Cheryl Buscher
Lebanon,USA
Summary
Seeking position in Healthcare Billing and Collections. Very dedicated, loyal, and enthusiastic. Knowledge of billing, coding, collections, and operations. Supervisory experience of staff of 7 to 12 employees. Able to meet deadlines, and work under extreme pressure maintain compliance with governmental agencies. Ability to work independently and to adapt to a fast changing environment
Results-oriented achiever with proven ability to exceed targets and drive success in fast-paced environments. Combines strategic thinking with hands-on experience to deliver impactful solutions and enhance organizational performance.
Overview
50
50
years of professional experience
Work History
Billing and Follow-up Colleague
Trinity Healthcare
Livonia, MI
04.2022 - 03.2026
- Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions
- Performs daily activities as part of the billing and follow-up team as part of the revenue cycle process for a PBS location
- Document claims billed, paid/settled, and follow-up in appropriate system(s)
- Identify and escalate issues affecting accurate billing and follow-up
- Adhere to proactive practices, including contacting the payer directly for payment due on accounts and reviewing and responding to all mail correspondence in a timely manner
- Communicate with appropriate hospital departments to clarify billing discrepancies, and obtain demographic, clinical, financial, and insurance information.
- Perform all routine follow-up functions, including the investigation of overpayments, underpayments, credit balances and payment delays. Tasks will be routed to the correct workflows with the objective of maximizing reimbursement for services rendered and ensuring the claim is paid or settled in a timely manner
- Research claim rejections, make corrections, take corrective actions, and/or refer claims to appropriate colleagues to ensure timely claim resolution
- Proactively follow up on delayed payments by contacting patients and third-party payers, determining the cause for delay and supplying additional data, as required
- May prepare special reports as directed by the Billing and Follow-Up Supervisor to document follow-up services, e.g., number of claims and dollars billed, number of claims edited, number of claims unprocessed, etc.
- Other duties as needed and assigned by the supervisor
- Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health's Integrity and Compliance Program and Code of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
Housekeeping
N & R of Lebanon North Nursing & Rehab
Lebanon, MO
08.2020 - 04.2022
Nurses Aid to Behavior Health Residents
Olive Mountain Residential Care
Lebanon, MO
10.2019 - 07.2020
Mattax-Neu-Prater Eye Center INC
Springfield, MO
09.2018 - 06.2019
- Review unpaid or denied eye care claims and determine appropriate follow-up actions.
- Contact insurance carriers to verify claim status, resolve discrepancies, and expedite payment.
- Correct and resubmit claims with missing or inaccurate information.
- Monitor payer trends and identify recurring issues affecting reimbursement.
- Maintain detailed documentation of all follow-up activities in the billing system.
- Collaborate with providers, coders, and patients to resolve billing concerns.
- Stay updated on insurance policies, coding guidelines, and ophthalmology-specific billing requirements (e.g., CPT, ICD-10, HCPCS codes for eye procedures).
Collections Representative
Amerita /Beaconhill Staffing
Greenwood Village, CO
07.2017 - 08.2018
- Researching outstanding balances and taking necessary collection action to resolve in a timely manner.
- Researching assigned correspondence and taking necessary action to resolve requested information in a timely manner
- Identifying patterns of short-payment or non-payment and bringing them to the attention of appropriate supervisory personnel
- Reviewing residual account balances after payments are applied and generating necessary adjustments (within eligible guidelines), overpayment notifications, refund requests, and secondary billing
Revenue Cycle Specialist
Denver Health and Hospital Authority
06.2010 - 06.2017
- Ensure optimal reimbursement for physician billing. Provides customer service, billing, timely follow-up, cash application processes, reconciling payer remittance, denial management and appeal functions for claims to government or worker's compensation, and commercial insurance by calling carriers and using web site for claim status.
- Interpretation of explanation of benefits investigates outstanding accounts for Physician Services of Denver Health. Work aging reports, investigate denied claims, and follow up on claims with no response from insurance carriers. Process refunds as necessary. Work HMS audit accounts billing commercial payers per Colorado Medicaid.
Accounts Receivable Coordinator
University Physicians Inc.
Aurora, CO
12.2004 - 06.2010
- Follow up and collect on accounts for assigned medical school divisions using our online PCS processes.
- Review and resolve accounts and prepare charge corrections as necessary. Appeal carrier denials.
- Work with carriers, physicians, and/or staff to resolve account issues.
