire position for Cigna Health ins
- Followed up on claims with insurance companies, ensuring timely and accurate payment processing.
- Documented all correspondence and payment remits meticulously, demonstrating my strong organizational skills.
- Communicated effectively with patients and centers nationwide regarding claims, payments, and appeals, showcasing my excellent interpersonal and communication skills.
Customer Service Representative
The Loomis Company
08.2021 - 01.2022
- Provided stellar customer service to claimants, providers, and clients, resolving issues and answering inquiries regarding claims and policies.
- Maintained accurate customer service logs and processed incoming client correspondence, showcasing my organizational skills.
- Interpreted and applied provisions of manuals, SPDs, and insurance claims, demonstrating my proficiency in understanding complex information.
Revenue Cycle Specialist-remote -temp
Ensemble Health Partners
Ohio City, OH
08.2020 - 10.2021
- Managed the revenue collections process from start to finish for a TPA company, applying payments and adjustments to accounts.
- Conducted appeals and reconsiderations for denied claims, demonstrating my detail-oriented approach and problem-solving skills.
- Certified as a Revenue Cycle Representative, highlighting my commitment to continuous learning and staying up-to-date with industry standards.
COVID Contact Tracer
PA Dept. of Health/Bureau of Communicable Disease
03.2021 - 09.2021
- Reached out to educate, inform, and support individuals with known close contact with COVID-19 positive cases, ensuring confidentiality and adherence to HIPAA procedures.
- Utilized excellent communication skills through phone calls, texts, emails, and mailings to provide support and information.
Medical Screener
Employnet (temp) Pitney Bowes
02.2020 - 02.2021
- Conducted COVID-19 screening for employees, demonstrating my ability to follow protocols and communicate effectively with HR representatives.
Office Manager/Bookkeeper
Bennis Plumbing and Drain Cleaning
02.2016 - 11.2020
- Managed daily accounts, payroll, and end-of-month reconciliation using QuickBooks, showcasing my proficiency in financial management and Microsoft Office applications.
- Scheduled jobs for technicians and managed HR responsibilities, demonstrating strong organizational and communication skills.
Caregiver/Personal Assistant
Dolores Bennis
11.2017 - 01.2019
- Provided daily assistance and support for an individual with dementia/Alzheimer's, demonstrating compassion and strong interpersonal skills.
Customer Service Representative
State Farm agency Daniel-Eisenhooth (owner)
05.2017 - 09.2018
- Developed leads and provided customer service, highlighting my ability to communicate effectively and manage customer relationships.
Employment Specialist
Employment Options
11.2016 - 04.2017
- Screened resumes and managed candidates throughout the interview process, demonstrating my strong organizational skills and ability to work independently.
Medical Bill Reviewer
PMA Companies
05.2013 - 10.2016
- Reviewed medical bills for treatment relatedness and made appropriate approval/denial decisions, showcasing my detail-oriented approach and knowledge of medical billing.
- Processed payments and followed up with insurances to verify coverage, demonstrating my proficiency in Medicare/Medicaid billing.
Revenue Management /billing
Omnicare Pharmacy
09.2008 - 05.2013
- Processed census reflecting patient admissions and insurance information for monthly billing, demonstrating my proficiency in Microsoft Office and attention to detail.
- Resolved claim denials by working with Medicaid, Medicare, and commercial insurance providers, showcasing my familiarity with Medicare/Medicaid billing.
Billing Processor
United Health Insurance Group
06.2004 - 06.2007
- Applied payments to accounts and corrected errors, demonstrating my strong attention to detail and organizational skills.
- Handled accounts receivable duties, showcasing my ability to work independently and efficiently.
Education
No Degree - Medical Assisting
Berks Technical Institute
Wyomissing, PA05.2001
Skills
- Accurate data entry
- Strong organizational skills
- Medicare/Medicaid and commercial insurance billing expertise
- Proficient in Cerner, Epic, AS-400, and Salesforce
- Enrollment management
- Medical billing research
- Strong interpersonal communication
- Denial management
- Financial counseling
- HIPAA compliance
- Managing records
- Accounts receivable management
- Professionalism and ethics
- Patient registration
- Insurance verification
- Revenue cycle management
- Payment posting
- Medical billing
- Insurance collaboration
- Healthcare finance
- Debt collection procedures
- Verifying insurance
- Teamwork and collaboration
- Customer service
- Time management
- Problem-solving abilities
- Multitasking Abilities
- Adaptability and flexibility
- Active listening
- Reliability
- Adaptability
- Task prioritization
- Client relationship development
- Financial statement analysis
- Goal setting
- Due diligence
- Data interpretation
Accomplishments
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Documented and resolved 120 day old claims which led to on average per day 50 percent pd claims.
- Achieved on average 50 percent pd claims per week by completing follow up with insurance companies with accuracy and efficiency.
Certification
Certified Medical Assistant
Licensed Life and Health Insurance Agent
CRCR completed
Languages
English
Professional Working
Timeline
Revenue Cycle Specialist-remote
Revology
03.2024 - Current
Accounts Receivable/Collection Specialist-remote
Cigna
08.2022 - 10.2023
Customer Service Representative
The Loomis Company
08.2021 - 01.2022
COVID Contact Tracer
PA Dept. of Health/Bureau of Communicable Disease
03.2021 - 09.2021
Revenue Cycle Specialist-remote -temp
Ensemble Health Partners
08.2020 - 10.2021
Medical Screener
Employnet (temp) Pitney Bowes
02.2020 - 02.2021
Caregiver/Personal Assistant
Dolores Bennis
11.2017 - 01.2019
Customer Service Representative
State Farm agency Daniel-Eisenhooth (owner)
05.2017 - 09.2018
Employment Specialist
Employment Options
11.2016 - 04.2017
Office Manager/Bookkeeper
Bennis Plumbing and Drain Cleaning
02.2016 - 11.2020
Medical Bill Reviewer
PMA Companies
05.2013 - 10.2016
Revenue Management /billing
Omnicare Pharmacy
09.2008 - 05.2013
Billing Processor
United Health Insurance Group
06.2004 - 06.2007
No Degree - Medical Assisting
Berks Technical Institute