Janet Perry
Bristol,WI
Summary
Medical Billing Revenue Cycle Specialist with 20+ years of experience supporting multi-specialty practices, ABA providers, and large RCM organizations. Expert in denials management, AR follow-up, charge entry, payment posting, and client account oversight. Strong collaborator with operations and C-level leadership, consistently improving cash flow and resolving complex claim issues.
Overview
21
21
years of professional experience
Work History
FQHC ACCOUNT MANAGER
PMG/CORONIS HEALTHCARE
Pawtucket, RI
02.2023 - 01.2026
- Acted as liaison between billing 2 clients and 2 operations team, ensuring proficient information exchange.
- Verified receipt of charges and payments by data entry.
- Interfaced daily with internal departments and billing clients regarding operational issues.
- Managed client inquiries, reporting requests, and reviewed patient accounts.
- Escalated recurring operational issues to supervisors.
- Monitored charges and payments, maintaining client communication and training.
- Oversaw denied claims, seeking trends and solutions.
- Maintained conference call logs and addressed unresolved operational issues.
- Worked with teams to meet monthly closing goals.
- Prepared month-end reports and analyzed accounts receivable factors.
- Participated in monthly revenue cycle meetings and follow-up.
- Assisted in preparing monthly presentations and new hire training.
- Supervised operations, account associates, and support staff.
BILLING SPECIALIST II
PMG/CORONIS HEALTHCARE
Pawtucket, RI
10.2020 - 02.2023
- Resolved charge processing issues through charge exceptions.
- Managed claim validations and rejections.
- Addressed payment issues, including missing EOBs and deposits.
- Maintained multiple payer portal accesses.
- Ensured turnaround times were met.
- Resolved escalated issues.
- Balanced deposit logs and assisted with month-end reporting.
- Contributed to process improvements and maintained operational rulebooks.
ABA BILLING SPECIALIST
SONNENBERG CONSULTANTS
Pleasant Prairie, WI
02.2018 - 07.2020
- Managed all client and insurance billing.
- Filed insurance claims and submitted secondary claims.
- Applied correct modifiers for proper payment.
- Followed up on claim rejections and submitted appeals.
- Managed revenue cycle workflows, including unpaid claims and aging reports.
- Ensured HIPAA compliance.
- Set up CPT codes for accurate billing.
- Used Central Reach billing software.
- Reconciled payments and managed collections.
- Prepared and sent monthly invoices.
- Verified insurance eligibility and benefits.
- Assisted with prior authorizations and credentialing.
MEDICAL BILLING SPECIALIST
MEDCLAIMS STAT
Spring Grove, IL
08.2004 - 02.2018
- Provided billing services for various specialties including Internal Medicine, Pulmonology, Neurology, Infectious Disease, and Pediatric Neurology.
- Set up new patient accounts.
- Entered charges for office, outpatient, inpatient, nursing home, and home health.
- Applied modifiers for proper payment.
- Ensured ICD-10 and CPT-4 code accuracy.
- Submitted claims within 48 hours.
- Reconciled payments and managed secondary claims.
- Followed up on rejections and unpaid claims.
- Provided excellent customer service for patient inquiries.
- Maintained HIPAA compliance.
- Managed billing issues using Emdeon, Eclinical Works, Kareo.
- Completed physician re-credentialing forms.
Education
Diploma -
ZION BENTON HIGH SCHOOL
Zion, IL06.1985
Skills
- ICD-9, ICD-10, CPT-4 & Medical Terminology (Advanced)
- Rules and guidelines for billing Medicare, MMAI, MCOs, Medicaid-MCOs, ICP, FHP, Workers Comp, Commercial insurance (Advanced)
- Practice Management Software including claim entry and payment posting (Advanced)
- Excellent Interpersonal Skills (Advanced)
- Professional Phone Skills (Advanced), Insurance and patient aging (Advanced)
- HIPAA Compliance (Advanced)
- Organization Skills (Advanced), Online Claim Submission and ERA (Advanced)
- Proficient in Microsoft Office 365, Quickbooks, Google Sheets, WebEx, Zoom, Google Meet, Microsoft Teams (Advanced)
- Medical Billing Software: Medisoft, eClinical Works, Kareo, Practice Fusion, Emdeon Vision Suite, Availity, NGS Connex, HFS Medi System, Central Reach, NextGen (Advanced)
Accomplishments
- Used Microsoft Excel to develop AR tracking and workflow spreadsheets to bring AR totals and DAR down.
- Achieved 98% clean claim rate through effectively helping with clearinghouse rejections by building rules for my charges team to follow.
- Resolved ongoing claim denials through research and data review with insurance payers.
- Worked with the clients Credentialing Specialist to document and resolve Medicaid Affiliation issues which led to denied claims being paid.
- Successfully transitioned two clients to new billing teams simultainously.
Timeline
FQHC ACCOUNT MANAGER
PMG/CORONIS HEALTHCARE
02.2023 - 01.2026
BILLING SPECIALIST II
PMG/CORONIS HEALTHCARE
10.2020 - 02.2023
ABA BILLING SPECIALIST
SONNENBERG CONSULTANTS
02.2018 - 07.2020
MEDICAL BILLING SPECIALIST
MEDCLAIMS STAT
08.2004 - 02.2018
Diploma -
ZION BENTON HIGH SCHOOL