Machelle Hill
Madison,TN
Summary
- Detailed oriented individual with over 10 years experience in large cash posting, and 10+ years in insurance follow up and accounts receivable experience in revenue cycle management.
- Self-motivated with experience in team management.
- Hard working, dedicated team player.
Overview
22
22
years of professional experience
Work History
Claims Disbursement Specialists
Brentwood Services Administrators,
01.2024 - Current
- Print checks for all clients on a daily basis
- Monitor and communicate with clients regularly to ensure all accounts are adequate funded
- Process ACH debit/credit transactions
- Process Positive pay files in all banks daily
- Evaluate future utilization of of electronic funds transfers to providers and claimants.
- Review Exceptions in all banks daily
- Deposit funding checks, and all third party recoverable checks through remote banking terminal
- Prepare and send send transaction and reconciliation reports as requested by clients
- Evaluate processes and controls to ensure all checks are printed timely without errors or duplication
- reconcile payments to month end reports
Cash Poster
UHS
01.2023 - 09.2023
- Responsible for the the daily posting of payments received from multiple commercial insurance companies via remittance advices.
- Applies appropriate adjustments to accounts , moved balances to responsible parties.
- Research credit balanced accounts, issued refunds to patients and insurance for over payments when needed.
- Research missing and unapplied payments.
- Applies appropriate adjustments to accounts, moved balances to responsible parties.
- Worked credit balance report to resolve overpayment issues. Requested refunds where needed.
Cash Management Specialist (Contract)
Aston Carter
05.2022 - 11.2022
- Responsible for providing support for customers as part of the credit process and support with customer inquiries. This includes data entry, system changes, and customer contact via phone.
- Responsible for the reviewing of both US and Canada lockboxes: details including checks, ACH and check wires and cash receipts to customer's accounts.
- Responsible for posting check payments and working through all rejected postings next day.
- Additionally responsible for moving cash balances to customer accounts and researching reconciliation issues.
Payment Application Specialist -Team Lead
American Pathology Partners
01.2020 - 03.2021
- Responsible for overseeing and assisting in the daily payment posting tasks of for 5 FTEs.
- Responsible for training team members on daily processing of cash posting department and the monitoring and auditing of daily work of team members. Providing team member coaching.
- Responsible for conducting interviews of new potential employees.
- Liaison between company departments.
- Attended weekly meetings reviewing projected outlook of the department.
- Downloaded bank deposits daily. Monitored insurance and patient payment Lockboxes daily.
- Responsible for the daily posting of patient payments received and payments from multiple commercial insurance companies via hard copy remittance advices. Researched missing and unapplied payments.
- Worked adjustment logs and reconciliation reports monthly.
Payment Application Specialist
American Pathology Partners
04.2016 - 01.2020
- Responsible for the the daily posting of payments received from multiple commercial insurance companies via remittance advices.
- Applied appropriate adjustments to accounts , moved balances to responsible parties.
- Researched credit balanced accounts, issued refunds to patients and insurance for over payments when needed.
- Researched missing and unapplied payments.
- Applied appropriate adjustments to accounts, moved balances to responsible parties, and mailed statements to patients.
- Worked credit balance report to resolve overpayment issues. Requested refunds where needed.
Assistant Operations Manager (Part-Time)
Banks Entertainment
10.2006 - 11.2016
- Responsible for answering calls on information lines and other various office and clerical duties.
- Responsible for the logistical set-up of monthly events.
- Responsible for the scheduling and management of staff for all events.
- Maintained financial and attendance records of past events.
- Supervised a team of 10+ employees during events.
- Responsible for conducting annual meetings
- Responsible for the recruitment and selection of future employees.
Cash Applications Specialist
Connect Hearing
03.2013 - 03.2014
- Post daily all payments related documents (payments, denials,over payments, underpayments)
- Applied appropriate adjustments to accounts, moved balances to responsible parties, and mailed statements to patients.
- Issued refunds to insurance companies for over payments. Ensured allowances, adjustments, unallocated payments and over payments were posted correctly.
- Assisted in the reconciliation of ERA and and EFT payments.
