Summary
Overview
Work History
Education
Skills
Personal Information
Timeline
Amber Phillips

Amber Phillips

Bear,DE

Summary

24 years experience as a seasoned Medical Billing Manager & Coding Specialist for many outpatient facilities & physician's offices. Office Management & Bookkeeping for small businesses such as; HVAC & plumbing co. and Retail Consignment Boutique. Excellent customer service, communication, & interpersonal skills that allows proactive work with support staff and other Department’s Heads to build and secure project resources & initiatives that ensure the best practices are shared across all departments.

Overview

26
26
years of professional experience

Work History

Sr. Billing Specialist

Contemporary Staffing Solutions (CSS)
Elkton, MD
02.2020 - 12.2022
  • Company Overview: A long term temporary position at Union Hospital who was acquired by Christiana Care Health Systems
  • I audit & correct all ICD 10 & CPT Radiology codes off of the radiology reports in 3M CodeRyte system
  • I create & reformat the reports into Excel to create daily spreadsheets to filter all pertinent patient & billing info needed for data entry teams to enter into their physician billing system
  • Analyzes all radiology reports vs diagnosis codes to ensure errors in cross overs from hospital system to physician billing system are caught & corrected
  • Track & report all coding issues into an Excel database for the HIMS Director & PFS Managers to address issues in management meetings
  • Handles other physician billing functions as needed
  • These fixes have saved the HIMS department 38% in possible losses, which also increased their monthly revenue by 30%
  • A long term temporary position at Union Hospital who was acquired by Christiana Care Health Systems

Sr Billing Specialist

Hospital Billing Collections Services (HBCS)
New Castle, DE
08.2017 - 01.2020
  • Reviewed hospital & physician billing accounts in Epic for A/R follow-up on claims over 30+ days to check unpaid claim status, denials, account errors, record requests, & other issues
  • Researched & resolved accounts in Epic that had underpayments, overpayments, and needed refunds
  • Trained new specialists in Epic & Xactimed systems, HBCS company policies, & billing procedures
  • Reprocessed denied claims through insurance sites or by calling the insurances
  • Utilized Navinet & Availity for patient's eligibility, review claim status & other inquiries
  • Submitted primary & secondary claims electronically & by UB-04 & CMS 1500 forms with medical records if needed
  • Provided satisfactory customer service in a high call volume with 99% customer satisfaction rate
  • Assisted management with many projects as needed

Medical Biller/Bookkeeper

Trinity Home Healthcare
Newark, DE
01.2015 - 07.2017
  • Part time position managing the daily office operations along with performing the bookkeeping in QuickBooks, client scheduling assistance & full cycle medical billing for a multi-state home healthcare agency
  • Handled all incoming customer service phone calls; HHA weekly client care & employee schedules, and on-call schedule changes
  • Resolved any patient's issues or concerns for total customer satisfaction
  • Researched patient account discrepancies & corrected billing issues in Generations system
  • Audited & approved weekly timesheets & processed biweekly payroll online through Paychex's website
  • Set-up, renewed & utilized Availity plus insurance carrier websites for patient's eligibility, referrals/auths, claims resubmissions, inquiries, & EOB's
  • Posted cash, credit cards, insurance check & EFT payments to patient's accounts for daily reconciliation
  • Collected past due balances by calling patient's and insurances plus mailing out past due letters
  • Streamlined all office & charting procedures for quality assurance to prevent audits
  • Assisted the CEO with any administrative & management responsibilities as needed

Office Manager/Bookkeeper

PHC Services
Newark, DE
08.2005 - 12.2014
  • Supported owner in all financial, administrative, & human resource functions for a mid sized plumbing, HVAC & contracting company
  • Set-up & managed all human resources functions including: hiring, personnel records, training, benefits, taxes, & payroll
  • Processed all ERISA, COBRA, HIPAA, Everify, and FMLA paperwork according to law
  • Handled all shop stock & job inventories, ordering supplies, credits/returns, job pricing & sales contracts in QuickBooks
  • Created job estimates & contracts for customers approvals
  • Scheduled residential & commercial jobs, and coordinated work crews accordingly
  • Requested all required city & state permits for each job in progress
  • Processed AP/AR, bank reconciliations, weekly payroll, job costing & financial reports in QuickBooks
  • Managed all other assignments & projects as needed for the office to run efficiently

