Erica Zoumbaris
Redford,Michigan
Summary
Dedicated and detail-oriented Medical Billing Specialist with 30 years of experience in physician billing and coding, and revenue cycle management. Skilled in processing claims, managing denials and ensuring compliance with insurance regulations and healthcare guidelines.
Proven track record of improving collections and streamlining billing processes and supporting physicians and staff with accurate,timely reimbursement.
Strong communicator with expertise in patient account manaement.
Commintted to accuracy,efficiency and providing outstanding support in all aspects of medical billing.
Overview
26
26
years of professional experience
Work History
Medical Billing Specialist
Ears, Nose, and Throat Consultants
10.2018 - 09.2025
- Doing the billing for the office and hospital billing and surgeries also posting and sending claims daily.
- Working all front end edits and patient AR and collections for patient accounts.
- Use all insurance company websites to do claim status, and printing checks and posting all checks.
- Follow up and appeals are done on a weekly basis due to CPT codes that are not paid in office setting that should be.
Medical Billing Specialist
Millennium Medical Group
08.2013 - 10.2018
- Medical Billing for Family Practice, Nursing Home billing, and All hospital charges from three different hospitals that are Physicians were on call at.
- 8 physicians in our office.
- Posting and working the rejections for all data that I put in.
- Fixing errors when insurance was not in correct.
- I worked on Epic, I-doc, and Open Pm.
Medical Billing/Coding
Midwest Cardiology Associates, P.C.
02.2009 - 08.2013
- Retrieved all physician/hospital medical billing and all testing/surgical billing then organized, coded (utilizing ICD-9/CPT books), and entered all billing into Practice Partner (McKesson).
- Transmitted all claims from prior work day, confirmed that all claims had been filed, and changed posting date to start for the current work day.
- Worked online/telephone with major insurance companies to collect/retain information needed and printed all information regarding claims such as 'Explanation of Benefits', checks, and authorization numbers.
- Obtained requested information through the Garden City Hospital DOC system and Oakwood Net System in order to follow up on existing claims and rejection of claims.
- Checked if patients were In-Patient or Out Patient with Admit Dates and obtained medical records if necessary.
- Miscellaneous responsibilities include certifying physicians using the CAQH website and all patient collection duties such as creating/sending pre-collection letters and personally contacting patients to set up a payment plan before transferring their account to an outside collection agency.
- Responsible for automatic deposits, printing off automatically deposited checks, posting/daily maintenance of patient payments, patient credit card phone payments, credit card machine input and handling patient receipt requests.
- Balanced existing office/'posted' money and deposited it into business bank account on daily basis then prepared monthly reports (charges and collection ratios) for each of the physicians.
Amerigard Development Corporation
03.2001 - 02.2009
- Daily responsibilities included handling/inputting daily charges using the Misys System for two Family Practice clinics & four OBGYN clinics with maintenance/follow up on each account and all duties pertaining to the collection of patient payments.
Front desk medical receptionist
Business Health Services
03.2000 - 03.2001
- Responsible for charge entry department (inputting Workers' Comp. and physical therapy billing into Systoc software program) and new employee training that included duties such as customer service and scheduling appointments for physical therapy patients or patients with Workers' Comp injuries.
Education
Medical Assistant Certification -
Bentley Continuing Education
Livonia, MIIntroduction to Computers -
Bentley Continuing Education
Livonia, MIHigh School Diploma -
Churchill High School
Livonia, MISkills
- Practice Partner (McKesson)
- Medic System
- Systoc System
- MS DOS
- Lotus 123
- Garden City Hospital I DOC system
- Oakwood Net System
- Misys System
- Microsoft Office Professional
- Claim Cycle/Collection Strategies
- Explanation of Benefits/EOB
- Managed Care/PPO/HMO
- ICD-10 (Diagnostic)
- CPT (Procedural)
- HCPS/Hospital Diagnostic Coding
- Utilizing ICD-10-CM Code Book
- Medical coding Surgical sinus and billing for ENT Specialist
- Revenue cycle management Follow up on all unpaid insurance claims and Front end edits
- Epic (hospital with Beaumont)
- Open Practice Partner
Timeline
Medical Billing Specialist
Ears, Nose, and Throat Consultants
10.2018 - 09.2025
Medical Billing Specialist
Millennium Medical Group
08.2013 - 10.2018
Medical Billing/Coding
Midwest Cardiology Associates, P.C.
02.2009 - 08.2013
Amerigard Development Corporation
03.2001 - 02.2009
Front desk medical receptionist
Business Health Services
03.2000 - 03.2001
Introduction to Computers -
Bentley Continuing Education
High School Diploma -
Churchill High School
Medical Assistant Certification -
Bentley Continuing Education
References
- Darla Parsons, 313-683-0304
- Cathy Payton, 248-835-7510
- Tressa Pitera, 313-522-8928
Skills
Practice Partner (McKesson), Medic System, Systoc System, MS DOS, Lotus 123, Garden City Hospital I DOC system, Oakwood Net System, Misys System, Microsoft Office Professional Suite 2013, Claim Cycle/Collection Strategies, Explanation of Benefits/EOB, Managed Care/PPO/HMO, ICD-10(Diagnostic)/CPT (Procedural), HCPS/Hospital Diagnostic Coding, Utilizing ICD-10-CM Code Book and CPT Book.
Personal Information
Profile
Certified Medical Assistant, knowledgeable, ethics and professionalism., Able to remain/retain professional composure at all times even under pressure., Ability to form solid professional relationships. Models ideal employee behavior consistently in order to be an active role model for new/existing co-workers. Unwavering willingness to take on responsibilities and challenges., Competent/experienced in many present medical billing/coding systems. Able to transition easily to new systems.
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