Georgetta Mason
Lusby,MD
Summary
I have expertise in medical coding systems (ICD-10-CM, ICD-10-PCS, HCPCS, CPT), adherence to HIPAA guidelines, and a solid understanding of healthcare processes and regulations. I have knowledge of Medical Terminology, HIM Management, and Pathopharmacology, along with proficiency in Microsoft Office (Word, Excel, and PowerPoint). Additionally, I am skilled in Data Applications for Healthcare Quality, Legal and Regulatory Issues in Health Information, Health Insurance and Reimbursement, and Health Services and Information Systems. I also possess strong critical thinking, problem-solving skills, and familiarity with computer applications for business.
Overview
20
20
years of professional experience
Work History
Accounts Receivable Specialist II
GWU Medical Faculty Associates - Savista
Arlington, VA
07.2015 - Current
- Assisted in developing policies and procedures associated with Accounts Receivable activities.
- Reconciled payments from insurance companies against expected reimbursements based on contract terms.
- Reviewed denied claims to determine the cause of denial and researched any discrepancies.
- Utilized knowledge of payer requirements to accurately identify reasons for denial or underpayment on claims submitted.
- Provided customer service support by responding promptly to inquiries from patients, providers, and insurance carriers.
- Processed appeals for underpaid claims in a timely manner.
- Reviewed medical records to ensure accuracy and completeness.
- Collected, filed, scanned, and retrieved confidential patient information.
- Conducted quality assurance audits of medical records for compliance with state regulations.
- Processed requests for copies of patient medical files within designated timeframes.
Patient Financial Rep III
Inova Healthcare Services
Falls Church, VA
10.2013 - 07.2015
- Verified patient insurance coverage and eligibility for services rendered.
- Utilized various software applications including electronic medical records, practice management systems, claims processing systems.
- Monitored aging report regularly to identify outstanding balances that require attention.
- Initiated collection efforts on past due accounts through phone calls or letters.
- Contacted insurance companies to check status of claim payments.
- Wrote appeal letters to insurance companies for denial of claims.
- Retrieved patient medical records in response to requests from authorized personnel.
- Monitored compliance with state and federal regulations regarding release of information.
Cash Posting Specialist
Anchorage Women's Clinic
Anchorage, AK
06.2004 - 10.2013
- Processed and posted payments to patient accounts in a timely manner.
- Maintained detailed records of postings, adjustments and other transactions for audit purposes.
- Performed daily reconciliation of cash postings against bank deposits.
- Reconciled unapplied payments using various sources including remittance advices, EOBs and statements.
- Assisted in training new staff members on cash posting processes and procedures.
- Processed medical records requests.
- Performed quality assurance reviews of medical records for accuracy and completeness.
- Maintained complete confidentiality in accordance with organization and legal requirements.
Education
Associate of Applied Science - Health Information Technology, GPA 3.68
DeVry University - Online
10-2024
Skills
- Billing dispute resolution
- Audit Procedures
- EPIC
- Availity
- Medicare, Medicaid, TriWest, TriCare, HMO's, Workers' Comp, VA, Managed Care, and Commerical Insurances
- Health Information Systems
- Medical Coding
- Electronic Health Records (EHR)
- Patient Billing, Collections, and Scheduling
- Communication Skills and Problem Solving
- Multi-Tasking
- Attention to Detail
- High Level of Accuracy
- Microsoft Office (Word, Excel, and PowerPoint)
Timeline
Accounts Receivable Specialist II
GWU Medical Faculty Associates - Savista
07.2015 - Current
Patient Financial Rep III
Inova Healthcare Services
10.2013 - 07.2015
Cash Posting Specialist
Anchorage Women's Clinic
06.2004 - 10.2013
Associate of Applied Science - Health Information Technology, GPA 3.68
DeVry University - Online
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