Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
Generic

Cindy Moreland

Summary

Currently looking to further and continue my career. I am excited and ready to explore and expand my current work skills, knowledge and experience while maintaining high work ethics and professionalism.

Overview

40
40
years of professional experience

Work History

Revenue Cycle - Physician Biller

Meritus Medical Center
03.2018 - Current
  • Serves as department super-user, helping staff with equipment and computer applications including contacting appropriate personnel/companies with issues
  • Works Onbase correspondence daily insuring the files are complete and accurate also notifying staff and management of issues that arise
  • Scan and index correspondence into Onbase system to insure properly attached to correct patient record
  • Responsible for keeping confidential information for patients and hospital
  • Receives and makes phone calls to patients and insurance companies regarding accounts
  • Responsible for ensuring that patient charges and payments are correct on the patient accounts
  • Responsible for filing claims with various insurance companies with high level of accuracy considering the volume and filing requirements
  • Composes and writes appeal letters to insurance companies for various reasons including authorization, medical necessity and two visits same day
  • Work daily in the Epic billing system performing numerous tasks from front end edits, adding and verifying accurate insurance information
  • Work denials from various insurance companies insuring accuracy of the denial and either resubmitting correct claim or putting denial in for appropriate write off while only billing patient when appropriate per insurance policy
  • Work Epic correspondence report insuring correct correspondence is on added to correct patients medical record
  • Work with numerous departments within Meritus for accurate and appropriate charges and diagnosis on patient accounts insuring documentation for accurate payments
  • Create and update Excel spreadsheets and up keep management aware of any on going issues with insurance denials
  • Serve as building contact for all printers including ordering toners and doing minor repairs or contacting TML for repairs as needed
  • Serve as contact person for all maintenance/building alarm related issues
  • Responsible for safety including conducting drills
  • Notary for department/patients as needed
  • Responsible for ordering office supplies to insure always having what is needed for entire department

Revenue Cycle Billing Representative

Trivergent Health
07.2014 - 03.2018
  • Notary for department/patients as needed
  • Serve as department super-user, helping staff with equipment and computer applications including contacting appropriate personnel/companies with issues
  • Serve as department resource to train and assist staff with Relay billing package
  • Daily claims corrections and billing using Relay billing package
  • Responsible for monitoring daily claim job in Relay, insuring the job is complete and accurate also notifying staff and management of issues that arise
  • Print and distribute reminder for staff on a daily basis
  • Scan and email reminder to outsource companies
  • Receives and makes phone calls to patients and insurance companies regarding accounts
  • Receive daily emails from outsource companies which are redistributed to staff for follow up while maintaining organized files
  • Work daily 1500/UB and accelerated Relay paper claims
  • Run and work Medicare outpatient two visit report to insure claims are bundled in Relay for proper payment
  • Create and update numerous Excel spreadsheets and keep management up to date of ongoing issues
  • Run and work late charge report including corresponding with numerous departments and staff within the hospital for clarification and correction to insure proper billing
  • Compile and work Medicare inpatient report to insure patients are not improperly billed
  • Run and complete monthly Medicare secondary insurance report
  • Work observation report to ensure accounts have proper removal of carve-out hours for procedures performed
  • Run, distribute and work claim rejection report insuring all errors are corrected in a timely manner
  • Responsible for running and working various reports such as BC mom and baby/BC occurrence/BC last menstrual period/Medicare mnemonic/mental health/no insurance balance/negative charges and charges outside date of service
  • Responsible for working self denied accounts in Allscripts system to ensure proper billing to Medicare while maintaining an accurate and up to date Excel spreadsheet
  • Responsible for condition code 44 emails to ensure the account is billed with proper observation charges
  • Responsible for ordering and receiving office/cleaning supplies
  • Serve as building contact for all printers including ordering toners and doing minor repairs or contacting TML for repairs as needed
  • Serve as contact person for all maintenance/building alarm related issues
  • Responsible for safety including conducting drills

Revenue Cycle-Billing Representative

Meritus Medical Center/Washington Co.
06.2010 - 07.2014
  • Notary for department/patients as needed
  • Serve as department super-user, helping staff with equipment and computer applications including logging MIS help desk tickets
  • Receives and makes phone calls to patients and insurance companies regarding accounts
  • Bring claims in from Meditech system into SSI system, insuring the job is complete and accurate also notifying staff claims are ready to be worked
  • Serve as department resource to train and assist staff with SSI billing package
  • Daily claims corrections and billing using SSI billing package
  • Responsible for working SSI level one report
  • Responsible for working SSI reports to include BC/commercial/Medicare claim rejections
  • Printing and distribute reminders for staff on a daily basis
  • Print and daily work 1505 and UB Meditech and SSI paper claims
  • Print and daily work accelerated UB claims
  • Run and work Medicare outpatient two plus visit report to insure claims are on hold and billed as bundle for proper payment
  • Create and update numerous Excel spreadsheets to keep management up to date on ongoing issues
  • Run and work late charge report including corresponding with numerous staff and departments within the hospital for clarification and correction to insure proper billing
  • Print and distribute weekly and monthly reports for staff
  • Compile and work Medicare inpatient report to ensure patients are not improperly billed
  • Run and complete monthly Medicare secondary insurance report
  • Work observation report ensuring accounts are on hold until proper removal of carve out hours and adding additional charges as needed by contacting proper departments for additional review as necessary
  • Run, distribute and work claim rejection report insuring all errors are corrected in a timely manner, including contact with numerous departments for clarifications of charges
  • Responsible for working various reports such as non-acute Medicare/BC mom and baby/Medicare mnemonics/BC occurrence/BC last menstrual period/mental health/self denials/no insurance balance/negative charges and charges outside date of service
  • Responsible for reviewing and printing medical records to be sent with claims for motor vehicle, workers compensation and VA medical claims
  • Using Mckesson enter services report, serve as back up for Home Health in McKesson
  • Create batch and submit claims to Value Options of MD and insure they are received without errors including correcting errors when reported
  • Responsible for scanning all types of documents on accounts for future need

