Christina M. Simms
Gambrills,MD
Summary
31 Years Healthcare Experience Revenue Cycle Management Physician & Facility Billing Management Management & Training of Staff Outstanding Communication Skills Ability to multi-task & prioritize Development of Policies and Procedures to streamline workflow and accountability Excellent organizational skills and attention to detail Operationalized New System Implementations
Overview
34
34
years of professional experience
Work History
Medical Biller 1
Planned Parenthood Of Maryland
Baltimore, MD
07.2023 - Current
- Submitted electronic claims to various insurance carriers.
- Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
- Assisted with collection efforts as needed including contacting patients via phone, mail or email for collection of past due balances due to insurance denials or patient responsibility amounts owed.
- Performed follow up activities on unpaid claims with insurance companies or other third party payers by phone or written correspondence.
- Provided training and support to new staff members regarding billing processes.
- Answered incoming calls regarding billing inquiries from patients and and or providers in a professional manner.
- Researched discrepancies between billed charges and payments received from insurance companies or other third party payers.
- Processed refunds requests timely and accurately according to established protocols.
- Performed daily reconciliation of accounts receivable with payment postings on the computer system.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Reviewed claims for coding accuracy.
- Completed and submitted appeals for denied claims.
- Submitted appeals using provider portals and phone communication.
- Communicated with insurance representatives to complete claims processing or resolve problem claims.
- Submitted claims to insurance companies.
Billing Manager
Greater Maryland Pain Management LLC
Odenton, MD
01.2019 - 01.2023
- Oversee and administer all billing procedures.
- Resolved complex billing issues.
- Verified and assessed all bills before processing.
- Assess purchase orders and vendor payments.
- Identify inaccuracies in billing procedures and implement the necessary adjustments.
- Provided support for billing processes to colleagues across different departments.
- Managed and maintained precise record keeping for registrations, batching, and codlings of billings.
- Provide assistance and support to audit teams in the verification of bills and billing data.
- Implement high-quality billing practices and procedures.
- Time submitted in ADP for bi-weekly payroll processing.
- Assist with charges, payments, and accounts receivable as required.
Volunteer
Gambrills Odenton Recreation Council, GORC
Odenton, MD
01.2009 - 11.2021
- Using QuickBooks, perform weekly volunteer duties: enter all invoices; print checks; prepare and post deposits; and reconcile monthly bank statements
- Processed and accepted customer payments, applying them to account balances.
- Conducted an investigation into billing discrepancies and implemented effective solutions to address concerns and prevent recurrence of issues.
- Collaborated directly with delinquent account holders to collect and reconcile accounts using authorized methods.
Billing Specialist
Accounts Management Services, PAMS
11.2017 - 07.2018
- Collected, posted, and managed insurance and patient account payments
- Prepared and submitted claim forms to insurance companies and other, third-party payers
- Followed up on all outstanding claims
- Entered procedure and diagnosis codes, and requisite patient information, into billing software to streamline invoicing and account management; added modifiers, verified diagnosis, and coded narrative diagnosis
- Each week, mailed statements and performed collection calls.
Director of Patient Account Services
Capital Digestive Care
Silver Spring, MD
06.2015 - 09.2017
- Responsible for a team of 35 Revenue Cycle staff
- Oversaw Professional Billing for $62 million annual charges and $31 Million in revenue, Facility billing of $34 million in charges and $12 million in revenue
- Optimized Revenue Cycle to consistently achieve Days in Accounts Receivable below 25 days
- In 2016, successfully transitioned to a new Practice Management System - with no negative impact to cash flow
- Worked with Senior Leadership and Physician Board to develop strategies to maximize revenue cycle
- Responsible for monthly financial reconciliation and monthly Physician reports
- Worked with GE Centricity Practice Solutions and Modernizing Medicine gGastro Practice Management Systems
- Advanced from Billing Manager to Director position, by assuming additional leadership responsibilities.
Professional Billing Manager
Capital Digestive Care
Silver Spring, MD
12.2009 - 05.2015
- Built a Revenue Cycle team, with the merger of seven physician practices
- In 2009, implemented a new Practice Management System
- Developed policies, procedures, and workflows for the new Revenue Cycle
- Trained office and centralized billing staff for the new Revenue Cycle processes and systems
- Was responsible for the daily operations and accountability of the Revenue Cycle team
- Established Lockbox systems and electronic deposits to maintain cash controls
- Integrated the Merchant Services accounts with MedFusion and the Patient Portal
- Oversaw the Revenue Cycle - from the point of charge entry - to payment
- This included claim submission, EDI, insurance payment posting, and patient collections
Patient Accounting Supervisor
Capital Gastroenterology Consultants
03.1990 - 11.2008
- Oversaw patient billing for ten physicians in four locations, plus two Ambulatory Surgery Centers)
- Oversight of Accounts Receivable during a time of growth for the practice
- Responsible for charge entry, claims submission, Electronic Data Interchange (EDI), insurance and patient payments and patient collections
- Handled credentialing of new physicians that entered the group
- As the practice grew, developed processes and workflows to better meet the needs of a larger practice
- In 2002, implemented a new Practice Management System - transitioning to GE Practice Solutions
- Maintained daily bank cash controls and reconciliations, as well as financial tracking of deposits – using QuickBooks
- Assisted in the transition to the larger practice - Capital Digestive Care.
Education
Accounting and Business
Anne Arundel Community College
Skills
- Accounts payable and receivable
- Payroll liabilities
- Team direction
- Staff training
- Collections experience
- Project leadership
- Client relationship management
- Proficient in word, excel, goggle
Timeline
Medical Biller 1
Planned Parenthood Of Maryland
07.2023 - Current
Billing Manager
Greater Maryland Pain Management LLC
01.2019 - 01.2023
Billing Specialist
Accounts Management Services, PAMS
11.2017 - 07.2018
Director of Patient Account Services
Capital Digestive Care
06.2015 - 09.2017
Professional Billing Manager
Capital Digestive Care
12.2009 - 05.2015
Volunteer
Gambrills Odenton Recreation Council, GORC
01.2009 - 11.2021
Patient Accounting Supervisor
Capital Gastroenterology Consultants
03.1990 - 11.2008
Accounting and Business
Anne Arundel Community College
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