BEVERLY NEIS
Huntley,Illinois
Summary
Efficient, detail-oriented and passionate SNF Biller and A/R Specialist with over 10 years of experience working at a corporate level. I have experience in billing Medicare, HMO, Medicaid, Supplemental and Hospice claims. Knowledgeable and adept in completing tasks on-time with a high commitment to exceptional performance efficiency and accuracy. Team-oriented, or able to work independently without supervision, dependable and performance-driven employee. As a hard-working professional I pride myself on my work ethic. I have a high focus on maximizing revenue with timely and precise billing.
Overview
22
22
years of professional experience
Work History
Accounts Receivable/ Billing Specialist
Villa Healthcare Corporate Office
03.2017 - Current
- Upload all ancillary charge prior to generating claims
- Generate and review claims prior to submission to make sure claims are clean when being billed to prevent delay of payments
- Bill Medicare, Secondary Insurance, HMO, Medicaid and Hospice claims timely to ensure maximum revenue
- Follow up on any denied claims and make needed corrections to have claims re-processed
- Submit appeals if needed
- Keep aging balances under 90 days
- Post payments from EOB payments
- Make adjustments for co-insurance or cash correction errors when needed
- Write off any contractual adjustments needed after claim paid
Business Office Manager
Heritage Woods South Elgin
10.2016 - 03.2017
- Communicated with potential hires to provide clarity on expected tasks, compensation and policies
- Reviewed job applications to identify, vet and recommend optimal candidates
- Developed and facilitated all new-hire orientations
- Conducted employment verifications and investigations
- Conducted reference checks for potential new hire candidates
- Conducted background and criminal background checks for employees
- Conducted OIG Fraud Exclusion register verification and sex offender registry verifications prior to hire and on required annual basis
- Completed and processed new hire paperwork
- Process FMLA and Workman's Comp paperwork when needed
- Reviewed time clock punches for accuracy before submitted payroll
Accounts Receivable And Billing Specialist
Platinum Healthcare Corporate Office
11.2010 - 10.2016
- Generated and submitted invoices based upon established accounts receivable schedules and terms
- Followed up on all accounts for current and past due aging
- Posted deposits to accounts for all payers
- Deposited checks to bank accounts daily
- Reconciled bank accounts before closing month end financials
- Generated financial statements and reports detailing accounts receivable status
- Processed refund requests from over-payments
Pharmacy Technician/Customer Service Representative
Omnicare Pharmacy
01.2002 - 11.2010
- Processing prescriptions refill requests from nurses or physicians via phone orders
- Separate faxes or new prescription orders or refill requests through document imaging on computer into their appropriate location for processing
- Notify nurses and doctors of non-covered medications and give alternatives choices
- Counting and dispensing medications into proper containers for customers
- Follow through on any requests from Pharmacists and Consulting staff
Education
High School Diploma -
Dundee-Crown High School
Carpentersville, IL06.1993
Skills
- Medical Billing systems and software
- Experience with PCC, Matrix, eSolutions, myAbility, ePremis, DDE, able to learn different Medicaid systems timely
- Superb time management skills
- Typing 65 wpm
- Word processing
- Excel spreadsheets
Timeline
Accounts Receivable/ Billing Specialist
Villa Healthcare Corporate Office
03.2017 - Current
Business Office Manager
Heritage Woods South Elgin
10.2016 - 03.2017
Accounts Receivable And Billing Specialist
Platinum Healthcare Corporate Office
11.2010 - 10.2016
Pharmacy Technician/Customer Service Representative
Omnicare Pharmacy
01.2002 - 11.2010
High School Diploma -
Dundee-Crown High School
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