Knowledgeable about preparing invoices, processing payments and pursuing past-due balances. Well-versed in accurately coding different types of bills for clear recordkeeping and tracking. Team-oriented, dependable and performance-driven.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Billing Specialist
Ochin
04.2022 - Current
Analyzing all billing procedures and identifying opportunities for improvement
Ensuring clients' billing accounts are set up correctly and according to their requirements
Preparing reports and meeting billing deadlines
Accurately bill Medicare, Medicaid, self-pay/uninsured, and commercial insurance, processing claims in accordance with payer requirements and organization policy
Thoroughly research and resolve credit balances
Participates in Quality Control measurement and follow-up
Conducts special projects and special studies to facilitate revenue management as required for system conversions, new facilities/acquisitions, new departments, new service lines, changes in regulations, legal reviews, etc
Audited and corrected billing and posting documents for accuracy.
Handled account payments and provided information regarding outstanding balances. Post patient payments, electronic remits, and paper explanation of benefits (EOBs)
Collections Specialist II
VIEMED
04.2021 - 04.2022
Work back collectors aging bucket
Work claim denials
Accurately bill Medicare, Medicaid, self-pay/uninsured, and commercial insurance, processing claims in accordance with payer requirements and organization policy
Assist with the collection of receivables by monitoring accounts receivables, checking claim status and resubmitting claims of overdue accounts, filing corrected claims or appeals and alerting supervisor of seriously overdue accounts and trends
Post patient payments, electronic remits, and paper explanation of benefits (EOBs)
Correct claim and charge errors
Thoroughly research and resolve credit balances
Working knowledge of CPT and ICD9 codes, HCFA 1500, UB04 claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits
Efficient knowledge of policies and procedures to accurately answer questions from internal and external customers.
Processed billing calls and answered questions from patients and third-party carriers.
Processed online and paper appeal submissions and refund requests.
Government Audit Coordinator
LHC Group
05.2018 - 04.2021
Preparing correspondence to request overdue payment from audit agencies
Monitoring Audit Database for expected payments and adjustments
Coordinating between two CMS and Client audit support teams
Monitoring team inbox(es) to ensure proper attention and escalation
Performing quality assurance checks on CMS audit universes
Preparing monthly and quarterly reporting for leadership
Working with internal business partners
Developing a consistent audit process to ensure all outside audits are effectively managed
Creating and maintaining audit documentation
Assisting in various special projects as directed by the Manager of Government Programs Audit Support
Entering PCR decisions for RCD and cancelling LUPAs in the Audit Tool
Entering decisions in HCHB(Home Care Home Base) and researching billing issues
Assisting the VP and Director with research projects to assist legal team in recovering claims/payments
Regularly reviewing reports to ensure Nurse Practitioners are entering their own orders
Creating Appeals in response to wrongfully denied claims
Submitting requested information from Administrative Judges offices in regards to Medical Hearings.
Reviews collected information for trends and consistency, making notation of unusual patterns or quality variations
Researches legal mandates, policies, best practices, regulations, labor contracts, previous audit reports, and other materials relevant to the audit or special study
Provides administrative support to audits, consulting engagements, and other projects
Tracks hours worked, assists in preparing work-in-progress reports, sets up business calendars and cycles, then monitors key deadlines and/or time lines for projects, and work activities
Conducted financial, operational and compliance audits.
Analyzed trends in financial data to investigate fluctuations.
Administrative Assistant
University Hospital and Clinics
01.2016 - 05.2018
Researching, compiles and organizing information for use in the completion of reports and/or special projects
Attending and coordinating Interdisciplinary Rounding
Organizing and extracting clinical data for review by doctors and staff
Assist in the planning and preparation of meetings, classes and conference calls, to include: securing room reservation, sending meeting invitations and correspondence to participants, coordinating meals, supplies, and technology
Answered incoming calls, routed messages and resolved patient inquiries within target timeframes.
Maintained and updated patient records for accurate, current medical histories.
Serves as liaison between director and department managers, personally transmitting messages, requests and instructions as appropriate
Attends and records minutes of meetings, in addition to handling catering and housekeeping arrangements
Compiles all material required for distribution, including preparation of agenda and various reports
Prepare invoices from various vendors for approval
Simultaneously coordinating departmental meetings that occur at close intervals
Updating and editing policies and setting up approval groups in Policy Manager
Requesting reports on the Intranet and retrieving them out of HBI.
