Christina Valentine
Pikesville,MD
Summary
Over 5 years of experience in medical billing “professional component and skilled nursing in the healthcare environment. Experience in training, multi-tasking, organization, and problem-solving skills. Excellent customer service “internal and external”. Worked with all major insurance carriers such as “Medicare, Medicaid, Commercial, Workman's Compensation and Self Pay.
Overview
22
22
years of professional experience
Work History
AR Representative
University of Maryland
01.2023 - Current
- Coordinated with producers, songwriters, and engineers to create compelling projects that resonated with target audiences.
- Maximized digital presence for signed artists through strategic social media promotion and playlist placements.
- Negotiated favorable contract terms for artists by leveraging industry knowledge and strong negotiation skills.
- Developed comprehensive budgets for album projects, ensuring cost-effective allocation of resources.
ACCOUNTS RECEIVABLE ASSOCIATE
Erickson Living Management LLC
08.2018 - Current
- Successfully identified the root cause for issues limited to or contained within the prior two GL periods
- Provide ticket submitter with root cause analysis for 100% of monthly submitted BA Tickets
- Resolves 100% of monthly submitted BA Tickets within Three Business Days
- Communicate with community partners to post all charges batches by the month-end close deadline
- Generate accurate resident statements and then upload resident statements to Inforsend in accordance with the month end close deadline
- Plan day’s ahead, use calendar to meet deadlines and communicate any challenges to supervisor prior to deadline
- Spend down credits and corrections are posted and sent to the community finance teams in accordance with month end close deadline
- Successfully operated and maintains spend down worksheets prior to and during month end close
- Actively addresses Census REC items from prior two billing periods in accordance with month end close deadlines
- Actively prepares IND business line Census REC items for 3rd Party billing team in accordance with month end close deadline
- Successfully Import and Post the weekly ServiceMax and POS charges files within two business days of receiving the file
MEDICAL BILLER
Erickson Living Management LLC
06.2017 - 08.2018
- E-posting payment into the system and walking through the whole process in the system to make sure the payment is properly posted
- Manually posting payments depending on the account
- Working in e-Clinical Works (new software) and will be trained on this
- Dealing with patient checks and process of billing
- Reading codes and finding out what needs to be appealed
- Explanation of Benefits and accurately apply payments to both insurance and patient accounts
- Post and reconcile insurance and patients' payments
- Research and resolve incorrect payments, EOB's rejections
- Ability to review/retrieve and post Electronic Remittance Advice (ERA'S)
- Send Claims to secondary payer after primary payment received with knowledge to research if it is a crossover claim vs claim that should be submitted on HCFA or electronic
MCP ACCOUNT REPRESENTATIVE
Mid-Atlantic Nephrology Associate PA
02.2015 - 02.2017
- Correct MCP claims in the Payer path module and resubmit to carrier
- Perform daily DocTalk functions (merge patients, delete duplicates, correct inaccurate information) to check for accurate patient demographic and insurance information
- Approve and calculate dialysis visits in the DocTalk portal
- Export charges into Vision
- Run a daily recap and Balance the report against the DocTalk export summary to insure all charges have been imported
- Dialysis Visit Exception, Dialysis Stay Exception, Dialysis Expired Patient Exception, and Duplicate Dialysis Visit Report run each Week
- Run monthly DocTalk reports: Dialysis Stay Exception, Transient/MCP Stay Exception, Expired Patient, Daily Visit Exception, Dialysis Charges, Missing MCP
- Responsible for working in the INSFU module and resolving all claim denials and outstanding invoices
- Take Patient phone calls
- Obtain referrals and authorizations
- Balance batch each day for any adjustments that are posted to patient accounts
- Verify eligibility and effective dates
- Performs all other job-related duties as assigned
- Lunch phone coverage for administrative assistant as needed
- Lifting, pulling, pushing, standing, sitting and a minimum of 5 pounds weight requirement
- Number of claims should be worker per day is 25-35 but I work 45-55
COLLECTION SPECIALIST
Impulse Monitoring, Inc.
