Worked in DDE daily to properly correct home health claims for correct processing.
Billed NOA’s daily to Medicare.
Cox Medical Center - Patient Financial Services
Springfield, MO
Medicare Billing Specialist
08.2004 - 10.2009
Job overview
Reviewed, corrected, and filed electronic claims according to Medicare regulations.
Daily reviewed rejections for incorrect codes, modifiers, line items and quantities.
Electronically refiled claims to Medicare.
Cox Medical Center - Patient Financial Services
Springfield, MO
Commercial Insurance Billing Specialist
08.2004 - 10.2009
Job overview
Reviewed, corrected, and filed electronic and manual claims according to insurance regulations and compliance.
Cox Medical Center - Patient Financial Services
Springfield, MO
Medicare Secondary Payer Specialist (MSP)
08.2004 - 10.2009
Job overview
Researched, verified, and updated hospital and Medicare records for claims to be billed and paid correctly.
Corresponded with Medicare, insurance companies, skilled nursing facilities and patients daily to gather correct information to properly update records.
Cox Medical Center - Patient Financial Services
Springfield, MO
SSI Back-Up
08.2004 - 10.2009
Job overview
Responsible for all SSI duties while the SSI representative was absent or vacant from desk.
Simultaneously maintained SSI duties and the workload of the Medicare Secondary Payer desk.
Responsibilities included communicating with Medicare billers, commercial billers, accounts receivable department and software support to troubleshoot program errors.
Oversaw the exchange of electronic claims and remittance files.
Cox Medical Center - Patient Financial Services
Springfield, MO
Medicare Follow-Up
08.2004 - 10.2009
Job overview
Filed claims to secondary insurance companies and Medicaid to recover complete payment after primary Medicare payments were received.
Reviewed processing and payment of claims and worked extensively with EOBs.
Eligibility Specialist, Authorization Specialist at Netsmart Technologies Inc.Eligibility Specialist, Authorization Specialist at Netsmart Technologies Inc.