Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Elizabeth Milliken

Florence,AL

Summary

I am seeking to take the next career step with a highly respected healthcare organization dedicated in producing positive patient out-comes and delivering exceptional customer service.

I have been in a Medical Billing Specialist position for over 17 years with a successful experience in Medical Billing including all aspects associated with that roll. Recognized consistently for performance excellence and contributions to success in the Medical Equipment and Billing industry. I pride myself as a go-getter and for being very detailed oriented in which both personality trades is a must to being proficient in the medical billing field. If ask a question that I don't know, I will research until I find the answer.

Overview

25
25
years of professional experience
1
1
Certification

Work History

Customer Support Specialist

Brightree
01.2022 - Current
  • Monitored system performance to identify potential issues.
  • Responded to customer inquiries and provided technical assistance over phone and chat.
  • Multitasked to handle diverse customer needs in high-volume setting, prioritizing tasks to keep up with challenging deadlines.
  • Used ticketing systems to manage and process support actions and requests.
  • Locating missing ERNs and conducting thorough investigations to understand the reasons behind any claim rejections
  • Analyzing 999's and 277's reports
  • Resolving obstacles that emerge within a deposit
  • Monitoring invoices to make sure they are submitting correctly
  • Uploading timely filing letters


Medical Billing and Collections Specialist

MediTrust Medical Equipment And Supply LLC
10.2000 - 08.2021
  • Expert with Remote Desktop and Virtual Private Networks (VPN)
  • Brightree Medical Software Expert Since 2015
  • ERL Management Software Expert Since 2015
  • Corrected, completed and processed claims for multiple payer codes.
  • Logged charges and payments within Brightree
  • Processed billing calls and answered questions from patients and third-party carriers.
  • Processed online and paper appeal submissions and refund requests.
  • Assisted in reconciling deposit and patient collections.
  • Inserted mail with manual methods and automated equipment for optimal efficiency.
  • Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
  • Monitored outstanding invoices and performed collections duties.
  • Posted data and kept other records concerning costs of goods or services or shipment of goods.
  • Credentialing
  • Compliance Manager for Policies and Procedures for ACHC Accreditation
  • HIPPA Officer
  • HCPCS Coding Expert
  • ICD'9 and ICD'10 Coding Expert
  • Process EDI Claim Rejections
  • Posting Electronic ERNs
  • Excel Expert
  • Diabetic Therapeutic Shoe Fitter
  • Marketing Expert with Medical Providers to Obtain Referrals
  • Compliance Officer for Respiratory Equipment
  • Human Resource Payroll Expert Depositing Through ACH
  • Expert in all Office Equipment ie. Fax, Copier, Printer, Computer, Scanner and Multi-line Phone System
  • Expert in Medical Necessity Compliance with Patient's Medical Records in Order to Qualify for Medical Insurance to Pay for said Equipment
  • Expert in Measurements for Medical Equipment ie. Braces, Wheelchairs
  • Expert in Medical Necessity Compliance for Respiratory Equipment Including Downloads to Virtuox for Qualification
  • Compliance Manager to Keep the Company Up to Date on All the Medicare Law Changes
  • Durable Medical Equipment (DME) Medical Billing /EDI/Claims Specialist In-House and Remotely
  • Specialist at Setting Up Medical Equipment Pricing
  • Specialist at Obtaining Prior Authorizations For Equipment
  • Specialist at Medical Claim Scrubbing
  • Specialist in Several Medical Billing Software Systems
  • Specialist at Auditing Through Brightree Software
  • Specialist at Hospice Billing

Education

High School Diploma -

Church On The Rock Christian School
Savannah, TN 38372
05.2000

Skills

  • Proficient in Billing Software: DME TRACT, PACWARE, BRIGHTREE
  • Microsoft Office Suite: Excel, Word and Outlook
  • Proficient in Brightree from 2015 - Present
  • BRIGHTREE SOFTWARE SKILLS/DUTIES LISTED BELOW:
  • ERL Management
  • Patient Intake
  • Create Sales Orders
  • Check Patient Eligibility
  • Check Same or Similar
  • Electronic and Manual posting of ERN's\EOB's
  • Create Purchase Orders
  • Set Up Price Tables for Equipment
  • Create Items in the Price Table
  • Run Medicare Fee Schedule Updates
  • Create the Maintenance schedule for Patient's Equipment
  • Bill Primary and Secondary Claims Electronically
  • Create Audit Response
  • Re-submit Claims That Have Been Denied and Corrected
  • Run Billing Register
  • Post ERN's
  • Upload Documents to the Document Management
  • Create CMNs and Recert CMNs
  • Send Off for Prior Authorizations and Log Them
  • Run and Work Run/Stop Reports
  • Process Patient Statements
  • Add Physicians in the Database
  • Add Insurance Carriers in the Database
  • Create TASK in the System
  • Database Management
  • Billing statement review
  • OTHER SKILLS/DUTIES:
  • Customer service by coordinating with patients regarding their insurance benefits and satisfaction with their equipment
  • Vendor invoice processing
  • Management accounting
  • Automated processing
  • Signature verification
  • Invoicing processes
  • A/P and A/R expertise
  • Sheet balancing
  • Patient insurance verification, eligibility and benefits

Certification

Certified Diabetic Therapeutic Shoe Fitter

Timeline

Customer Support Specialist

Brightree
01.2022 - Current

Medical Billing and Collections Specialist

MediTrust Medical Equipment And Supply LLC
10.2000 - 08.2021

High School Diploma -

Church On The Rock Christian School

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Elizabeth Milliken