Colleen Barton
Alcoa,TN
Summary
Hardworking and detail-oriented medical biller with 15+ years of experience in healthcare billing and claims processing. Proficient in Medicare, Medicaid, and workers' compensation billing, with a strong track record of managing collections and ensuring compliance with industry standards. Demonstrated ability to resolve eligibility appeals and process claims efficiently, contributing to improved operational workflows. Seeking to leverage extensive billing expertise in an accounts receivable specialist role. Authorized to work in the US for any employer
Overview
16
16
years of professional experience
1
1
Certification
Work History
Accounts Receivable Specialist
TeamHealth, Basepointe Billing Center
01.2019 - Current
- Managed accounts receivable process, including invoicing, payment collection, and account reconciliation
- Maintained accurate records of all financial transactions and updated customer accounts accordingly
- Worked closely with the finance department to reconcile discrepancies between invoices and payments received
- Resolved complex billing issues by conducting thorough research and analysis of customer accounts
Cleaner
Quality Assured Cleaning
07.2017 - 07.2018
- Sweeping
- Vacuuming, and mopping floors
- Cleaning blood and iodine
- Decontaminating surgery rooms and locker rooms
- Cleaning bathrooms
- Catching rodents and disposing of them
- Taking care to clean walls and trash cans when trash is removed and taken away
- Terminally clean OR rooms, including wheels, tables, door knobs, medical chairs, lights, and vents.
Claims processor / Eligibility specialist 1
SummaCare
02.2014 - 03.2018
- Answering Telephone and written inquiries from groups, brokers, contract holders, underwriting, sales associates and customer service representatives.
- Enter all incoming enrollment applications in accordance with productions and quality standards as defined in department policies and procedures
- Process, analyze, and resolve internal contact service forms.
- Input new or revised contract, member, PCP, COB, student re-certifications and address information including determination.
- Research and conducts follow-up on eligibility appeals.
- Generates identification cards as necessary
- Reviews/ updates daily, weekly, and monthly activity reports such as PCP changes and COB re-determinations.
- Processed self-funded claims. Preformed adjustments in accordance with established department policies and procedures.
- Coordinated information and resolved service forms and other assignments.
- Handle special reports.
medical biller
NeuroCare Center
01.2009 - 02.2014
- Medicare/medicaid billing and claims follow-up
- Commercial billing and claims follow-up
- Workers compensation billing
- Collections
- Verifying and registering insurance for incoming patients.
- Posting payments/ moving money on accounts.
Education
Certificate -
R.G. Drage Career Educational Center
Massillon, OH01.2002
diploma - undefined
Louisville High School
Louisville, OHSkills
- WORKERS COMP
- BLUE CROSS
- COLLECTIONS (5 years)
- MEDICARE (5 years)
- MEDICAID (5 years)
- Microsoft Excel
- Accounts receivable
- Accurate payment posting
- Aging reports analysis
Certification
- Bloodborne Pathogens standard Training August 2017 to Present
- Fitness facilities August 2017 to Present
- Carpet Care August 2017 to Present
- Hard floor care August 2017 to Present
- Office cleaning August 2017 to Present
- GHS HAZCOM August 2017 to Present
- Hotel/ resort cleaning August 2017 to Present
- Classroom cleaning August 2017 to Present
- Acute healthcare August 2017 to Present
- Kitchen sanitation August 2017 to Present
- Restroom Care August 2017 to Present
- Long term healthcare August 2017 to Present
Additional Information
SKILLS Medical insurance biller, Private, commercial, Blue Cross/ Blue Shield Medicare, Medicaid, Tricare/ Champva, AultCare, Workers Comp, disability and other 3rd party insurance plans, collections, UB 04, CMS 1500, and other dental claim forms, ICD-9-CM, CPT, AND HCPCS coding, Microsoft word, excel, access, powerpoint, nexgen, macess, amisys, and quicken, Can type 75+ WPM, 14,000 KSPH.
Timeline
Accounts Receivable Specialist
TeamHealth, Basepointe Billing Center
01.2019 - Current
Cleaner
Quality Assured Cleaning
07.2017 - 07.2018
Claims processor / Eligibility specialist 1
SummaCare
02.2014 - 03.2018
medical biller
NeuroCare Center
01.2009 - 02.2014
diploma - undefined
Louisville High School
Certificate -
R.G. Drage Career Educational Center
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