Julie Skelly
Biller II Representative
Belleville,MI
Summary
Detail-oriented professional with focus on deadlines and skilled in handling medical billing without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information. Previously held this position until May of 2022 when the department was reorganized and had enjoyed the complexity of the job and the research involved as well and working with other billers there. Enjoys helping and training others.
Overview
39
39
years of professional experience
3
3
years of post-secondary education
Work History
Medical Biller II Representative - Medicare
Trinity Health
Farmington Hills, MI
05.2019 - Current
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
- Adhered to established standards to safeguard patients' health information.
- Billed both facility and facility-based professional services.
- Trained other employees in billing facility-based professional services.
- Created Job Aids for employees.
- Trained new employees on billing system.
- Worked to decrease Accounts Receivable Days.
- Worked to decrease Candidate for Billing days.
- Handled special projects.
Medicare Biller
Trinity Health
Farmington Hills, MI
01.2018 - 05.2019
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
- Adhered to established standards to safeguard patients' health information.
- Billed both facility and facility-based professional services.
- Trained other employees in billing facility-based professional services.
Claims Processing Representative
St Joseph Mercy Health System
Ann Arbor, MI
09.1993 - 12.2017
- Performed facility-based professional billing for Medicare.
- Trained other employees professional billing.
- Increased experience to also bill facility services to Medicare.
- Served as liaison between Billing and Geriatrics departments.
- Represented St. Joseph Mercy Health System at quarterly Medicare P.E.T. meetings.
- Helped Team decrease Accounts Receivable Days
Medical Biller
Mercy Hospitals And Health Services Of Detroit
Detroit, MI
05.1991 - 09.1993
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Reviewed patient records, identified medical codes and created invoices for billing purposes.
- Adhered to established standards to safeguard patients' health information.
- Orchestrated medical coding, payment posting, accounts receivables and collections.
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
- Worked with following payers: Medicare, Medicaid, HMO's, Blue Cross, Commercial carriers, Auto carriers, and Ontario, Canada provincial insurance (OHIP).
- Prepared accounts with past due balances and transferred those cases to collection agency
Medical Biller
Mount Carmel Mercy Hospital
Detroit, MI
02.1990 - 05.1991
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Adhered to established standards to safeguard patients' health information.
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
- Billed multiple insurances, for both facility and facility-based professional services.
Customer Service Representative
Mount Carmel Mercy Hospital
Detroit, MI
10.1988 - 02.1990
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
- Provided primary customer support to internal and external customers.
- Offered advice and assistance to customers, paying attention to special needs or wants.
- Answered customer telephone calls promptly to avoid on-hold wait times.
- Updated account information to maintain customer records.
- Reviewed accounts and worked with billers, customers, and insurance representatives to resolve underlying billing issues.
Phlebotomist
Mount Carmel Mercy Hospital
Detroit, MI
09.1983 - 10.1988
- Followed established guidelines for reporting significant medical errors or unanticipated outcome in patient care.
- Used personal protective equipment correctly to protect coworkers and patients.
- Completed proper sanitation and cleaning of equipment and work areas between patients.
- Monitored patients for reactions and verified sample quality.
- Stocked phlebotomy cart or carrier with appropriate supplies.
- Organized daily work based on collection priority.
- Conducted venipuncture and other CT procedures.
- Tracked collected specimens by initialing, dating and noting times of collection.
- Collected blood samples using vacutainer tubes, tourniquets, syringes, butterfly needles and straight needles.
- Validated blood and specimen collection orders, alerting nurses or physicians of discrepancies between order and nursing station logs.
- Drew blood from veins by vacuum tube, syringe or butterfly venipuncture methods.
- Assembled tourniquets, needles and blood collection devices to prepare work trays.
- Protected patients by following infection control, sharps disposal and biohazardous waste disposal procedures.
- Spoke with patient to gather information for lab records, reduce fear or anxiety and optimize cooperation.
- Obtained blood specimens by performing venipunctures and finger sticks up to 80 times per day.
Education
High School Diploma -
Franklin High School
Livonia, MI 09.1979 - 06.1982
Skills
Medicare Billing knowledge
Accounts receivable management
Medical record security
Proficiency in EPIC, HealthQuest, Florida Shared System, NGS Connex, WPS Portal, MS Word, MS Excel, MS Outlook, MS Teams
Medicare and Medicaid process
Medical claims submission
Medical terminology expert
Records Maintenance
Patient account analysis
Gaming, crochet, reading
I like simulation games such as Animal Crossing and Stardew Valley that focus on planning and dedication. I love to crochet to relax and gift to others, currently learning Tunisian Crochet. I also enjoy reading to relax, primarily mysteries, science fiction, and fantasy.
Timeline
Medical Biller II Representative - Medicare
Trinity Health
05.2019 - Current
Medicare Biller
Trinity Health
01.2018 - 05.2019
Claims Processing Representative
St Joseph Mercy Health System
09.1993 - 12.2017
Medical Biller
Mercy Hospitals And Health Services Of Detroit
05.1991 - 09.1993
Medical Biller
Mount Carmel Mercy Hospital
02.1990 - 05.1991
Customer Service Representative
Mount Carmel Mercy Hospital
10.1988 - 02.1990
Phlebotomist
Mount Carmel Mercy Hospital
09.1983 - 10.1988
High School Diploma -
Franklin High School
09.1979 - 06.1982