- Assisted in the daily and monthly balancing against bank records.
- Resolved payment issues by working with insurance carriers directly to ensure prompt payment.
- Responsible for working adjustment logs and reconciliation reports.
Accounts Receivable Representative
Cymetrix
07.2011 - 02.2012
- Responsible for researching claims for a large cancer research facility
- Responsible for the daily re-billing and appealing of claims via web portal for Florida Medicaid. Reviewed Medicaid EOB's for partial payments and denials.
- Worked weekly aging reports.
- Obtained PCP referrals and retro authorizations for outpatient and inpatient radiology and chemotherapy procedures.
- Reviewed and requested retro authorizations cases.
- Worked adjustment logs and reconciliation reports.
- Reviewed, analyzed, and determined the appropriate action to process denials, partial payments, and refund requests received.
- Reviewed contracts for correct reimbursement.
- Appealed underpaid claims for correct reimbursement amounts.
Account Receivable Representative
Community Health Systems
06.2006 - 09.2007
- Responsible for correcting, completing, and processing claims of all payer codes responsible for generating reports reflecting aging of accounts.
- Worked all AR from time claim is dropped until payment is received.
- Responsible for sending all electronic and paper claims when needed daily to all private, third party, worker's compensation, and government payers.
- Followed up on claims submitted in Gateway, worked any rejections and denials daily.
- Preformed adjustments and necessary reversals with supporting documentation for all overpaid accounts.
Patient Account Representative
Ingram And Associates
03.2003 - 06.2006
- Collected accounts receivable for various medical facilities.
- Answered incoming calls from patients about their accounts.
- Placed outgoing calls to patient regarding outstanding balances on accounts
- Responsible for making outgoing calls to insurance companies.
- Interpreted explanation of benefits codes.
- Assisted in daily accounts receivable functions.
- Responsible for the charge Entry of cash payments from patients.
- Appealed insurances for underpaid claims.
- Reviewed credit balance accounts for possible refunds due to payers and patients.
Education
Diploma -
Hillwood Comprehensive High School
Nashville,TN06-1994
Skills
- Cash Applications
- 10 years) Accounts Receivable (10 years) Credit (4 years) Data Analysis (5 years) Problem Solver (10 years) Medical Billing( 5 years) Medical Records EMR Systems Insurance Verification, 10 key by touch, Data Entry, Medical Terminology, Billing and collections Experience with Government and commercial payers Experience with Medical Manager, Gateway, Passport, Epic, SMS, Onbase, EclinicalWork, Intergy, Xfin, Sunwave, Compassion, Tsys, Opera, Evention, CXP
Timeline
Claims Disbursement Specialists
Brentwood Services Administrators,
01.2024 - Current
Cash Poster
UHS
01.2023 - 09.2023
Cash Management Specialist (Contract)
Aston Carter
05.2022 - 11.2022
Payment Application Specialist -Team Lead
American Pathology Partners
01.2020 - 03.2021
Payment Application Specialist
American Pathology Partners
04.2016 - 01.2020
Cash Applications Specialist
Connect Hearing
03.2013 - 03.2014
Accounts Receivable Representative
Cymetrix
07.2011 - 02.2012
Assistant Operations Manager (Part-Time)
Banks Entertainment
10.2006 - 11.2016
Account Receivable Representative
Community Health Systems
06.2006 - 09.2007
Patient Account Representative
Ingram And Associates
03.2003 - 06.2006
Diploma -
Hillwood Comprehensive High School
Similar Profiles
Diane HudsonDiane Hudson
Claim Specialist at Brentwood Services AdministratorsClaim Specialist at Brentwood Services Administrators
Charlene MeyerCharlene Meyer
Forensic Assistant / Deceased Estates Administrator at Zeelie Network of Entities / Optima Consulting Services/SA Estate Administrators and TrusteesForensic Assistant / Deceased Estates Administrator at Zeelie Network of Entities / Optima Consulting Services/SA Estate Administrators and Trustees
Saul CuevasSaul Cuevas
Quality Assurance Manager at Brentwood Services Medial GroupQuality Assurance Manager at Brentwood Services Medial Group