Georgia Fike
Whitehouse,TX
Summary
To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Dedicated professional with extensive experience in medical billing, provider/payer credentialing and enrollment. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Overview
14
14
years of professional experience
1
1
Certificate
Work History
Billing Manager
Terrio Therapy Fitness
Bakersfield, CA
03.2008 - 05.2022
- Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
- Orchestrated medical coding, payment posting, accounts receivables and collections.
- Identified, researched and resolved billing variances to maintain system accuracy and currency.
- Precisely evaluated and verified benefits and eligibility.
- Delivered timely and accurate charge submissions.
- Corrected, completed and processed claims for multiple payer codes.
- Posted and adjusted payments from insurance companies.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
- Evaluated patients' financial status and established appropriate payment plans.
- Prepared accounts with past due balances and transferred those cases to collection agency.
- Processed online and paper appeal submissions and refund requests.
- Provider, Payer, Facility Credentialing and Enrollment
- Performed payer enrollment ERA/EFT/EDI
- Set up new providers information CAQH and NPPES
- Recruited, interviewed, hired and trained 7 employees and implemented mentoring program to promote positive feedback and engagement.
- Trained and mentored staff on procedures, compliance requirements and collections techniques.
- Established and checked coding procedures, monitored reports and updated internal files.
Education
High School Diploma -
Foothill High School
Bakersfield, CASkills
- Excellent computer skills- Excel, Word, and Internet use
- Detail oriented with above average organizational skills
- Independent/self-reliant
- Problem Anticipation and Resolution
- Leadership
- Medical Billing and Collections
- Provider and Facility Enrollment
- EDI/EFT/ERA Enrollment
- CAQH
- NPPES
- PECOS
- PAVE
- ICD10, CPT-4, HCPCS, and MODIFIERS
Certification
Lean Six Sigma Yellow Belt
Timeline
Billing Manager
Terrio Therapy Fitness
03.2008 - 05.2022
High School Diploma -
Foothill High School
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