Margaret Ranson
Sikeston,MO
Summary
Detail-oriented DME Medicaid Biller with 16 years of experience in multiple state Medicaid. Focused, dedicated and skillful in reconciling DME insurance claims and patient accounts. Dedicated to maintaining strict patient confidentiality.
Overview
20
20
years of professional experience
Work History
Medicaid Billing Specialist
Electronic Billing Services
Sikeston, MO
04.2006 - Current
- Entered claims into thesoftware within 48 hours of receipt.
- Downloaded EOBs from insurance companies websites.
- Posted payments to patients' accounts.
- Reprocessed all denied and rejected claims within 48 hours.
- Sent claims to appeals
- Followed up on denied claims and claims that were sent to appeals
- Entered patients' demographics and insurance information into the software.
- Called insurance to verify patient's coverage and also check procedure coverage.
- Called insurance to verify the provider's enrollment and contracting status.
- Called insurance for prior authorizations
- Called insurance to verify patient's coverage and also check procedure coverage.
- Called insurance to verify patient' s coverage and also check procedure coverage.
- Software used H DMS and Brightree
- Online portal used Availity, multiple state Medicaid, Navinet, Ability, and Fidelis
Certified Nursing Assistant
Beverly Healthcare
New Madrid, MO
04.2003 - 03.2006
- Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
- Promoted good oral and personal hygiene by aiding patients with shaving, bathing and teeth brushing.
- Checked patient vitals such as temperature, blood pressure and blood sugar levels.
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
- Delivered individualized patient care by recording vital signs, documenting observations, administering treatments and evaluating patient needs.
- Cared for residents in assisted living facility and delivered high-quality support to meet needs.
- Evaluated patients to identify and address wounds, behavioral concerns and medically relevant symptoms.
- Supported ambulation and physical therapy needs by conducting planned exercise routines.
Supply Apprentice
US Air Force
Glendale, AZ
01.2002 - 09.2002
- Followed safety protocols to avoid accidents.
- Prepared worksite by setting up required tools and supplies.
- Prioritized and accomplished multiple tasks within established timeframes.
- Positioned and held materials for senior professionals to complete work.
- Reported unsafe situations or service-related issues to appropriate personnel.
Education
Associate of Science - Medical Billing And Coding
Colorado Technical University
Colorado Springs, CO08.2008
Skills
- DME Medical Billing
- ICD-10
- Medical Terminology
- Claim Entry
- Payment Posting
- Insurance Aged Receivable
- HIPAA Compliance
- Online Claim Submission
- ERA and EOB downloads
- Microsoft Office
- CMS 1500
- Denials/Appeals
- Prior authorizations
- Eligibility
- HDMS
- Brightree
Timeline
Medicaid Billing Specialist
Electronic Billing Services
04.2006 - Current
Certified Nursing Assistant
Beverly Healthcare
04.2003 - 03.2006
Supply Apprentice
US Air Force
01.2002 - 09.2002
Associate of Science - Medical Billing And Coding
Colorado Technical University