Administrative Coordinator III
South Louisiana Community College
12.2014 - 01.2016
Reviews, verifies, and assesses applications and support documents in accordance with established guidelines to determine financial aid eligibility
Interacts with students and/or families to follow up on missing or deficient information; relays and discusses status of application
Provides information to students and families regarding the options for obtaining financial aid, the process for requesting aid, and the eligibility requirements for receiving and maintaining aid
Maintains financial aid activity database, and prepares routine statistical reports and correspondence; sets up files on aid claimants, and maintains demographic data, as appropriate
Processes and accounts for loans, tribal checks, promissory notes, and/or other types of financial assistance; monitors expenditure to budget and, as appropriate, reconciles ledgers
Reviews checks and promissory notes with respect to current eligibility of intended aid recipient; returns ineligible checks to awarding agencies; returns non-valid promissory notes to students
Communications Deputy
St. Landry Sheriff Dept
09.2013 - 12.2014
Receives emergency calls
Asks caller to describe the nature of the emergency and asks follow up questions as necessary
Takes down location and personal information of the caller
Dispatches available emergency units to the proper location
Maintains logs of all calls and dispatched units
Enters call information and records into database
Prioritizes simultaneous emergency scenarios
Stays up to date on location and activity of emergency units in the area
Monitors activity of emergency vehicles and on-duty personnel during shift
Advises callers on how to handle non-emergency situation, and transfers callers to proper department
Submits call logs and caller information to law enforcement and legal officials when necessary
Reports any fraudulent or prank emergency calls to supervisor
Demonstrates knowledge of police codes and law enforcement terminology
Possesses knowledge of the function and types of police radio frequencies
Is capable of determining which emergency situations require the most immediate attention
Possesses mental and emotional strength necessary to deal with stressful situations for long period of time
Is capable of articulating instructions clearly in writing and speech.
Clerk II
City of Opelousas
10.2012 - 09.2013
Record information from meetings or other formal proceedings
Accept payments for taxes, utilities, and fines.
Generate work orders to start, stop, or transfer utility services
Distribute materials to employees or customers
Issue public notification of all official activities or meetings
Prepare documentation for contracts, transactions, or regulatory compliance
Record and maintain all vital and fiscal records and accounts
Prepare meeting agendas or packets of related information
Prepare informational or reference materials
Participate in the administration of municipal elections, such as preparation or distribution of ballots, appointment or training of election officers, or tabulation or certification of results
Provided quality clerical support through data entry, document management, email correspondence, and overseeing operation of office equipment.
Interacted with customers by phone, email, or in-person to provide information.
Prepare ordinances, resolutions, or proclamations so that they can be executed, recorded, archived, or distributed
Maintain and update documents, such as municipal codes or city charters
Casino Cage Cashier
Evangeline Downs Casino-Bank
09.2011 - 08.2012
Experience in opening customer accounts and viewing and assessment of problems associated with deposits
Enforced company standard operating procedures, gaming regulations and Title 31 compliance.
Trained, mentored, and developed new cashiers with positive and encouraging techniques to maximize performance and team contributions.
Handled money, ticket and chips exchanges for customers.
Reported and filed paperwork for casino transactions, noted and investigated discrepancies and reported on notable incidents.
Another duty carried out was the handling of markers (loans from the casino to known customers).
Quickly and accurately counted drawers at start and end of each shift.
Processed various cash transactions and answered gaming customer questions.
Education
Bachelor's - International Business and Economics
Fort Hays State University
Hays, KS
05.2019
Certification of Studies - Medical Office Technology
Louisiana Technical College
Ville Platte, LA
01.2011
Technical Diploma - Business Office Technology
Charles B. Coreil Technical College
Ville Platte, LA
01.2011
Technical Diploma - Accounting Technology
Louisiana Technical College-Charles B Coreil Campus
Ville Platte, LA
01.2010
High School Diploma - General Business Studies
Ville Platte High School
Ville Platte, LA
01.2008
Skills
Microsoft Office
Auditing
Financial Analysis
Documentation
Data Entry
Research
Pivot Tables
Excel
Reporting
Claims Processing
Database Management
Tax Preparation
Internal Audit
Microsoft Excel
Microsoft Word
Accounting
Adobe Acrobat
Microsoft Powerpoint
Financial Report Writing
Bookkeeping
Account Reconciliation
General Ledger Accounting
Legal Research
Accounts Payable
Order Entry
GAAP
Accounts receivable
Dispute Negotiation
Year-End Reporting
Customer Contact
Order entry
Quality assurance
Invoice Processing
Payment Posting
Billing Systems and Software
Certification
Driver's License
Personal Information
Work Permit: Authorized to work in the US for any employer
Timeline
Billing Specialist
Ochin
04.2022 - Current
Collections Specialist II
VIEMED
04.2021 - 04.2022
Government Audit Coordinator
LHC Group
05.2018 - 04.2021
Administrative Assistant
University Hospital and Clinics
01.2016 - 05.2018
Administrative Coordinator III
South Louisiana Community College
12.2014 - 01.2016
Communications Deputy
St. Landry Sheriff Dept
09.2013 - 12.2014
Clerk II
City of Opelousas
10.2012 - 09.2013
Casino Cage Cashier
Evangeline Downs Casino-Bank
09.2011 - 08.2012
Bachelor's - International Business and Economics
Fort Hays State University
Certification of Studies - Medical Office Technology
Louisiana Technical College
Technical Diploma - Business Office Technology
Charles B. Coreil Technical College
Technical Diploma - Accounting Technology
Louisiana Technical College-Charles B Coreil Campus