Executive Assistant

Barclays (aka- Juniper Bank)
Wilmington, DE
05.2002 - 07.2005
  • Supported the Director's of On-line Service Center, Quality Assurance, & Bank Operations
  • Managed each Directors' schedules, emails, travel arrangements, executive meetings & corporate events
  • Prepared weekly PowerPoint presentations for all bank-wide Executive meetings
  • Proof read and edited all 3 Directors' emails, correspondence, memos, reports, & other documents
  • Tracked deadlines of all the department's daily productivity rates, input stats into spreadsheets for daily analysis which I linked up to create bank-wide score card for Executives
  • Processed all departmental expense reports in SAP for reimbursements & other check requests
  • Reconciled petty cash box for the departments
  • Implemented new mail scanning system to increase bank op's mail logging for a faster and more efficient accuracy rates
  • Assisted the Bank Ops Department with processing consumer credit card dispute's resolutions per Visa & Mastercard's Regulations

Administrative Assistant/Physician Billing

Christiana Care Health Services
Newark, DE
01.1998 - 04.2002
  • Promoted from Medical Billing Representative after 2.5 years to Medical Administrative Assistant for 3 Educational Director's in the D.O.M Medical Education Program and assisted Residency Program's Director & staff
  • Performed full cycle physician billing for PCP, OBGYN, MFM, Surgical, NICU, Oncology, Pediatrics, & other specialists offices back- end billing functions
  • Audited physician Superbills for correct ICD 9 & CPT codes prior to claim entry
  • Submitted primary/secondary 1500 claim forms electronically or paper mailings with EOB's
  • Followed up on all A/R accounts over 30 days to check claim status or denial reasons
  • Submit written insurance inquiries on denied claims or authorization requests
  • Posted all daily cash receipts, refunds, other misc adjustments, & insurance payments according to EOB's
  • Verified credits on accounts for overpayments prior to processing refunds to insurances & patients
  • Assisted with any special billing projects as needed for Management

Assistant Billing Supervisor

Pediatric Associates
Newark, DE
01.1997 - 12.1997
  • Assisted Billing Manager in performing all medical billing & bookkeeping functions for a private pediatrician's practice of 9 physicians
  • My responsibilities included but were not limited to; insurance verifications, charge entries, claims submissions, A/R follow-up, payment posting, customer service, collections, & daily cash receipts reconciliation
  • Along with covering as a receptionist in the overflow office twice weekly & on rotating Saturday's

Education

Bachelor of Arts - Liberal Studies

Wilmington University, New Castle, DE
09-2025

Diploma - Medical Billing and Coding

Dawn Career Institute, Newark, DE
06.2015

Honor's Certificate - Paralegal Studies

Professional Careers Development Institute, Remote
06.1998

Skills

  • Medical Billing & Coding - Profee
  • eClinical Works & Allscripts
  • Epic & Meditech & NextGen
  • Navinet, Availity, & Ability etc
  • Referrals & Preauthorization
  • Quickbooks Bookkeeping & Accounting
  • ICD 9 & 10, HCPCS,& CPT Coding
  • Insurance & Benefits Verifications
  • Medical Record Processing
  • EFT & manual payment posting
  • Transcription- Medical & Legal
  • Medical Terminology, Anatomy & Physiology
  • Management & Supervising Experience
  • CSR phones, chatting, & email
  • HIPAA Expert
  • Payroll Processing
  • Data Entry Specialist
  • Microsoft Excel Reports & word Docs
  • Microsoft Outlook & SharePoint
  • Microsoft Access Databases
  • Microsoft PowerPoint Presentations
  • Medical Collections & FCRA
  • Electronic Claims Submission/Scrubbing
  • Medical Receptionist
  • DE Medicaid & Medicare billing
  • SNF Consolidated Billing - Medicare

Personal Information

  • Willing To Relocate: Anywhere
  • Authorized To Work: US for any employer

Timeline

Sr. Billing Specialist - Contemporary Staffing Solutions (CSS)
02.2020 - 12.2022
Sr Billing Specialist - Hospital Billing Collections Services (HBCS)
08.2017 - 01.2020
Medical Biller/Bookkeeper - Trinity Home Healthcare
01.2015 - 07.2017
Office Manager/Bookkeeper - PHC Services
08.2005 - 12.2014
Executive Assistant - Barclays (aka- Juniper Bank)
05.2002 - 07.2005
Administrative Assistant/Physician Billing - Christiana Care Health Services
01.1998 - 04.2002
Assistant Billing Supervisor - Pediatric Associates
01.1997 - 12.1997
Wilmington University - Bachelor of Arts, Liberal Studies
Dawn Career Institute - Diploma, Medical Billing and Coding
Professional Careers Development Institute - Honor's Certificate, Paralegal Studies

Similar Profiles

CREATE PROFILE
Amber Phillips