Mandy Molby
Alpena,MI
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
1
1
Certification
28
28
years of professional experience
Work History
Billing Specialist
Northern Eye
Alpena, MI
03.2025 - Current
- Posted remittances and followed up on billing claims, conducted financial analysis, managed appeals and eligibility verification, obtained authorizations, created process improvements, and trained team members
- Managed patient billing for eye care services and insurance claims processing.
- Reviewed account balances and corrected billing errors in practice records.
- Verified insurance eligibility and coverage details for ophthalmology and optometry visits.
Medical Biller and Coder
Thunder Bay Community Health Service, Inc.
Alpena, MI
01.2023 - 03.2023
- Responsibilities include: utilizes the Electronic Health Record (EHR) and the Practice Management system appropriately to perform established work plan duties, ensured accuracy of procedures and diagnosis codes using computer software and other resources, maintains current knowledge of medical codes and terminology, maintained and organized billing records, ensuring accuracy and completeness, is maintained accurate records of encounters, procedures, and other revenue-producing services following regulatory guidelines and TBCHS's established criteria., verified and updated patient demographic and insurance information to ensure clean claims for the revenue cycle, maintains accounts receivable, revenue cycle, and claims processes and meets set benchmarks, ensures sliding-fee scale discounts are applied accurately to full charges when deemed appropriate and that public insurance funds are utilized when appropriate, applies sliding-fee scale discounts, third-party disallowances, and other gross revenue adjustments and ensures they are recorded in an accurate and timely manner.
- Processed patient claims for community health service billing workflows
- Coded medical records using ICD and CPT guidelines
- Verified insurance coverage for community health patients
Staff Accountant
Hospitality Restaurant Group Inc
Traverse City, MI
02.2020 - 08.2022
- Responsibilities include: Analyzed financial data by collecting and creating financial models for vendor payment terms. Maintained accounts payables for four companies and over 100 restaurants; entered payable invoices including reviewing system generated invoice for correct vendor, terms, amounts, dates, and validity of charges. Work with vendors regarding disputed charges. Retrieved invoices not sent electronically from vendor website to ensure timely processing. Weekly check/ ACH run and pay invoices online based upon vendor setup. Create and send remittance emails. Generate and upload positive pay file to the bank. Approve invoices and journal entries. Generate emails to vendors to update Certificates of Insurance and setup of ACH payments or auto draft (depending on vendor type). Organized and maintained payroll documents to ensure compliance and accessibility. Pulling reports from delivery services and bank for month end reconciliation. Create and upload journal entries after verifying amounts to be consistent based upon historical data. Developed excel spreadsheets for data analysis and financial modeling. Analyze bank statements and prepare needed entries to balance bank statement within the accounting system. Month end reconciliation of general ledger and sub-ledger accounts. Project based work. Run allocations, and prepared financial statements. Created policies and procedures. Prepared and entered general ledger and accrual entries.
- Managed accounts payable for hospitality restaurant operations and vendor invoices.
- Reconciled general ledger accounts for restaurant and corporate financial records.
- Processed accounts receivable entries for hospitality clients and location payments.
Financial Analyst/Systems Coordinator
Munson Medical Center
Traverse City, MI
01.2012 - 01.2019
- Responsibilities include: Analyze financial data by collecting, monitoring and creating financial models for decision support. Analyzed financial results, monitored variances, identified trends, and recommended actions to management to enhance financial status. Create weekly and monthly reports for management and administration. Increase productivity by developing leaner processes. Supported TRAC/ONTRAC system by implementing medical software updates in test and production environments. Create financial reports from TRAC/ ONTRAC & Star systems, perform spreadsheet and database processing functions, analyze data to find trends for AR days, adjustments, payer issues; create reports and information using pivot tables and other Excel functions, create dashboard reports, create training documents and provide training, create solutions based upon findings to resolve or prevent problem areas
- Analyzed budgets, forecasts, and variance reports for medical center departments.
- Prepared financial models supporting healthcare planning and capital requests.
