Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Websites
References
Timeline
Generic

Cheri Ferrell

Bartow,FL

Summary

With over 17 years of expertise in insurance and patient credit balance management, complemented by a background in financial counseling and extensive experience in accounts receivable posting. I am a highly skilled professional seeking to leverage and expand my knowledge and abilities in the insurance industry utilizing my newly acquired All Lines Adjuster License.

Overview

22
22
years of professional experience
1
1
Certification

Work History

Medical Financial Specialist

Watson Clinic LLP
Lakelnad, Florida
06.2024 - Current
  • Managed the daily operations of 5 departments within Patient Financial Services, ensuring compliance with all relevant laws and clinic policies.
  • Facilitated resolution of patient billing/insurance refund inquiries and complaints in a timely manner.
  • Conducted troubleshooting and problem-solving with team leaders and administration on insurance and patient-related issues.
  • Reviewed and approved refunds to insurance companies and served as a liaison for special case inquiries and collections.
  • Conducted reviews of medical records to ensure accuracy of patient accounts, including charges, payments and potential recoupment.
  • Maintained accurate records for patient account transactions, including payments, adjustments, refunds, denials and bad debt write-offs.
  • Created monthly financial reports to track key performance metrics such as productivity per department.
  • Created Standard Operating Procedures for new policies related to department requirements.
  • Collaborated with other departments to ensure accurate coding of claims prior to recoupment or refund request denials to insurance companies or other third parties.
  • Worked with and managed department staff to ensure that all bills were paid accurately according to contractual agreements with payers.
  • Provided training sessions for staff members on proper documentation requirements for medical records as it applies to billing and coding requirements.
  • Oversaw training and implementation of standard operating procedures and organized scanning program upgrades and changes.
  • Performed research into complex billing issues involving multiple payers or providers.
  • Analyzed refund requests from insurance carriers in order to identify potential areas in need of billing review or escalation.
  • Filed 835/HCFA 1500 claims, appeals, and insurance payments
  • Managed communications with high profile clients, provided guidance regarding insurance coverage, while overseeing payments and denials.
  • Created and updated financial reports on frequent basis to present information to leadership teams.
  • Maintained Kronos records bi-weekly, regular performance appraisals for subordinates through verbal, written and on-going review programs.
  • Managed Time-off Requests and coverage based on department needs.
  • Coordinated preparation of external audit materials and external financial reporting.

Chiropractic A/R and Appeals Specialist

Richard W. Merritt DC
Lakeland, Florida
12.2002 - 06.2008
  • Responded promptly and professionally to customer inquiries via phone, email or fax.
  • Managed front office including verification of benefits, appointment confirmation and payments.
  • Demonstrated strong problem-solving skills when resolving difficult customer service issues.
  • Worked closely with internal teams such as Insurance Companies, Doctors, Patients, and Attorney's in order to facilitate successful resolution of claims.
  • Identified reasons behind denied claims and worked closely with insurance carriers to promote resolutions.
  • Acted as intermediary between insurance companies and patients and their attorneys by researching and assessing medical documentation to determine claim validity
  • Managed attorney auto case files and billing settlements.
  • Assisted claimants, providers and clients with problems or questions regarding claims.
  • Checked documentation for appropriate coding, catching errors and making revisions.
  • Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
  • Collected payments, processed receipts and informed policyholders of outstanding balances.
  • Retained strong medical terminology understanding in effort to better comprehend procedures.
  • Assisted with chiropractic procedures and back-office tasks, including claim filing, appeals, and insurance claims status tracking.
  • Managed attorney auto case files and billing settlements.

Education

High School Diploma -

Riverdale High School
Fort Myers
06-1993

University of South Florida
Tampa, FL

Skills

  • 17 years comprehensive experience in medical insurance credit balance management
  • 20 years of expertise in account s receivable and dispute management
  • 20 years experience in professional/patient financial counseling
  • Proficient in insurance verification, claims reconciliation and appeals
  • Extensive knowledge of HIPAA guidelines
  • Well-versed in CPT, ICD-9 and ICD-10 coding and medical terminology
  • Skilled in organizing and drafting SOP's based on company standards and policies
  • Expectational communication skills adept in both written and verbal communication
  • Newly Acquired All Lines Adjuster License / # G176208

Accomplishments

  • Peer Award 2013
  • Supervisor added to Associate Data Analyst 2010 (Dual Role)
  • Award from Patient Recognition

Certification

  • Sigma 6 Lean Certified
  • All Lines Adjuster

References

References available upon request.

Timeline

Medical Financial Specialist

Watson Clinic LLP
06.2024 - Current

Chiropractic A/R and Appeals Specialist

Richard W. Merritt DC
12.2002 - 06.2008

High School Diploma -

Riverdale High School

University of South Florida

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Cheri Ferrell