Work Preference
Summary
Overview
Work History
Education
Skills
Work Availability
Cellular
Timeline
BusinessAnalyst
Julie Anne Lowder

Julie Anne Lowder

Sumter,SC

Work Preference

Work Type

Full Time

Location Preference

Remote

Important To Me

Work-life balanceHealthcare benefitsWork from home optionCompany CultureFlexible work hours

Summary

Billing professional prepared for role with solid history of managing billing processes and improving financial operations. Adept at streamlining workflows and resolving discrepancies to optimize revenue. Known for collaboration and reliability, with focus on achieving team goals and adapting to changing needs.

Overview

18
18
years of professional experience

Work History

Sr. Billing Specialist

City of Sumter Utility Billing
01.2019 - Current
  • Provide assistance to customers in person, by telephone and internet
  • Assistance to customers includes establishing new utility accounts; terminating existing accounts; accepting payments by check, cash or credit card; setting up bank drafts and recurring, and updating customer account information
  • Provide information regarding billing, fee structures, delinquencies and account status
  • Respond to customer complaints, perform research and analyze account data to provide resolutions
  • Correspond and communicate information to customers by way of letter, fax, phone or email concerning account issues including but not limited to resolving billing errors, processing new applications, bank drafting, recurring debit/credit card processing, and general information concerning the City's water & sewer policies and procedures
  • Determine eligibility of adjustments to customers' accounts due to leaks, pool fills, misapplied payments, and meter reading/billing errors
  • Process adjustments for pool fills and meter damages
  • Generate service orders for new service, terminations, repairs, check for leaks, and meter profiles
  • Once service orders are returned, process the information retrieved for actions that need to occur, and close the service orders and files accordingly
  • Communicate and work closely with meter staff
  • Relay services to be performed in the field and process the information accordingly
  • Process nightly utility updates including billing and no-billing updates; delinquent notices for general notifications; cut-off and re-check lists and apply associated fees
  • Complete the download and upload process for meter reading and billing; generate and review exception reports and initiate final bills and cycle bills
  • Provide back up to the Utility Billings Supervisor when out of the office
  • Perform data entry, filing, copying, scanning, faxing and emailing
  • Contact with customers regarding high water consumption; monitor and complete all utility billing processes
  • Review and process rejected bank draft and recurring credit/debit card payments

Billing/Collections Specialist

Sumter Orthopaedic Associates (Merged With TMP)
08.2014 - 10.2017
  • Process all paper and electronic claims for all contracted insurance carriers
  • Posts all mailed-in and electronic payments for all contracted insurance carriers by line item to include all adjustments, withholds, and transfer deductibles and co-insurance to patient responsibility
  • Submit balanced payment batch report for all payments posted in the computer system daily
  • Complete all follow-up on rejected claims from insurance carriers to include a well-documented appeals process to ensure proper payment in accordance with contractual amounts
  • Process requests for refunds and submit to Practice Manager for approval
  • Establish payment plans within approved guidelines to ensure 100% collection on all accounts that are accounts receivable or bad debt
  • Responsible for maintaining the collection module for bad debt in the computer system and recommending accounts to go to an outside collection agency
  • Ensure Billing and Collections staff are completing payment posting, account follow-up, and other daily duties timely and accurately
  • Maintain practice fee-schedule as well as CPT, ICD-9 (ICD-10), adjustment, payment, and payor files in the computer system
  • Conduct detailed review of Explanation of Benefits from commercial and managed care payers quarterly and present results to Practice Manager
  • Meet with Practice Manager monthly to analyze accounts receivable reports, days in receivable, and collection statistics by payor
  • Assist in month end processes
  • Maintain detailed knowledge of practice management system and all other computer software as it relates to job functions

Billing and Coding Specialist

Tuomey Medical Professional(TMP)
10.2007 - 08.2014
  • Complete all follow-up on rejected claims from insurance carriers to include a well-documented appeals process to ensure proper payment in accordance with contractual amounts
  • Process all paper and electronic claims for all contracted insurance carriers
  • Process requests for refunds and submit to Practice Manager for approval
  • Establish payment plans within approved guidelines to ensure 100% collection on all accounts that are accounts receivable or bad debt
  • Conduct detailed review of Explanation of Benefits from commercial and managed care payers quarterly and present results to Manager
  • Responsible for maintaining the collection module for bad debt in the computer system and recommending accounts to go to an outside collection agency
  • Maintain practice fee-schedule as well as CPT, ICD-9 (ICD-10), adjustment, payment, and payor files in the computer system
  • Maintain detailed knowledge of practice management system and all other computer software as it relates to job functions
  • Assist in month end processes
  • Meet with Practice Manager monthly to analyze accounts receivable reports, days in receivable, and collection statistics by payor

Education

University of South Carolina

CPC -

AAPC
03.2009

Diploma -

Bedford High School
06.1989

Skills

  • Knowledge of HIPAA Standards
  • Ensuring Patient Privacy
  • Performance Evaluation
  • Accounts Receivable Management
  • Accurate data entry
  • Verbal communication
  • Professionalism and ethics
  • Payment processing
  • Strong analytical mind
  • Denial management
  • Software applications
  • Medical billing
  • Efficient time management

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Cellular

(803) 464-8432

Timeline

Sr. Billing Specialist

City of Sumter Utility Billing
01.2019 - Current

Billing/Collections Specialist

Sumter Orthopaedic Associates (Merged With TMP)
08.2014 - 10.2017

Billing and Coding Specialist

Tuomey Medical Professional(TMP)
10.2007 - 08.2014

Diploma -

Bedford High School

University of South Carolina

CPC -

AAPC