Julie Murray
El Dorado Hills,CA
Summary
Highly-motivated Supervisor with strong work ethic, adaptability, and exceptional interpersonal skills. Adept at quickly mastering new skills. Organized and eager to utilize time management and organizational skills across diverse settings.
Overview
11
11
years of professional experience
Work History
Revenue Cycle Supervisor
Kids Care Dental & Orthodontics
07.2021 - Current
- Initial billing of claims after services are rendered to ensure that insurance carriers have received claims in a timely manner.
- Monitor daily rejection reports and resubmit corrected claims as needed.
- Manage aging insurance claims, including sending out appeal letters, writing narratives, creating x-ray attachments, accessing payer websites, working with front office staff, and third-party entities to resolve outstanding insurance issues.
- Audit account balances/credits: verify payments applied to services rendered, along with any necessary adjustments.
- Respond timely to patient inquiries, emails, and phone messages, as appropriate.
- Assist manager on special projects and/or assignments.
- Work closely with Oral Surgery Manager & Surgery Center Manager with any special projects or help with auditing claims, looking into denials, sending corrected claims with X-rays and/or clinical notes
- Orthodontic Billing, provider change requests, auditing accounts, calling insurance for payment.
Billing Operations Specialist
Health Net
10.2020 - 05.2021
- Reconcile member accounts, link incoming payments to correct member's account
- Meet production goal of linking payments daily and quality standards of over 100%.
Optometry Billing Representative/Patient Services
Livermore Optometry Group
04.2013 - 06.2020
- Post insurance payments, investigating under payments to ensure adequate reimbursement for services rendered
- Audit medical billing claims, verifying accuracy, obtaining data for pre-authorization and referrals, and appealing incorrect payments for maximum reimbursement
- Appeal claims denials through coding corrections or formal appeal procedures, securing appropriate payment for all claims
- Authenticate claims prior to submission, adjusting coding as necessary after cross-referencing following insurance audits
- Verify insurance and obtain updates from insurance companies on claim status, reducing revenue cycle delays (Tricare, Anthem, Blue Shield etc.)
- Coordinate provider credentialing, allowing for in-network payment arrangements for providers within the organization (Tricare, Medicare, Blue Shield, etc.)
- Submit paper and electronic claims, avoiding timely filing limits.
- Entered data accurately and efficiently to ensure prompt payment processing
- Enter patient demographic information into the software database accurately and efficiently.
- Developed strategies for improving the efficiency of the company's billing process.
Education
AAPC
AAPC
AAPC
Medical Insurance Billing and Coding -
Heald College
Skills
- CPT
- ICD-10-CM
- HCPCs
- Medical Terminology
- Anatomy
- Physiology
- Microsoft Office Suite
- HIPAA Policies
- Insurance Verification
- Payment Posting
- Provider Credentialing
- Denial Resolution
Affiliations
American Academy of Professional Coders (AAPC), Member in good standing
Certified Professional Coder (CPC)
Billing expertise
- Delta Dental
- MetLife Dental
- Various Dental Plans
- Tricare
- Medicare
- Commercial Insurance's
- Medical Eye Services
- Superior Vision Insurance
- Vision Service Plan
- March Vision
- VSP Medicaid
- Straight Medi-Cal
- Diabetic Eyecare Plus
- Primary Eyecare
- Worker's Compensation
- Medically Necessary Contact Lenses
- Post Cataract
- EyeMed
Timeline
Revenue Cycle Supervisor
Kids Care Dental & Orthodontics
07.2021 - Current
Billing Operations Specialist
Health Net
10.2020 - 05.2021
Optometry Billing Representative/Patient Services
Livermore Optometry Group
04.2013 - 06.2020
AAPC
AAPC
AAPC
Medical Insurance Billing and Coding -
Heald College
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