Detra Anita Oliver
Duncanville,Texas
Summary
30 years experience in Government/Commercial/Workers Comp billing and collection, 13 years of experience in Cardiology billing in identifying payable and non payable procedures under Medicare guidelines, quality skills in resolving billing and patient issues, Genuine leader that can offer good standard processes in a Business Office environment.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Account Manager/Billing Specialist II/VOB Spec
Heartfirst/Texas Health Physician Group
06.2008 - Current
- Follow-up on insurance claims and patient accounts, handle incoming/outgoing patient and insurance calls, provided explanation of bills received, reviewed pending payments from insurance and patient balances, provide patient with payment options, process daily and monthly payments by credit card or check, work from collection follow-up reports, correct insurance and patient adjustments and identify credit balances, reviewed EOB's to determine posting corrections and patient responsibilities, identify ongoing billing problems, transfer patient balances to collection, communicate with collection agency, assist verification department on patient eligibility/benefits, train new employees and assist co-workers on billing issues, identify and resolve Practice Manager issue received from my manager, obtained Pre-Collection Reports for Account Managers, Communicate with PPL Department to resolve patient accounts, work from Age report daily to collect or set patient on a payment plan to resolve outstanding balances.
- Assist the Scheduling Department - incoming/outgoing appointments and cancellations
- Verify insurance/obtained and update new coverages from patient/notify clinics on patient coverages before appointment date
Account Representative
Cardiovascular Consultants of North Texas
Dallas, Texas
02.2003 - 05.2008
- Follow-up on outstanding claims/identify accounts for adjustments, check status on insurance claims and follow-up on denials, identify credits and refunds, communicate with hospitals and insurance companies to obtain authorizations, submit adjustments using appropriate reason code classification, decease patient account, self-pay accounts.
- Assist in the posting insurance EOB's in the posting department when needed also assist the Scheduling Department/making and cancelling appointments
- Verifications of Benefits
Education
High School Diploma -
Business and Management Center
Liberal Arts and Science
Mountain View Junior College
Certification
Examining the Appeals Process, Part B Psychiatric Updates/Billing and Documentation Error,Evaluation and Management Coding for Cardiology, Increase Revenue Appeals to the Next Level
Timeline
Account Manager/Billing Specialist II/VOB Spec
Heartfirst/Texas Health Physician Group
06.2008 - Current
Account Representative
Cardiovascular Consultants of North Texas
02.2003 - 05.2008
High School Diploma -
Business and Management Center
Liberal Arts and Science
Mountain View Junior College
Examining the Appeals Process, Part B Psychiatric Updates/Billing and Documentation Error,Evaluation and Management Coding for Cardiology, Increase Revenue Appeals to the Next Level
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