- Reviewed general ledger accounts and corrected coding discrepancies.
Senior Billing Representative
Munson Medical Center
Traverse City, MI
01.2006 - 01.2012
- Responsibilities include: Daily failed claims, overlap/ same date of service, over 90 days, credit and payer reports, Claims Administrator billing, and weekly Para/Quad report. Quarterly credit balance reports for Medicare. Appeals, reconsideration requests and additional documentation requests for Medicare. Identify, verify, and set up proper insurance. Identified and resolved problem claims in Return to Provider status in Medicare system, ensuring timely processing. Modify and send weekly lab report to lab and staff for Affiliate Hospitals. Modify and send monthly therapy report to Therapy for Medicare Affiliate Hospitals. Assisted in development of new Medicare Advantage/HMO forms for Critical Access Hospitals, enhancing documentation accuracy. Assist in creating edits and data creates for claims. Work denies to get claim paid. Stay abreast of always changing Medicare regulations and billing guidelines and update three facilities on these changes. Create process improvements and workflows. Executed special projects based on operational priorities. Mentor/coach new staff, Medicare and Medicaid teams. Work with Medicare and Medicare Advantage/HMO to resolve payer issues.
- Processed patient billing inquiries for Munson Medical Center hospital accounts.
- Reviewed insurance claims and corrected billing errors using medical record details.
- Resolved denied claims through follow-up with payers and internal departments.
Clinical Coordinator/Office Manager
Morgan Family Dentistry
Edmore, MI
01.2004 - 01.2006
- Scheduled, billed, and managed receivables; maintained patient relationships; administered collections; structured and implemented a recall system; set up and ran reports; managed staff and human resources; facilitated Give Kids A Smile day.
- Coordinated patient scheduling for Morgan Family Dentistry clinical teams.
- Prepared treatment rooms and maintained clinical supplies for daily procedures.
- Assisted chairside during exams, cleanings, and restorative dental treatments.
Accounting Assistant
Spartan Stores
Grand Rapids, MI
01.2001 - 01.2004
- Established and maintained licenses for 117 stores. Assisted Chief Financial Officer and the Director of Governmental Affairs. Scheduled and facilitated meetings. Trained stores on proper licensing/WIC procedures. Created spreadsheets, including creating and running macros. Ran Brio Queries. Developed and implemented tobacco inventory procedures to ensure compliance and accuracy. Maintained accounts receivable by entering sales and receipts, processing invoices and vendor billings. Managed various projects to meet organizational goals. Ran allocations, and prepared financial statements. Entered store transfers. Balanced general ledger accounts while creating and enforcing policies and procedures for financial reporting. Assisted in gross profit calculations. Prepared and entered general ledger and accrual entries.
- Processed store invoices and vendor documents for Spartan Stores accounting records.
- Reconciled bank statements and general ledger entries for Spartan Stores accounts.
- Entered accounts payable data into accounting systems and spreadsheets.
Patient Access Representative
Munson Medical Center
Traverse City, MI
01.2001 - 01.2001
- Registered patients for admissions and appointments, ensuring accurate documentation for seamless patient experience. Verified medical insurance benefits and eligibility to facilitate timely access to necessary healthcare services. Registered patients for surgeries, x-rays, and blood work.
- Registered patients at Munson Medical Center using Epic and accurate demographic data.
- Verified insurance coverage and benefits before appointments and patient admissions.
- Collected signatures and completed consent forms per hospital registration standards.
Accounts Receivable Clerk
Prevo's Family Markets
Traverse City, MI
01.1999 - 01.2001
- Prepared and entered bank deposits, ensuring timely and accurate processing. Evaluated and recorded store reports. Created store report in electronic, excel format. Balanced general ledger accounts to maintain financial accuracy and integrity. Prepared monthly general ledger schedules. Entered sales and receipts. Calculated finance charges and prepared monthly customer statements. Checked inventory figures for accuracy. Prepared and entered general ledger entries. Coded and entered accounts payables. Prepared and entered in store and store to store transfers. Developed collection process to streamline overdue account management. Entered vendor billings. Performed filing and organized documents to maintain efficient office operations. Facilitated communication and collaboration with customers and vendors to enhance partnerships.
