Malissa Brown
Oklahoma City
Summary
Driven Billing Specialist collects, posts and manages account payments. Proven success building relationships and maintaining optimal billing efficiency. Excellent organizational and problem-solving skills with superior client service acumen.
Overview
23
23
years of professional experience
1993
1993
years of post-secondary education
Work History
Billing Specialist
Western Flyer Express
Oklahoma City
03.2023 - Current
- Performed additional duties as assigned by management team.
- Resolved discrepancies between customers' remittances and invoices received.
- Implemented new policies related to billing processes when required.
- Provided support to other departments within the organization as needed.
- Tracked changes in legislation that could affect billing procedures.
- Worked with team members to identify and develop process improvements.
- Weighed envelopes containing statements to determine correct postage and affix postage.
- Developed strong professional rapport with vendors and clients.
Medical Coder
SSM St. Anthony Hospital
Oklahoma City
06.2009 - 03.2023
- Collaborated with other departments such as billing, clinical documentation improvement, quality assurance to ensure accurate coding practices are being followed.
- Researched discrepancies between documentation and billing information in order to resolve any issues prior to submission.
- Coded diagnoses and procedures from patient medical records using ICD-10-CM and CPT-4 codes.
- Maintained confidentiality of patient information according to HIPAA regulations.
- Provided support for coding queries raised by coders or staff members regarding specific cases or coding issues.
- Reviewed patient medical records for accuracy, completeness and compliance with coding regulations.
- Verified accuracy of procedure codes to ensure proper reimbursement levels.
- Maintained up-to-date knowledge of coding changes, updates, and new rules.
- Quickly responded to staff and client inquiries regarding CPT codes.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
- Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
Patient Account Representative
SSM St. Anthony Hospital
Oklahoma City
09.2004 - 06.2009
- Reconciled payments received against outstanding invoices ensuring proper posting of credits and debits.
- Conducted follow-up calls with patients to ensure that accounts were up to date and properly documented.
- Performed monthly reconciliations of patient accounts to ensure accuracy of financial data.
- Submitted appeals on behalf of patients when appropriate based on findings from research conducted into denied claims.
- Maintained confidentiality of patient information in compliance with HIPAA regulations.
- Communicated frequently with healthcare providers regarding payment status updates on their claims submitted.
- Ensured compliance with company policies concerning the privacy of confidential health information.
- Researched discrepancies in patient accounts to determine appropriate resolution.
- Analyzed claims denials from third party payers and identified potential solutions for reimbursement.
- Provided customer service to patients regarding billing inquiries and account information.
- Resolved any issues arising from incorrect or incomplete documentation relating to a particular claim.
- Reviewed EOBs statements submitted by insurance companies for accuracy against provider's charges.
- Processed payments from patients and maintained accurate records of all transactions.
- Interacted with other departments within the organization such as finance, accounting, IT, and Human Resources when necessary.
- Updated existing patient files with relevant information such as changes in address or contact information.
- Reviewed flagged items daily and resolved issues.
- Submitted electronic bills following facility and legal compliance standards.
Cash Application Specialist
SSM St. Anthony Hospital
Oklahoma City
09.2002 - 09.2004
- Provided excellent customer service to internal and external customers regarding payment inquiries.
- Processed credit card payments utilizing the appropriate payment processor.
- Responded promptly to customer inquiries via phone or email regarding their account status.
- Investigated returned items such as NSF checks or incorrect payments.
- Ensured accuracy of payments received by researching remittance information from customers' documents.
- Performed monthly balance sheet reconciliations for assigned accounts receivable sub-ledgers.
- Developed strong relationships with internal departments such as Sales, Accounting, Credit and Collections teams.
- Updated Cash Application procedures manual as required.
- Applied knowledge of accounting principles when processing complex transactions.
- Worked closely with Accounts Receivable team to ensure timely resolution of any issues or discrepancies related to cash application process.
- Assisted with month end closing activities related to cash application.
- Researched discrepancies between customers' payments and invoices.
- Completed efficient drop and bulk filing to maintain well-organized and easily accessed systems
Education
Medical Coding Certificate - Medical Coding
AHIMA
Oklahoma City, Ok 03.2009 - 06.2012
Ardmore High School
Ardmore, OKSkills
- Billing software
- Invoice reconciliation
- Payment processing
Timeline
Billing Specialist
Western Flyer Express
03.2023 - Current
Medical Coder
SSM St. Anthony Hospital
06.2009 - 03.2023
Medical Coding Certificate - Medical Coding
AHIMA
03.2009 - 06.2012
Patient Account Representative
SSM St. Anthony Hospital
09.2004 - 06.2009
Cash Application Specialist
SSM St. Anthony Hospital
09.2002 - 09.2004
Ardmore High School