Summary
Overview
Work History
Education
Skills
Timeline
Generic

Carrie Friend

Woodbridge,VA

Summary

Analytical Medical Biller and Accounts Receivable Specialist, successful at resolving claim disputes and billing inquiries. Detail-oriented professional with 6 years of experience. Knowledge of private, government and commercial insurance carriers. Ability to adapt to the ever-changing world of Medical Billing and Coding.

Overview

28
28
years of professional experience

Work History

Accounts Receivable Specialist

Avosina Medical Technologies
Woodbridge, VA
11.2021 - Current
  • Independent, remote worker communicating via Ring Central, Zoom, or google meet.
  • Resolve discrepancies on patient accounts by verifying with the hospital or through insurance eligibility
  • Submit claim reconsiderations and multi-level appeals, through provider portals, fax, mail, or phone communication
  • Identify and analyze medical coding errors, make claim corrections and submit corrected claim in a timely manner
  • Adhere to ICD-10, CPT, HCPCS and CMS NCCI guidelines
  • Adhere strictly to HIPAA regulations when handling confidential patient information
  • Track aging reports of unpaid claims and take corrective action when necessary
  • Track and work monthly authorization denial reports
  • Oversee client accounts maintained by offshore teams
  • Create visual guides to assist offshore teams in claim resolution
  • Accomplishments: 6 months after joining the team, one of our largest accounts reached a record monthly reimbursement of over $1M, due to new process implementations and claims resolution. Discovery of improper pre-authorization process within contracted facility, leading to an increase in revenue.

Medical Billing Specialist

Physicians’ Billing Service
Burke, VA
06.2017 - 10.2021
  • Manage complete billing revenue cycle for Cardiology, General Practitioners, Laparoscopic & General Surgery and Physical Therapy practices
  • Verify patient coverage/eligibility for medical services
  • Enter demographic and insurance information for patients
  • Coordinate with physicians and their staff, to establish proper procedures
  • Assist physician office staff with insurance and patient inquiries
  • Review patient charges for missing or inaccurate information
  • Analyze patient chart, extract and attach appropriate ICD 10 and CPT codes with HCPCS modifiers
  • Utilize billing software to prepare and transmit claims
  • Payment posting, deposit preparation, EFT posting and reconciliation
  • Investigate unpaid claims, preparing the necessary corrective claims or multi-level appeals, resulting in claim resolution and payment
  • Review and process patient statements within billing software
  • Review and process collection letters, calling patients before sending them to outside collection agencies
  • Resolve billing/insurance issues for patients, and work with them to settle accounts
  • Scan/upload EFT, deposit journals, EOM reports, mail and other pertinent documentation to the digital office manager
  • End of Month closing and physician reporting
  • Adapt to updates/changes in billing software.

Lead Massage Therapist

Massage Envy Spa
Clarendon
10.2011 - 11.2014
  • Supervised and trained Massage Therapists
  • Assisted in maintaining shift schedules for Massage Therapists and Estheticians
  • Performed professional quality massage, within scope of practice and licensing
  • Following policy and protocol; performed Swedish, Deep Tissue, and Prenatal Massage Therapy
  • Designed specific sessions based on member’s/guest’s individual needs
  • Communicated the health and wellness benefits to clients receiving massage therapy on a regular basis
  • Created excellent member/guest experience through friendly and helpful attitude
  • Completed Wellness Chart documentation accurately and completely, ensuring client privacy under HIPAA
  • Accomplishments: Most Requested Therapist 2014, Outstanding Membership Sales 2014

Administrative Office Specialist III

Northern Virginia Community College-Accounts Receivable
06.2007 - 06.2009
  • Prepared daily cash/check deposits and posted in PeopleSoft AIS (accounting information system) to appropriate state revenue accounts
  • Received EFT and EDI (electronic payments), posting 3rd party payments to agency accounts and posting the deposit of funds received into PeopleSoft AIS, tracking payment through Excel
  • Received, researched, and processed credit card chargebacks
  • Processed stop-payment and reissue of student refund checks and posted deposits
  • Assisted students with financial account inquiries, and posted student financial aid awards for current aid year
  • Prepared manual refund request transmittal for declined Web refunds, for submission to Business Office
  • Received, tracked, and posted collection payments for delinquent student accounts
  • Posted student and 3rd party tuition payments in PeopleSoft SIS (student information system)
  • Communicated with staff, faculty, and students, via telephone, e-mail, and in person
  • Special assignments: Filled in as the Fiscal Tech Senior for the Alexandria Business Office
  • Supervised 3 full-time employees, ensuring smooth operation, following VCCS Policies and Procedures
  • Assisted Parking Auxiliary office to bring collections correspondence up-to-date.

Administrative Office Specialist III

Northern Virginia Community College-Alexandria Business Office
03.1996 - 06.2007
  • Posted student and 3rd party tuition payments, by cash, check, and credit card
  • Managed billing for the Dual Enrollment Program
  • Communicated with students and faculty via telephone, e-mail, and in-person
  • Handled more than $80,000 cash daily, during registration periods
  • Placed and removed holds on student financial accounts
  • Collect/reconcile/deposited Nova Card money
  • Collaborated with the Registrar’s Office, Academic Divisions, faculty, staff, and students to resolve payment, financial aid, and registration issues
  • Managed the process for refund requests after the deadline
  • Distributed the incoming mail for the Business Office, Provost’s Office, Dean’s Office, and Parking Auxiliary
  • Special assignments: Served on PeopleSoft SIS conversion committee
  • Assisted in developing the process for the new Dual Enrollment Program (current high school students enrolled in college-level courses, receiving credit for both high school and college simultaneously).

Education

Career Studies Certificate - Clinical Data Coding

Northern Virginia Community College
05.2017

Massage Therapy -

National Massage Therapy Institute
05.2011

Skills

  • Account Management
  • Investigative Research
  • Adjustment Posting
  • Claims Dispute Resolution
  • Coding Proficiency
  • Accounts Receivable
  • Process Improvements
  • Claims Processing
  • Collections
  • Account Reconciliation
  • Knowledge: Allscripts, E-Clinical Works, Intergy, Kareo, Greenway, Waystar, Change Healthcare, Availity, Epic, Epic Billing, Find-a-code
  • ICD-10-CM, CPT, HCPCS
  • Medical Terminology, Anatomy & Physiology, Pathophysiology, Pharmacology, HIM
  • Provider insurance portal management
  • Knowledge of commercial, private and government insurance
  • Microsoft Office Suite

Timeline

Accounts Receivable Specialist

Avosina Medical Technologies
11.2021 - Current

Medical Billing Specialist

Physicians’ Billing Service
06.2017 - 10.2021

Lead Massage Therapist

Massage Envy Spa
10.2011 - 11.2014

Administrative Office Specialist III

Northern Virginia Community College-Accounts Receivable
06.2007 - 06.2009

Administrative Office Specialist III

Northern Virginia Community College-Alexandria Business Office
03.1996 - 06.2007

Career Studies Certificate - Clinical Data Coding

Northern Virginia Community College

Massage Therapy -

National Massage Therapy Institute

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Carrie Friend