- Processed customer payments for grocery accounts and service invoices.
- Reconciled accounts receivable records with daily store deposits.
- Posted cash receipts to customer ledgers and billing systems.
Education
College - Accounting
Northwestern Michigan College and Alpena Community College
Northwestern, MichiganHigh school diploma - Accounting
Alpena High School
Alpena, MISkills
- Revenue cycle management
- Healthcare billing
- Medical billing
- Claims management
- Claims processing
- Billing and collections
- Insurance verification
- Authorization management
- Medical coding
- Billing compliance
- Accounts receivable management
- Denial management
- Patient registration
- Accounts Receivable
- Accounts Payable
- Account Reconciliation
- Financial Analysis
- Financial reporting
- Financial statement preparation
- General ledger accounting
- Bank Reconciliation
- Month-end closing procedures
- Cash posting
- Remittance posting
- Insurance claim processing
- Billing best practices
- Billing dispute resolution
- Data entry
- Data entry proficiency
- Data analysis skills
- Report generation
- Invoice generation
- Invoicing proficiency
- Claims auditing
- Payer follow up
- Collections management
- Deductible management
- Customer service
- Office management
- Organizational skills
- Microsoft Office
- Microsoft Excel
- Microsoft Word
- Microsoft Outlook
- Accounting software
- Software troubleshooting
- IT
- System Administration
- Analytical thinking
- Attention to detail
- Problem solving
- Process improvement
- Time management
- Multitasking
- Team collaboration
- Team training
- Leadership
- Mentoring
- Written communication
- Verbal communication
- Communication skills
- Conflict resolution
- Customer engagement
- Research and due diligence
- Records management
- Fiscal reporting
- General ledger reconciliation
- Journal Entries
- Work coordination
- Audit compliance
- Procedure development
- Handling customer inquiries
- Office Manager
- Billing software
- Billing software proficiency
- Medical terminology
- Dermatology
- Administrative experience
- Typing
- Windows
- Collections
- Review documents
- Financial reconciliation
- Insurance confirmation
- Cash posting
- Statement processing
- Billing expertise
- Analytical skills
- Decision-making
- Statement processing
- Month-end closing procedures
- Procedure development
- Analytical thinking
- Accounts receivable expertise
- Records management
- Financial reporting
- Data entry proficiency
- Report generation
- Claim submission
- Claims auditing
- Insurance claim processing
- Multitasking
- Billing best practices
- Collections
- Research and due diligence
- Collection practices
- Review documents
- Work coordination
- Audit compliance
Personal Information
- Title: Medical Biller
- Driving License: Driver's License
- Work Permit: Authorized to work in the US for any employer
- Visa Status: Authorized to work in the US for any employer
Certification
- Driver's License
- CRCR
- July 2019 to July 2021
- Healthcare Financial Management Association Certified Revenue Cycle Representative (CRCR
Additional Information
Authorized to work in the US for any employer
Timeline
Billing Specialist
Northern Eye
03.2025 - Current
Medical Biller and Coder
Thunder Bay Community Health Service, Inc.
01.2023 - 03.2023
Staff Accountant
Hospitality Restaurant Group Inc
02.2020 - 08.2022
Financial Analyst/Systems Coordinator
Munson Medical Center
01.2012 - 01.2019
Senior Billing Representative
Munson Medical Center
01.2006 - 01.2012
Clinical Coordinator/Office Manager
Morgan Family Dentistry
01.2004 - 01.2006
Accounting Assistant
Spartan Stores
01.2001 - 01.2004
Patient Access Representative
Munson Medical Center
01.2001 - 01.2001
Accounts Receivable Clerk
Prevo's Family Markets
01.1999 - 01.2001
College - Accounting
Northwestern Michigan College and Alpena Community College
High school diploma - Accounting
Alpena High School