Highly organized and detail oriented multi-tasker seeks an opportunity to put experience into newer opportunities. Demonstrates self-motivation and ability to upgrade job skills quickly for greater efficiency and productivity at work. Can do attitude provides flexibility and willingness to adjust schedule and take on additional assignments to help employer succeed.
Overview
1
1
Certification
13
13
years of professional experience
Work History
CST
Bon Secour Mercy Health - St. Vincent
Toledo, OH
11.2020 - Current
Stocker/Truck
Meijer
Rossford, OH
09.2019 - 11.2020
Unload truck shipment
Stock floor
Change out weekly add signs, and create sale items
Orders stock for the next day
Client Set up and 835 Processor
APS Medical Billing
Toledo, OH
05.2016 - 09.2020
Set up new clients with EDI/EFT/ERA capabilities, while maintaining current clients with new payers.
176 clients to date (TIN.NPI groups)
Create SFTP to submit claims electronically and receive electronic remits for commercial, Medicaid, Medicare, and Blue Cross Blue Shield nationally.
Create and work through EDI issues for filing electronically.
Current work as team lead of the 835 Processors; A 5 member team. Educate and train on new procedures, while resolving issues that arise daily.
835 Processor
APS Medical Billing
Toledo, OH
08.2015 - Current
Go through all live checks that come into facility to check if we have 835s in system, if no file to locate EOB for posted.
Search all payer sites for missing ERA for EFT and checks that were not sent nor set up.
Clean up accounts for proper balancing of accounts.
Process all dictated reports that are missing information and send back to client for proper billing.
Remote into accessible client systems to pull information needed.
Receptionist
APS Medical Billing
Toledo, OH
01.2014 - 08.2015
Take incoming calls from current clients and prospective clients, insurance companies and mild amount of patient calls (300+ calls per day)
Direct calls to right departments.
Sort and send all electronic faxes to correct system.
Work queues- Fax Queue, Scan and Tie, Sort Queue, Name Mismatch, and Mail returns
Process claims for 2nd insurances.
Accept and decline proposals per client request. (Daily average 100)
Prepared CM-1500 form for mail
Data entry and projects for management in downtime
Take payment from walk in patients
Education
Associates Surgical Technology -
Stautzenburger College
Toledo, OH
Associates of Science - Medical Billing and Insurance Coding
Herzing University
Madison, WI
Skills
Hard reliable worker; self-motivated
Works well with others as well as independently
Efficient time management skills
Adapts well to new environments and situations
Advanced skills in Microsoft Word, Excel, PowerPoint
Experience with EDI/ERA/EFT with Medicare, Medicaid, Blue Cross Blue Shield
Knowledge of clearinghouse Change Healthcare, Claim Logic, Optum, and Echo
Certification
Ohio Department of Health, State Tested Nursing Assistant, Columbus, Ohio, 02/2005-3/2015
Timeline
CST
Bon Secour Mercy Health - St. Vincent
11.2020 - Current
Stocker/Truck
Meijer
09.2019 - 11.2020
Client Set up and 835 Processor
APS Medical Billing
05.2016 - 09.2020
835 Processor
APS Medical Billing
08.2015 - Current
Receptionist
APS Medical Billing
01.2014 - 08.2015
Associates Surgical Technology -
Stautzenburger College
Associates of Science - Medical Billing and Insurance Coding