Erica Maxwell
Georgetown,LA
Summary
Dynamic Billing Manager with 5 years expertise in insurance verification and claims resolution. Proven track record in enhancing reimbursement rates through effective coordination with insurance providers. Proficient in ABA-specific coding and adept at maintaining compliance, while demonstrating strong communication skills and attention to detail.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Billing Manager
ShineThru ABA Therapy, LLC
04.2020 - Current
- Oversee insurance claim submissions for ABA therapy services, ensuring accuracy and compliance with payer guidelines.
- Managed benefits verification and authorization processes, including initial assessments and ongoing treatment approvals.
- Coordinating with insurance providers to resolve claim denials, underpayments, and eligibility issues, improving reimbursement rates.
- Collaborated with insurance carriers during external audits, providing documentation and resolving discrepancies to maintain reimbursement integrity
- Maintaining up-to-date knowledge of Medicaid, commercial payer policies, and ABA-specific billing regulations
- Manage provider credentialing and re-credentialing processes for BCBA's across multiple payer networks.
Front Desk Clerk
Lasalle Immigration Court
09.2019 - 04.2020
- Answered telephone calls, took messages and transferred calls to appropriate colleagues.
- Responded to in-person and telephone requests for information from general public, attorneys and other involved parties.
- Provided clerical support to company employees by copying, faxing, and filing documents.
- Maintained confidentiality of information regarding clients and company.
Family Leave
Due to Pregnacy
09.2018 - 09.2019
- Took time away from working due to being in and out of the hospital during my pregnancy. After having my baby I decided to stay home for a while.
Bookkeeper
Honeycutt Pharmacy
08.2017 - 09.2018
- Performed general bookkeeping services
- Maintained and processed invoices, deposits, and money logs.
- Reviewed and filed financial documents, coded accounting entries for data processing, and posted daily receipts and payments in accordance with all corporate protocols.
- Reconciled and corrected issues with financial records.
Bookkeeper
Town and Country
09.2014 - 08.2017
- Completed payroll for employees and maintained detailed records of procedures.
- Posted daily receipts and payments in accordance with corporate protocols.
- Streamlined daily reporting information entry for efficient record keeping purposes.
- Maintained account accuracy by reviewing and reconciling checks monthly.
- Reconcile daily summaries of transactions to balance books.
Education
Certificate of Technical Studies - Medical Coding Specialist
Louisiana Delta Community College
Monroe, LA08-2018
High School Diploma -
Rayville High School
Rayville, LA05.2012
Skills
- Insurance verification and authorization management
- Claims submission and denial resolution
- ABA-specific CPT code proficiency as well as ICD-10-CM, CPT , and HCPCS Level II coding proficiency
- ABA Therapy billing software expertise (Accupoint, Catalyst and Ensora Health)
- Skilled in Microsoft Office (word, excel, powerpoint)
Certification
- Certified Professional Biller, Received through AAPC (American Academy of Professional Coders) in October 2023. I have to obtain a yearly membership and CEU's quarterly.
- Behavioral Health Coding Course - February 2023
- AI in Medical Billing and Coding Course- June 2023
Timeline
Billing Manager
ShineThru ABA Therapy, LLC
04.2020 - Current
Front Desk Clerk
Lasalle Immigration Court
09.2019 - 04.2020
Family Leave
Due to Pregnacy
09.2018 - 09.2019
Bookkeeper
Honeycutt Pharmacy
08.2017 - 09.2018
Bookkeeper
Town and Country
09.2014 - 08.2017
Certificate of Technical Studies - Medical Coding Specialist
Louisiana Delta Community College
High School Diploma -
Rayville High School
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