Amy Ross
Palmdale,CA
Summary
With 5 years of experience in various related roles, this detail-oriented and methodical Accounts Receivable Billing Clerk consistently delivers high-quality results. Exceptional abilities in conducting research, problem-solving, and prioritizing simultaneous tasks are leveraged to ensure top job performance. Resourcefulness, critical thinking skills, and a superior work ethic contribute to consistently achieving excellent outcomes.
Overview
17
17
years of professional experience
Work History
Medical Payment Posting Specialist
CodeMax Medical Billing
04.2024 - Current
- Interpret the Explanation of Benefits and Electronic Remittance Advice to accurately post payments/adjustments into the accounting system.
- Ensure all denials and zero-payments are reviewed and categorized for further analysis.
- Identify discrepancies in payments, report any consistent issues to the management team for resolution.
- Maintain accurate records and provide timely follow-up for all outstanding balances.
- Work with the billing department to ensure patient accounts reflect the correct balance.
- Assist in the resolution of patient inquiries related to their account balance.
- Retain confidentiality by following all HIPAA regulations, guidelines and company policies.
Medical Insurance A/R Collections Specialist/Medical Records Coder
West Coast DME & Supplies
08.2020 - 04.2024
- Review and correct claim denials or rejections to ensure timely payments.
- Contact insurance companies and patients regarding outstanding payments.
- Set up payment plans and work with patients on resolving billing issues.
- Post payments, process adjustments and refunds as necessary.
- Keep accurate records of patient accounts and billing activities.
- Accurately assign International Classification of Diseases 10-CM (ICD-10) based on patient records.
- Ensure compliance with all appropriate coding, billing, and data collection regulations and procedures.
- Confirm that all documents attached to each patient account are appropriate for the encounter.
- Maintain confidentiality by adhering to all HIPAA regulations and guidelines.
- Verify all patient demographics and insurance information is complete and accurate to documentation provided.
- Answer patient calls and review accounts for any outstanding balance or questions.
- Assist the collections department in claim denials and follow up when needed.
- Communicate with fellow staff to guarantee efficient workflow is achieved in a timely manner.
- Train and lead fellow staff in coding regulations and guidelines set for Government, Commercial and Private insurances.
Intake/Biller
All Seasons Medical Supply
04.2020 - 08.2020
- Followed guidelines to request medical records from multiple facilities.
- Analyzed medical records to classify the ICD-10 codes were relevant to the HCPC codes for the items requested.
- Processed Sales Orders through verification of patient insurance, ICD-10 codes, and HCPC codes based on inventory location.
- Prepared and organized all appropriate documents for claims submissions.
- Reviewed and posted payments based on EOB from various insurance companies.
Store Consultant
FedEx Office & Print Center
11.2007 - 04.2020
- Demonstrates consultative behaviors to ensure friendly, polite, expert service is delivered to all customers.
- Manages production flow to ensure all production orders are done right and on time.
- Takes customer orders, giving pricing information, performs consultative selling to customers, and recommends FedEx Office products and services tracks and logs all production jobs.
- Takes lead responsibility for digital imaging, scheduling and running black and white or color production on full-service orders, including finishing services and large job management.
- Sets up complex orders and performs multiple tasks at the same time.
- Responsible for ensuring quality during and after production process.
- Coordinates pick-up and delivery of customer orders.
- May provide leadership to team members on an assigned shift.
- Assists in the training of center team members.
- Collates, sorts and organizes customer orders while ensuring communication between shifts.
- Operates the Point of Sale terminal (POS), handles financial transactions and makes change.
- Completes required financial paperwork and may assist with financial reporting including daily sales, close-outs and bank deposits.
- Follows instructions of supervisors and assists other team members in performing center functions.
Accounting Support Staff
iLEAD Charter Schools
06.2016 - 07.2018
- Provides a variety support including data entry, filing, research, and reporting.
- Assists Accounting Clerks in processing weekly check runs, printing checks, matching to financial documents (invoices, requests, etc.), obtaining check signatures, and prepping for delivery/mail.
- Compiles data and prepares a variety of reports.
- Gathers information as needed and requested by other staff and clients. Assists in information collection during audit visits.
- Maintains AR/AP filing systems.
- Utilizes specialized knowledge of business practices and technology.
- Maintains professional competence through participation in professional development activities provided by iSD and self-selected professional growth activities.
- Manages other AP processes such as following up on stale-dated checks, completing stop payment forms, and 1099 yearly reporting.
Education
Administrative Health Care Management -
San Joaquin Valley College
Palmdale, CA01-2020
Skills
- Timely follow-up communication
- Financial accounting principles
- Detailed payment reconciliation
- Regulatory compliance expertise
- Management of billing cycles
- Strong organizational skills
- Medical billing expertise
- Collaborative teamwork
- Experienced with financial software applications
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Medical Payment Posting Specialist
CodeMax Medical Billing
04.2024 - Current
Medical Insurance A/R Collections Specialist/Medical Records Coder
West Coast DME & Supplies
08.2020 - 04.2024
Intake/Biller
All Seasons Medical Supply
04.2020 - 08.2020
Accounting Support Staff
iLEAD Charter Schools
06.2016 - 07.2018
Store Consultant
FedEx Office & Print Center
11.2007 - 04.2020
Administrative Health Care Management -
San Joaquin Valley College
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