Summary
Work History
Education
Skills
Accomplishments
Work Availability
Timeline
Generic

Mary Kay Simmons

Hooks,TX

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. Driven Medical Biller motivated to perform beyond expectations. Reliable and competent Medical Billing professional with exceptional data entry and customer service skills. Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment. Competent medical billing professional manages busy medical office and delivers excellent customer service to patients. Competent csr area specialist with 20 years of experience in handling wide variety of medical coding and billing tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Coordinates with insurance companies and expedites claims processes. Expertise in accurately inputting procedure and diagnosis codes into billing software to generate invoices. Reliable Medical Biller with coding and medical terminology knowledge. Polished and hardworking performer with background overseeing accounts and handling records management tasks. Team-oriented person with great decision-making skills. Organized Medical Biller skilled at accurately auditing patient charts and billing corresponding parties. Meticulous accounting professional bringing 20 years of experience in strategic planning, customer relationship management and account reconciliation. Strong Quickbooks and e intake proficiency with precise and accurate nature. Expertise in financial data entry and record-keeping. Dedicated csr area specialist adept at handling clerical tasks such as copying, filing and payment processing with minimal oversight. Skilled listener, speaker and complex problem-solver. Seek to offer 20 years� experience and take on new role with room for advancement. Seasoned Accounting Support professional with proven skills in managing routine and complex business accounting needs. Familiar with DME standards, state requirements and federal regulations. Expert in GAAP with general ledger experience. Dedicated administrative professional skilled in handling multiple projects with high-pressure deadlines. Proficient with accounting systems and related computer software programs. Efficient billing professional with 20 years of experience. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive.

Work History

Medical Biller, Accounts Receivable

Egan DME
Metairie, LA
04.2022 - Current
  • Tracked contracts, proposals and waivers to keep billing accurate and current.
  • Managed monthly reconciliation schedules for assigned accounts.
  • Researched and resolved customer claims related to shortages, discount violations and returns.
  • Reviewed accounts on monthly basis to assess aging and pursue collection of funds.
  • Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
  • Posted payments and collections on regular basis.
  • Reviewed patient diagnosis codes to verify accuracy and completeness.
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Prepared billing statements for patients and verified correct diagnostic coding.
  • Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
  • Adhered to established standards to safeguard patients' health information.
  • Delivered timely and accurate charge submissions.
  • Identified, researched and resolved billing variances to maintain system accuracy and currency.
  • Reviewed patient records, identified medical codes and created invoices for billing purposes.
  • Managed billing calendar and scheduled claims for payments.
  • Filed and updated patient information and medical records.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.

Education

No Degree - Accounting And Finance

Texarkana College
Texarkana, TX

Skills

  • Past Due Balance Management
  • Information Confidentiality
  • Billing Data Verification
  • Reviewing Patient Information
  • Account Posting
  • Client Inquiries
  • Diagnostic Codes
  • Error Revision
  • Accounts Payable and Accounts Receivable
  • Financial Documentation
  • Account Reconciliation
  • Discrepancy Resolution
  • Insurance Claim Requirements
  • Critical Thinking
  • Legal Standards
  • Verbal and Written Communication
  • Billing and Collections Procedures
  • Customer Contact
  • Signature Verification
  • Claim Processing
  • Teamwork and Collaboration
  • Time Management
  • Diagnostic Procedures
  • Commercial and Private Insurance
  • Revenue Operations
  • Training Classes
  • Work Prioritization
  • Medicare and Medicaid Knowledge
  • Benefits Verifications
  • Claim Verifications
  • ICD-10

Accomplishments

  • Achieved payment or denial by completing working account to completion with accuracy and efficiency.
  • Supervised team of 10 staff members.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Conflict Resolution - Responsible for handling customer account inquiries, accurately providing information to ensure resolution of product/service complaints and customer satisfaction.
  • Documented and resolved any billing errors which led to payments of claims.
  • CSR area specialist supervisor For Rotech Healthcare

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline

Medical Biller, Accounts Receivable

Egan DME
04.2022 - Current

No Degree - Accounting And Finance

Texarkana College
Mary Kay Simmons