Amy Blakely
Fallbrook,CA
Summary
Highly efficient Medical Biller with experience in Chiropractic, Physical Therapy, Massage, Acupuncture, and Home Health Highly motivated professional with several years of entrepreneurial and management experience. Skillfully creates and maintains professional and loyal relationships with co-workers, staff and clients while managing administrative and sales employees. Comfortable working independently as manager and leader and as collaborative team member.
Overview
16
16
years of professional experience
Work History
Owner/Medical Biller
Blakely's Billing
01.2015 - Current
- Identified target clients and effectively marketed my company in order to obtain clients.
- Executed analysis of client finances to pinpoint necessary improvements.
- Account reconciliation.
- Increased revenue.
- Examined diagnosis codes for accuracy, completeness, specificity, and appropriateness according to services rendered.
- Developed strategic plans to increase profitability and efficiency.
- Carefully reviewed medical records for accuracy and completion, as required by insurance companies.
- Efficiently performed insurance verification and pre-authorizations in order to accurately bill patient claims.
- Prepared, reviewed, and submitted patient statements.
- Applied payments and adjustments, as well as follow-up on denials.
- Ensured compliance with local, state, and federal regulations.
Home Health and Hospice Billing Liaison
EvergreenHealth
, WA
04.2017 - 07.2019
- Responsible for completion, submission, and follow-up of all Home Health claims billing and claims adjustments for EvergreenHealth Home Care and Hospice.
- Collaborated with senior management to identify areas of improvement within existing systems or strategies.
- Use of programs McKesson, Cerner, Change Health, and payer websites.
- Submits daily claims to payers electronically or via paper within the deadlines established.
- Prepares and monitors additional payer requests relating to claims submission.
- Works daily on account reconciliation, reports.
- Responsible for claim holds approved by PFS management.
- Manages and completes a high volume of claim submissions/AR.
- Make corrections to visits and update accounts from clinicians' notes to ensure we are following Home Health regulations.
- Streamline team efforts to eliminate claim processing delays
- Recycle accounts (reverse Oasis events, facilitate corrections to Oasis, remove A/R, regenerate services, and make sure all charges come through correctly) to ensure the services are under correct insurance.
- Keep running logs of to prevent recurring errors.
- Coordinate with the authorization team to ensure we have accurate authorizations.
- Identify if we have accurate revenue amounts and take any and all necessary steps to correct the revenue.
- Address concerns from patients about their statements
- Displayed strong telephone etiquette, effectively handling difficult calls.
- Ensured departmental adherence to HIPAA guidelines
- Reviewed medical records for accuracy and completeness
C.A., Decompression Tech, and Billing Specialist
03.2011 - 10.2015
- Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
- Monitored accounts receivable activity to ensure timely payment of invoices.
- Answered customer inquiries regarding billings, payments, account status.
- Reconciled daily cash receipts with total deposits on bank statement.
- Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
- Supported doctor during spinal decompression treatments
- Application of hot and cold packs, hydrotherapy, and massage chair.
- Provided administrative support for three physicians.
- Confirmed patient information, collected co-pays, and verified insurance.
- Directed patient flow during practice hours, minimizing patient wait time.
- Consistently informed patients of their financial responsibilities prior to services being rendered.
- Remained up to date with all insurance requirements, including the details of patient financial responsibilities, fee for service, and managed care patients.
New Life Chiropractic-Dr. Leone
01.2009 - 01.2011
- Ensured accurate and timely data entries
- Wrote clear and detailed clinical phone messages for physicians.
- Directed patient flow
- Scheduled patient appointments.
- Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
- Confirmed patient information, collected co-pays, and verified insurance.
- Assisted patients entering and exiting the DRX9000
- Went over exercises with the patients.
- Verified insurance.
Education
Clover Park
Lakewood, WA01.2006
Skills
- Accounts receivable management
- Revenue Cycle Management
- Claims Processing
- Payment posting
- MS Word, Excel, and Outlook
- Financial reconciliation
- Analytical Reasoning
Cellular
(253) 442-7799
Clientsandreferences
- Dr. Robert Garton D.C., 253-735-0144
- Rachelle Miller, home health and hospice liaison, 206-883-0850
- Dr. Gerimonte D.C., 253-273-0624
- William Leigh EAMP,LAc,LMP, 206-407-5029
Otherexperience
Finance, coding, commercial and government insurances, and customer service experience. Able to multitask, a team player, strong aptitude for detail and accuracy, highly motivated employee with proven success in problem solving and organizational skills, quick learner, and ability to take on new tasks quickly. Strong computer skills (Word, Excel), and knowledge of chiropractic coding.
Timeline
Home Health and Hospice Billing Liaison
EvergreenHealth
04.2017 - 07.2019
Owner/Medical Biller
Blakely's Billing
01.2015 - Current
C.A., Decompression Tech, and Billing Specialist
03.2011 - 10.2015
New Life Chiropractic-Dr. Leone
01.2009 - 01.2011
Clover Park