Well-versed in Medical Business Office products and services. Highly-enthusiastic with 18 years of client interface experience. Skilled in both individual and team roles, with knowledge in training and mentoring new staff on company objectives.
Overview
19
19
years of professional experience
Work History
Commercial Post Payment Analyst
Northside Hospital Atlanta
Atlanta, GA
09.2020 - Current
Reviews and notates the correct contract corresponding to the account EOB review.
Accurately notes EOB review on the account in STAR Financials.
Document clear notes and provide detailed information for the appeal process: contract date, expected reimbursement, received reimbursement, outstanding/underpaid amount.
Appropriately refers accounts to other departments.
Meet department quota of 75 accounts a day.
Notify supervisor when payer's reimbursement is consistently not paid according to contract terms.
Accurately applies adjustments to accounts.
Reviews commercial EOBs, electronic remits, and exception reports while maintaining production requirements.
Performs other duties as assigned.
Verifies and changes the financial class, and places monies in the correct bucket for account follow-up.
Completes referrals received from other departments within 72 hours.
Billing Clerk
Northside Hospital Atlanta
Atlanta, Georgia
09.2013 - 09.2020
Prepare standardized, uniform, or customized claims forms to all commercial and managed care carriers in a timely manner.
Maintains current status in billing daily downloads, as well as completing referrals and returned claims within the required timeframe.
Maintains current working knowledge of universal billing regulations and requirements, as well as individual Northside Hospital procedures.
Work with all other departments through Billing Supervisor or Lead Biller to resolve billing, system, or administrative problems.
Meet department quota of 65 accounts a day.
Prepares daily, weekly, and monthly production reports by the required deadline.
Mails necessary forms to third-party payors in a timely manner.
Takes the initiative to solve problems and inquires about individual accounts, referring serious problems to the Lead Biller or Supervisor.