03.2013 - 06.2014
- Assists the billing department with mailing patient letters and matching uploads
- Able to function as a polite and cooperative team member with a positive attitude
- Comply with all applicable Company policies and Procedures
- Answers all incoming calls in a friendly, professional manner and directs calls to appropriate
ACCOUNT COLLECTION SPECIALIST - (PROMOTED)
Concentra Baltimore CBO Center
03.2011 - 01.2013
- Account resolution via communications with employers, insurance companies, TPAs, labs, workman compensation, other insurance carriers and contact employers
- Processing re-bills correspondence and adjusts payments in billing system
- Submit employer profile updates and information as necessary
- Managing aging reports from 60-120 and over Aging Reports
- Handled heavy income calls daily from All Insurance payers, employers, lawyer’s offices, other departments within the organization and workman compensation adjusters
- Document notes into billing system, submit refunds and special projects
- Request documentation from clinics to support charges
- Address correspondence and customer requests
- Generate re-bills for open balances
- Correct insurance information and redirect bills to appropriate payer
- Update employer changes and re-submit corrected bills
- Post insurance payments if necessary and take patient credit card payment over the phone to attack patient revenue
- Post payments daily into the CBS system for inventory and tracking purposes
DEPOSIT PREPARATION SPECIALIST
Concentra Baltimore CBO Center
05.2008 - 03.2011
- Balance daily cash and credit cards for Concentra worldwide clinical centers
- Prepare daily Insurance, workman's comp and employers checks
- Prepare by separating, coping and organized checks for to be posted by other employees to be mailed out daily
- Train new CBO employees when hired in your department
- Take credit card payments
- Talk to customers about their bill
- Customer Service and mail out patient statements
BILLING ASSISTANT & CLAIMS PROCESSOR
Practice Management Partners
10.2002 - 04.2007
- Mailed out primary insurance and secondary insurance on 1500 HCFA claim forms with explanation of benefits, referrals and documentation if needed
- Key sites charge daily from encounters forms for multi doctors' practices within the organization & attached documentation or explanation of benefits if necessary
- Faxed daily to sites contacts for corrections to demographics or missing information to complete each patient charge
- Type in notes in Medical Manager for follow up inventory for future use
- Keep inventory log of outstanding
Education
None Degree - Arts and Science
Catonsville Community College
Catonsville, MD01.2007
High School Diploma - Math
Milford Mill High School
Randallstown, MD01.2003
No Degree - Transferred To Another High School
Kenwood High School
Middle River, MD Skills
- GE Centricity
- Medical Manager
- BCS system
- Misys Healthcare
- Falcon
- DocTalk
- Payer Path
- Clairvoyant
- Computers
- Typing
- Faxes
- Copier machines
- Laser printers
- Answering phones
- 10 key calculators
- Excel
- Microsoft Word
- Microsoft PowerPoint
- Medical Terminology
Timeline
AR Representative
University of Maryland
01.2023 - Current
ACCOUNTS RECEIVABLE ASSOCIATE
Erickson Living Management LLC
08.2018 - Current
MEDICAL BILLER
Erickson Living Management LLC
06.2017 - 08.2018
MCP ACCOUNT REPRESENTATIVE
Mid-Atlantic Nephrology Associate PA
02.2015 - 02.2017
COLLECTION SPECIALIST
Impulse Monitoring, Inc.
03.2013 - 06.2014
ACCOUNT COLLECTION SPECIALIST - (PROMOTED)
Concentra Baltimore CBO Center
03.2011 - 01.2013
DEPOSIT PREPARATION SPECIALIST
Concentra Baltimore CBO Center
05.2008 - 03.2011
BILLING ASSISTANT & CLAIMS PROCESSOR
Practice Management Partners
10.2002 - 04.2007
High School Diploma - Math
Milford Mill High School
None Degree - Arts and Science
Catonsville Community College
No Degree - Transferred To Another High School
Kenwood High School
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