BARBARA MIDDAUGH
Massillon,OH
Summary
Dynamic AR Specialist with a proven track record at GBS/Odyssey Health Systems, excelling in relationship building and aging reports analysis. Enhanced AR performance through process improvements and effective client communication, achieving significant reductions in claim denials. Proficient in Microsoft Excel, fostering teamwork and collaboration to drive operational efficiency.
Overview
45
45
years of professional experience
Work History
AR Specialist
GBS/Odyssey Health Systems
09.2015 - Current
- Analyzed trends in payment patterns and customer behavior, identifying opportunities for process enhancements that would improve overall AR performance.
- Reviewed accounts on monthly basis to assess aging and pursue collection of funds.
- Assisted in the development of departmental policies and procedures to improve overall efficiency within the AR team.
- Developed strong relationships with clients, fostering open communication channels that facilitated timely payments on past-due balances.
- Maintained accurate financial records by reconciling AR accounts, resolving discrepancies, and updating system data regularly.
- Maintained strict confidentiality of sensitive financial data and client information at all times, adhering to company policies and industry regulations.
- Streamlined daily reporting information entry for efficient record keeping purposes.
Billing Specialist
AMERICAN MED SYSTEMS
05.2013 - 05.2014
- Researched and resolved billing discrepancies to enable accurate billing.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
- Ensured compliance with industry regulations by staying up-to-date on changes in billing rules and guidelines.
- Assisted in transition to electronic billing, reducing paper waste and improving operational efficiency.
Reimbursement Specialist
Affinity Medical Center
07.1980 - 03.2010
- Provided exceptional customer service when responding to patient inquiries about reimbursement status and procedures.
- Identified trends in reimbursement denials, recommending process improvements to minimize future occurrences.
- Supported company objectives by maintaining compliance with all relevant state and federal regulations governing medical billing practices.
- Advanced internal communication channels by sharing best practices among colleagues, fostering an environment of continuous learning and improvement.
- Maintained comprehensive knowledge of healthcare billing practices, staying current on industry updates and changes in regulations.
- Followed up on denied and unpaid claims to resolve problems and obtain payments.
- Maintained patient confidentiality by adhering to strict HIPAA guidelines when handling sensitive information.
Medical Biller
Massillon Community Hospital
05.1980 - 03.2010
- Implemented quality control measures to identify potential errors before submitting claims, reducing rejections significantly.
- Trained new team members in medical billing software, increasing efficiency within the department.
- Streamlined billing processes by implementing efficient procedures to improve accuracy and reduce errors.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Filed and updated patient information and medical records.
- Maintained up-to-date knowledge of billing software and healthcare regulations, contributing to department's compliance and efficiency.
Education
Fairless High School
Navarre, OHSkills
- Relationship building
- Strong client relations skills
- Client communication
- Professional ethics
- Aging reports analysis
- AR aging reports
- Write-off procedures
- Microsoft Excel
- Team bonding
- Cross-functional team collaboration
- Spreadsheets and journal entries
- Billing dispute resolution
- Teamwork and collaboration
Accomplishments
- Collaborated with the Therapy department with trends in payment and denials for therapy claims.
- Achieved Letter of Medical Necessity process through effectively working with the DME departments.
Timeline
AR Specialist
GBS/Odyssey Health Systems
09.2015 - Current
Billing Specialist
AMERICAN MED SYSTEMS
05.2013 - 05.2014
Reimbursement Specialist
Affinity Medical Center
07.1980 - 03.2010
Medical Biller
Massillon Community Hospital
05.1980 - 03.2010
Fairless High School
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