Calandra Garrett
Benicia,CA
Summary
Efficient billing professional with 35 years of experience. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive.
Overview
27
27
years of professional experience
Work History
Billing Representative
NV Orthopedic Medical Group
07.2005 - Current
- Responsible for all functions of billing procedures, with a strong attention for details, while organizing a system to stay on track for each working day.
- Charges are submitted to EDI daily, once the claims are cleared of any errors.
- Aging and follow-up is worked on 2x a week
- Aware of ICD10 coding procedures for insurance guidelines according to Medicare and other following insurances.
- Reviewed and solved account and billing discrepancies.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Coordinated with intermediate parties to obtain payments and resolve issues.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Received incoming information and entered into database system.
- Leveraged strong analytical skills to identify patterns in data, enabling accurate forecasting and improved decision-making.
- Improved billing accuracy by thoroughly reviewing and verifying invoice data before submission.
- Reduced late payments by implementing a proactive follow-up system for overdue accounts receivable balances.
- Researched and resolved billing discrepancies to enable accurate billing.
- Worked with multiple departments to check proper billing information.
- Responded to customer concerns and questions on daily basis.
- Reconciled accounts receivable to general ledger.
- Optimized collections efforts through regular collaboration with the collections team on delinquent accounts strategies.
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
Contracting Position (Billing Consulting)
Lifetime Wellness Integrated Health
03.2012 - 03.2019
- Maintain insurance contracts for the providers, and update Medicare practice information that had changes that needed to be addressed
- Often trouble shooting from a Software conversion, while building a complete Billing system (Eclipse Software)
- Submitted insurance claims for patients, and advised patients on their benefits and eligibility
- Worked with Workers Compensation Insurance billing and Authorizations, also personal and auto claims.
- Occasionally helped out with front desk duties: Answer over 20 incoming calls, schedule appointments, end of the day reconciling receipts and patient accounts.
- Meet and communicated regularly with provider and staff regarding daily office functions, schedule updates, and any changes that can occur daily.
Billing Representative
Diablo Valley ENT
02.2005 - 07.2005
- Posted charges and payments
- Reconcile charges and payments
- Aging and follow up
- Talk to patients regarding their account balances and insurance discrepancies.
- Printed finance report sheets for all providers.
- Coordinated with intermediate parties to obtain payments and resolve issues.
- Leveraged strong analytical skills to identify patterns in data, enabling accurate forecasting and improved decision making.
- Received incoming information and entered into database system.
- Optimized collections efforts through regular collaboration with the collections team on delinquent accounts strategies.
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
- Improved billing accuracy by thoroughly reviewing and verifying invoice data before submission.
(Consultant) Billing/Insurance Coordinator
BOT Physical Therapy
03.2004 - 02.2005
- Worked outstanding insurance and patient claims from an old system that this office had decided not to convert, so nothing was transferred, which left open and active accounts and balances that need to be collected and resolved
- Medicare procedures needed to be implemented in added practice changes, provider contracting and setting up electronic medical records, daily insurance contact
- Responsible for all functions of billing procedures.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
Medical Software Trainer
Prime Clinical Systems
02.2003 - 03.2004
- Trained numerous medical facility employees how to use Prime Clinical software program.
- Practice management side of the program: teach clients how to schedule appointments, and helped with building their doctor's schedule in the process
- Explained how to add their patient's demographics/insurance information into the system
- Taught classes from multiple clinics.
- Traveled to client's facility for Go-Live training, assisting with technical practice development
- Very detailed instructions had been given repetitively until the client retained the system functions
- Trained clients to use the software to their full potential, utilizing every function efficiently.
- Provided one-on-one training/mentoring
- Developed effective training plans based on department needs and objectives.
- Educated clients on proper use of products and systems.
- Scheduled and taught in class and online courses to increase learning opportunities.
- Used Prime Clinical Medical Software to design training for multiple employees and increase company retention and productivity rates 100%.
Billing Specialist
Schierman, Lamb, & Chang
01.2001 - 02.2003
- Charge and Payment Posting
- A/R & A/P
- Aging and follow up on insurance and patient outstanding accounts
- Knowledge of ICD9 coding for the docs that did not code
- Assisted with bank deposits and end of the month reconciliation reporting.
Billing Representative/Bookkeeper
Christopher Wolter, DDS
05.1997 - 01.2000
- Responsible for Billing and Bookkeeping
- Presented treatment plans to patients, quoting allowable and patient out-a-pocket
- Responsible for Billing and Bookkeeping
- Entry of dental procedure charges & diagnosis
- Submitted x-rays for major procedures to insurance companies for re-imbursement and treatment plans for: extractions, root canals, crowns, implants
- Assisted manager with payroll and tax rules for payroll, time card fixes, accounts payables, and other manager roles relating to employee request.
- Reviewed and solved account and billing discrepancies.
- Coordinated with intermediate parties to obtain payments and resolve issues.
- Assisted management with month-end close activities, ensuring accurate financial reporting within set deadlines.
- Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
- Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
- Monitored outstanding invoices and performed collections duties.
- Created improved filing system to maintain secure client data.
- Handled day-to-day accounting processes to drive financial accuracy.
- Streamlined bookkeeping procedures to increase efficiency and productivity.
Education
BS in Healthcare -
University of Phoenix
2024
BS in Fashion Retail -
Art Institute
05.2011
AA -
University of Phoenix
06.2009
Skills
- Ability to work under pressure, while remaining organized and detail oriented
- Work well with others and able interact with colleagues across all levels of management
- Experience working in fast-paced environments demanding strong organizational and interpersonal skills
- A strategic thinker with a passion for excellence and strong desire to affect change and drive results
- Detail-oriented and resourceful in completing projects; able to multi-task effectively
- Knowledge of MS Word, Excel, PowerPoint, Internet and most software and EHR systems relating to Healthcare Computer literate, and will take initiative to explore software programs
- Data entry experience
- Invoice Processing
- Collections background
- Account Monitoring
- Payment Processing
- Payment Collection
- Medical billing and coding
Timeline
Contracting Position (Billing Consulting)
Lifetime Wellness Integrated Health
03.2012 - 03.2019
Billing Representative
NV Orthopedic Medical Group
07.2005 - Current
Billing Representative
Diablo Valley ENT
02.2005 - 07.2005
(Consultant) Billing/Insurance Coordinator
BOT Physical Therapy
03.2004 - 02.2005
Medical Software Trainer
Prime Clinical Systems
02.2003 - 03.2004
Billing Specialist
Schierman, Lamb, & Chang
01.2001 - 02.2003
Billing Representative/Bookkeeper
Christopher Wolter, DDS
05.1997 - 01.2000
BS in Healthcare -
University of Phoenix
BS in Fashion Retail -
Art Institute
AA -
University of Phoenix
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