Patient Financial Services - Denial Collector

Washington Count Hospital
09.1992 - 06.2010
  • Received, logged, analyzed and followed up on all inpatient and outpatient denials
  • Created and maintained follow up system for appeal process
  • Created and maintained the procedures for the appeals
  • Answered incoming phone calls from patients and insurance companies to insure proper payments made on accounts
  • Resource to department staff and liaison to utilization management staff for all insurance payment denials
  • Worked administrative denials for possible appeal and submitted to director with supporting documentation
  • Worked authorization issues prior to denial by sending letters and/or calling insurance companies or departments to ensure proper procedures were being followed
  • Created and maintained Blue Cross spreadsheet of all denials and/or payer issues that were discussed at monthly provider representative meetings
  • Responsible for having knowledge of all laws regulating collection practices
  • Responsible to advise management when reimbursement issues occur with suggestions of how best to deal with issues
  • Responsible for proper write off and/or billing insurance once appeal outcome has been determined

Patient Accounts Collector

Washington County Hospital
09.1991 - 09.1992
  • Contacted patients, insurance companies, attorneys, employers or any other responsible party via oral or written communication, to collect accounts; answer in-coming calls; speaks with patients and family who come into office; maintained follow-up system for delinquent accounts; assist patients questions for financial assistance program; responsible to be familiar with laws regulating collection practice including 'Fair Debt Collection Practices Act', 'Fair Credit Reporting Act', Uniform Commercial Code, bankruptcy laws, bad check laws, workers compensation law, etc.; work with billing staff to figure out balance on recurring accounts to assure proper billing and payment from insurance companies; assist management staff with special projects as needed

Patient Accounts Receivable Clerk

Washington County Hospital
03.1991 - 09.1991
  • Worked daily account receivable reconciliation reports, daily distribution of petty cash to various employees and departments, weekly reconciliation of petty cash, daily and monthly deposit reconciliation, filled out daily deposit slips for patient access are, bi-weekly distribution of payroll checks to all department heads, alphabetized and filed accounts receivable documents, worked department request for distribution of funds

Accounts Receivable Clerk

M/L Electric Company
05.1989 - 03.1991
  • Daily received and opened checks, made daily deposit slips for all checks and cash, daily posted all payments to customer accounts, maintained follow up system with customer accounts, contacted customer and collected on past due accounts, distribution and reconciliation of petty cash, ran reports for month end reconciliation, printed and mailed all customer statements, filled in for receptionist, typed and maintained follow up of correspondence for president of company, took calls and messages for president of company, scheduled meetings for president of company

Receptionist

M/L Electric Company
09.1985 - 05.1989
  • Daily received and distributed all mail, answered and distributed all incoming calls to the company staff, took complete and detailed messages for staff while insuring party received it timely, assisted in monthly billing, alphabetized and filed all documents received, assisted customer service counter with check out of customers

Education

Office Technology Course -

James Rumsey Vo-Tech School
01.1985

High School Diploma - undefined

Hedgesville High School
01.1983

Skills

  • Administrative support

  • Departmental support

  • SSI/Relay billing packages

  • Planning

  • Problem solving

  • Adaptability

  • Independent work

  • Multi-tasking

  • Organizational abilities

  • Interpersonal skills

  • Communication skills

  • Meeting deadlines

  • Notary Public

  • Leadership in safety

  • Super-user for SSI/Relay billing package

  • Medical Terminology

  • Epic Billing Package

  • Onbase

  • Meditech

  • SSI Billing Package

  • EDI Tracker

  • Clear Plus

  • Relay Billing Package

  • Manage Engine

  • McKesson

  • Allscripts

  • Easy Print

  • Salucro

  • Aurora

  • PCI

  • Microsoft Outlook

  • Microsoft Word

  • Microsoft Excel

  • Microsoft Windows

  • Procurement Suite

  • Revenue 360

Accomplishments

  • Notary Public
  • Received multiple staff applause forms
  • Serve as leader in departmental safety
  • Serve as super-user for SSI/Relay billing package
  • Certification of Completion 'Flex-up Training'
  • Certification of Completion 7 Habits of Highly Effective People
  • Medical Terminology

Timeline

Revenue Cycle - Physician Biller

Meritus Medical Center
03.2018 - Current

Revenue Cycle Billing Representative

Trivergent Health
07.2014 - 03.2018

Revenue Cycle-Billing Representative

Meritus Medical Center/Washington Co.
06.2010 - 07.2014

Patient Financial Services - Denial Collector

Washington Count Hospital
09.1992 - 06.2010

Patient Accounts Collector

Washington County Hospital
09.1991 - 09.1992

Patient Accounts Receivable Clerk

Washington County Hospital
03.1991 - 09.1991

Accounts Receivable Clerk

M/L Electric Company
05.1989 - 03.1991

Receptionist

M/L Electric Company
09.1985 - 05.1989

High School Diploma - undefined

Hedgesville High School

Office Technology Course -

James Rumsey Vo-Tech School

Similar Profiles

CREATE PROFILE
Cindy Moreland