Summary
Overview
Work History
Skills
Certification
Training
Affiliations
Timeline
Hi, I’m

Amber Weller CPC, CPB

Revenue Cycle Manager
Worth,USA
Amber Weller CPC, CPB

Summary

Certified medical biller and coder with 20+ years of experience in revenue cycle management, full cycle billing, front office, back office, customer service, patient advocacy, and insurance follow-up for professional outpatient physician billing. Specializes in family practice, phlebology, wound care, physical therapy, neurology, and polysomnography. Proven team leader with strong multitasking skills and a positive attitude for accurate and efficient task handling.

Overview

20
years of professional experience
2
Certification

Work History

Vein Specialists of America

Senior Account Administrator - Senior Full Cycle Biller - Revenue Cycle Specialist
06.2015 - 06.2025

Job overview

  • Assisted with contracting for 4 phlebology practices, which included 9 MDs, 1 DO, 4 midlevel providers, and 2 DPTs.
  • Runs, creates, and edits weekly, monthly, and quarterly reports for clients, which has led to a healthy working relationship and a respected and trusted position among the clients
  • Created and maintained provider logins to needed web portals, having access to provider web portals allowed staff to work outstanding claims logs in a more timely fashion
  • Trained over 5 new staff members as well as existing staff
  • Acted as the primary billing point of contact for existing and new clients, as well as a patient account representative.
  • Acted as a liaison between the clients, billers, and third-party payers in resolving billing and reimbursement accuracy
  • Successfully revamped the existing billing procedures for wound care which resulted in the payment of all outstanding wound care claims
  • Researched and implemented the correct billing practices for unlisted procedures which allowed clients to expand the procedures offered to patients which prevented denied claims and increased revenue
  • Was the liaison between Vein Specialist of America and the many departments still utilized for daily work from Millennium Medical Management, such as Information Systems, EDI, and Human Resources

Millennium Medical Management Resources

Lead Full Cycle Biller - Veins Specialist of America Clients
06.2013 - 06.2015

Job overview

  • After 3 months I was contacted by Millennium Medical Management Resources, which was the company that I was a temp for, and asked to resume my position as well as take on some new responsibilities.
  • Researched and implemented the successful billing of J-codes which resulted in increased revenue for injection procedures
  • Identified multiple billing and coding issues and instituted solutions at the claim level, which cut down on the number of denials from insurance companies and reduced payment times
  • Reconciled the financials each month for 3 doctors' offices and assisted in monthly close for each office to ensure all accounts matched and fixed any discrepancies
  • Acquired and updated insurance retro authorizations for procedures and tests ordered by the attending physician
  • Telecommuted for 6 months while being the sole point of contact and biller for a new client out of state, while also leading the weekly conference calls with the said office
  • Created the standard appeal letters and correspondence to patients and insurance companies used by the department
  • Created and maintained all insurance provider portal logins

Medix Staffing Solutions

Biller / Accounts Receivable - Millennium Medical Management - Veins Specialists of America Clients
10.2012 - 03.2013

Job overview

  • Millennium Medical Management - Primary biller and Insurance follow up for Veins Specialists of America clients
  • Started monthly accounts receivable, outstanding claims, and appeal tracking logs, this significantly reduced the amount of unpaid, old claims and increased incoming revenue, and these logs
  • Identified recurring insurance denials, and worked with the insurance companies to figure out solutions and implement practices to cut down on these denials, and speed up processing time

Professional Neurological Services

Billing Account Specialists - Full Cycle Billing
01.2005 - 01.2011

Job overview

Administrative Assistant Jan 2005- June 2006

  • Hired initially as an administrative assistant to handle general clerical duties, the file room, lien and to assist the office wherever help was needed. Rehired in 2008, as a billing account specialist which encompassed handling all the data entry for patients tested, mailing insurance claims, and conducting claim and collection calls. I was chosen by management to solely handle all the companies' Blue Cross Blue Shield and Aetna patients as well as maintain multiple logs. While working there I maintained a positive work ethic and tried to foster that in others.
  • Trained two peers to handle and comprehend the job responsibilities to adequately accomplish any given task of a billing account specialist.
  • While handling the Blue Cross Blue Shield patients I was able to collect over 85% of outstanding deductibles, raising the company's revenue by $250,000.
  • The company entrusted me to handle the billing department, which consisted of claim calls, data entry, mailing claims, patient statements, and letters for over a year. Consistently made myself available to fellow employees ensuring all work was completed before the end of business.

Skills

  • Remote work
  • Knowledge of Illinois, Indiana, Florida, Michigan and Alaska HMOs, Medicare, and PPOs
  • Electronic Medical Record (EMR) software
  • HIPAA compliance
  • Medical Billing Software
  • Insurance Verification
  • 10 - Key Data Entry
  • Familiar with multiple Online Payment Processing Vendors
  • Experience in setting up payment plans
  • Account Auditing
  • Customer Service
  • Patient Relations
  • Appeal writing and submission
  • Revenue Cycle Management
  • Insurance Follow Up
  • Clearinghouse and Claims Edits Management
  • Charge Entry
  • Insurance and Patient Payment Posting
  • Experienced coder
  • Claims processing proficiency
  • Claims review
  • Professionalism and ethics
  • Payment posting
  • Insurance verification
  • ICD-10 proficiency
  • Medical terminology
  • HCPCS coding
  • Medical billing
  • Insurance claims
  • Insurance billing
  • Electronic claims
  • Denial resolution
  • Billing cycle expertise
  • Account monitoring
  • Clinical team guidance
  • Revenue enhancements
  • Procedure optimization
  • Billing cycle performance
  • Revenue performance
  • New hire training
  • New hire on-boarding
  • Coaching and mentoring

Certification

  • CPC-A - Certified Professional Coder- Apprentice
  • CPB - Certified Professional Biller

Training

  • October 2018 - Prism Billing Software
  • September 2014 - J6 Part B Medicare Modifiers Part 1 and 2
  • October 2014 - Optum Cloud Dashboard Training: Eligibility & Benefits Center, Claims Management and Claim Reconsideration with Attachments
  • September 2016 - Gold Medal Appeals - CEU Webinar Sponsored by Navicure
  • June 2018 - Streamline PM+ & EHR Training
  • January 2023 - Athena training
  • May 2023 - October 2023 CPC Training Course & Exam Prep Class - AAPC
  • November 2023 - April 2024- CPC Exam Prep Blast - CCO
  • January 2024 - eClinicalworks training
  • August 2024 - current - CPB Exam Prep Blast - CCO
  • July 2024 - AI in Medical Billing and Coding - AAPC

Affiliations

AAPC

CCO

Timeline

Senior Account Administrator - Senior Full Cycle Biller - Revenue Cycle Specialist

Vein Specialists of America
06.2015 - 06.2025

Lead Full Cycle Biller - Veins Specialist of America Clients

Millennium Medical Management Resources
06.2013 - 06.2015

Biller / Accounts Receivable - Millennium Medical Management - Veins Specialists of America Clients

Medix Staffing Solutions
10.2012 - 03.2013

Billing Account Specialists - Full Cycle Billing

Professional Neurological Services
01.2005 - 01.2011
Amber Weller CPC, CPBRevenue Cycle Manager