Summary
Overview
Work History
Education
Skills
Timeline
Generic

Cherri Webb

Independence,KY

Summary

20+ years experience doing medical billing/coding for physician, hospital and DME (UB04 & CMS1500) claims in the denials/follow-up and charge entry wq’s with many different payors. Solid team player/trainer with upbeat, positive attitude with proven skills in establishing rapport with leaders, patients and coworkers.

Overview

17
17
years of professional experience

Work History

Medical Biller II

Trihealth
05.2018 - Current
  • Work in Revenue Cycle Denial/Follow up department focusing on no response and denied, underpaid (contract variances) claims from many different payers using EPIC
  • Also focused on denied reconsiderations and appeals by contacting payers either by calling or utilizing their websites then would submit reconsideration/appeals if necessary, always ensuring timely filing for claim resubmission, Identify trends in delayed or denied payments by payers then would work with payor rep to get resolved, One of6 chosen from entire Revenue Cycle team to be on the peer to peer interview team to help with hiring process to insure we hire the best potential candidate that fits our team, mentor and train new hires, Spreadsheets from Excel working large volumes of claims for certain issues, Work closely with our registration department helping identify insurance issues not enrolled correctly with our claims that denied for registration errors, Work with our credentialing department identifying and resolving claims denied for TIN/NPI issues, Responsible for providing excellent customer service by answering patient calls, patient My Chart emails for denied claims and/or addressing billing concerns in a timely and professional manner, Review payor correspondence in our lockbox (Revlink), Familiarizing and educating myself and my leader (at times) with payors contract and their policy changes, SBARS, Awards for ALWAYS behavior

Claim follow-up & Denial Specialist

UC Health
03.2015 - 05.2018
  • Follow up on denied claims due to coding errors using Epic with hospital denied claims, Contact payors to determine reasons claims are denied, then correct and resubmit corrected claims to facilitate payment
  • Identify trends with delayed or denied payments by payors
  • Help train new employees to enhance their skills, Developed training and mentoring procedures and tip sheets to help team members' performance be and stay strong and uniformed
  • Submitted reconsiderations and appeals within timely filing.

Hospital Billing Analyst Specialist

UASI Audit Systems
04.2014 - 10.2014
  • Examine claims for various hospitals and calculate reimbursement based on contract terms to determine accuracy of payment through use of various reports and supporting documentation using McKesson & HPF
  • Contact payers to obtain missing information, explain and resolve underpayments/overpayments on claim then submit for reprocessing, Denied and Follow-up reports, Lockbox, HCFA claim issues with clearing house, Corrected and rebilled claims, Credentialing Issues

Account Specialist

Cornerstone DHE
01.2008 - 10.2013
  • Audited, Identified & Resolved claim errors then submitted claim for payment, reconciled accounts using Bright Tree & SAR, Private pay A/R reports from Excel, Verified insurance, contacted patients regarding co-pays & private pay balances setting up payment arrangements on current and past due accounts, took payments using ZirMed, Interpreted EOB’s to patients

Education

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Northern Kentucky University
01.1995

Skills

  • Medical billing systems used: EPIC, Revlink, Availity, Epremis, Bright Tree, MicroMD, Navi Net, Med Assets, Mckesson, HPF, SAR, Zir Med, Arm, DX, Lexis Nexis, Oasis, Emdeon, Code correct, Optum, Cortex, MCD, MCR & Commercial, Many payors websites, Microsoft Office
  • Thoroughly trained to resolve claims issues in follow-up (pending & rejected) denied and also claim resubmissions for physician and hospital, MCD, MCR, Commercial payers
  • Lockbox, A/R, Audit account balances, Charge Entry, HIPPA laws and regulations, Bright Ideas & Sbars
  • Responsible for full revenue cycle billing for medical claims to ensure proper reimbursement for services rendered
  • Responsible for managing insurance A/R follow ups and resolution of all insurance claim billing errors for my payors I am responsible for
  • Act as a liaison, when necessary, between internal and external partners/payors to resolve claims and billing issues
  • Identify trends or issues and initiate corrective action to improve revenue cycle management claim resolution rates
  • Identify and resolve denied claims, collaborates with internal team and third party payers/payor representatives to resolve issues and trends on claims, underpaid/overpaid & takebacks, Submit reconsiderations and appeals, Rekeying accounts, Worked closely with my leader and our credentialing, registration, preauthorization departments on physician/hospital denied or not paid claims and trends
  • Work with patients regarding their account balances, EOBS interpretation, deductibles, payor issues, account history, outstanding/collection balances, payment and payment arrangements, Educate and help them with their EOB’s they have received and any questions they may have

Timeline

Medical Biller II

Trihealth
05.2018 - Current

Claim follow-up & Denial Specialist

UC Health
03.2015 - 05.2018

Hospital Billing Analyst Specialist

UASI Audit Systems
04.2014 - 10.2014

Account Specialist

Cornerstone DHE
01.2008 - 10.2013

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Northern Kentucky University
Cherri Webb