- Work with work files to follow up on rejections, denials and all unpaid claims. The divisions that I follow up on are Radiology Oncology, Dermatology, Pathology, Anesthesia, Ophthalmology, Surgical Pathology.
Service Bureau Lead
Banner Health System Colorado (Integrated Practice Resources)
Greeley, CO
12.2003 - 10.2004
- Billing and Collection for 14 clinics. Follow up on all A/R, work reports (small dollar, as well as Hotlist large dollar.) Correspond with clinic personnel for information and any changes for coding and charge correction.
Billing and Collection Coordinator
Fort Collins Radiology Associates P.C.
Fort Collins, CO
05.2002 - 08.2003
- Billing and Collection of accounts that is due from insurance companies and patients. Process refunds to either insurance companies or to patients as a result of either overpayments or contractual payment errors. Detailed research in the process of determining the proper amounts to refund. Process from 300 - 600 refunds per month.
- Tracking biller payment posting, and charge posting and inputting this into a spreadsheet to determine the productivity of each employee on a weekly basis.
Billing Center Supervisor
Apria Healthcare
Loveland, CO
09.1995 - 04.2002
- Manage daily activities of the Billing Center. Supervisor collections and billing. Run reports for follow up; calculate suspended billing for each branch location. Communicate with each branch location in reference to where each location has met goals set for cash collection for 90 day trailing revenue, as well as the suspended billing due to uncollected CMN's and prescriptions. Weekly staff meetings to maintain effective communication and update staff with any changes that may take place, as well as discussing goals that have been established for the month. Updating Branch Managers with issues and implementing solutions to resolve issues. Setting goals for each staff member as well as monthly goals to reach goals established by corporate.
Lead SPD Tech
McKee Medical Center
Loveland, CO
06.1992 - 09.1995
- Inventory and stock all carts for supplies for hospital. Set-up all case carts for hospital surgeries daily. Clean and assemble all instrument trays for surgeries as needed. Perform annual evaluations for employees.
Billing Representative
McKee Medical Center
Loveland, CO
11.1977 - 06.1991
- Performed all billing for commercial accounts, workman's compensation, emergency room claims, radiology, and outpatient claims. Prepared claims with ICD9 and CPT coding. Posted payments and prepared deposits.
EDDA
Dr. Stander
Greeley, CO
09.1976 - 10.1977
- Assisted dentist in performing all functions of dentistry. Trained in 4-handed dentistry. Skilled in taking x-rays and well as minor cleaning. Cleaned inert and set-up rooms. Performed all functions of billing.
Education
ICD9 Medical Coding Course -
Certified Dental Assistant -
Front Range Community College
Ft. Collins, COHigh School Diploma - undefined
Loveland High School
Loveland, CONo Degree - Business Administration
Front Range Community College
Fort Collins09.1994
Skills
- Friendly, positive attitude
- Teamwork and collaboration
- Customer service
- Problem-solving
- Attention to detail
- Dependable and responsible
- Multitasking Abilities
- Critical thinking
- Computer skills
- Organizational skills
- Decision-making
- Problem resolution
Timeline
Billing and Follow-up Colleague
Trinity Healthcare
04.2022 - 03.2026
Housekeeping
N & R of Lebanon North Nursing & Rehab
08.2020 - 04.2022
Nurses Aid to Behavior Health Residents
Olive Mountain Residential Care
10.2019 - 07.2020
Mattax-Neu-Prater Eye Center INC
09.2018 - 06.2019
Collections Representative
Amerita /Beaconhill Staffing
07.2017 - 08.2018
Revenue Cycle Specialist
Denver Health and Hospital Authority
06.2010 - 06.2017
Accounts Receivable Coordinator
University Physicians Inc.
12.2004 - 06.2010
Service Bureau Lead
Banner Health System Colorado (Integrated Practice Resources)
12.2003 - 10.2004
Billing and Collection Coordinator
Fort Collins Radiology Associates P.C.
05.2002 - 08.2003
Billing Center Supervisor
Apria Healthcare
09.1995 - 04.2002
Lead SPD Tech
McKee Medical Center
06.1992 - 09.1995
Billing Representative
McKee Medical Center
11.1977 - 06.1991
EDDA
Dr. Stander
09.1976 - 10.1977
High School Diploma - undefined
Loveland High School
ICD9 Medical Coding Course -
Certified Dental Assistant -
Front Range Community College
No Degree - Business Administration
Front Range Community College