Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

Mary Moritz

Pevely,MO

Summary

I am looking for a Part Time Remote position with a growing company. I had Medical & Hospital billing is handled efficiently and without any errors. Had 15 years experience in Ophthalmology billing and inpatient as well as outpatient billing. Knowledge of HMO,PPO, Medicare, Medicaid, work comp, third parties insurances and VA insurance. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information. Reliable and competent Medical Billing professional with exceptional data entry and customer service skills. Proactive Medicare Collector with a distinguished understanding of Medical Management use and data entry. Posting and collecting payments and an expert in handling customer complaints and comments. Experience in working remotely and experience in MediTech, SSI and TriZetto Clearing house. There was a gap in my employment previously due to relocation to Florida for spouse's job for a year between Precision Medical Management and McCallum Place. My employment gap was due to spouse relocated to a different state due to his employment. Healthcare professional with proven track record in patient relations. Skilled at managing patient intake, coordinating care, and resolving billing issues. Known for collaborative teamwork and adaptability, ensuring seamless operations during changing circumstances.

Overview

19
19
years of professional experience

Work History

Insurance Follow-up/ Patient Representative

LifePoint Health Rehab/Beacon Hill Staffing
St. Louis, MO
07.2022 - 08.2023
  • This position involves collecting and manage accounts, following up with insurance and patients, reconciling accounts, filing corrected claims, appealing claims, assisting in posting electronic payments, adjustments, customer service support with financial assistance, and collect payments from patients.
  • (1)

Medical Biller/Collector

McCallum Place Eating Disorder Center
Webster Groves, MO
11.2021 - 02.2022
  • Entering charges, transferring claims from Medhost software to SSI clearing house, fix error on UB 's for clean claims, run reports daily on billing and collection. Followed up with insurances, Work on age accounts, process appeals and knowledge in reading Eob's.

Customer Service Representative

Precision Practice Management
Creve Coeur, MO
02.2020 - 09.2020
  • Delivered timely and accurate charge submissions utilizing medical management.
  • Submitted electronic and paper claims to insurance companies with SSI and Trizetto clearing house.
  • Medicare and Medicaid to collect medical payments.
  • Oversaw all billing for Medicaid PCA, waiver and skilled claims, commercial insurance and private pay clients.
  • Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
  • Set up and maintained new electronic billing system.
  • Posted payments and collections on regular basis.
  • Reviewed patient diagnosis codes to verify accuracy and completeness.
  • Participated in workshops and other training opportunities to remain current on billing procedures, regulations and industry updates.
  • Complied with all HIPAA Privacy and Security Regulations to protect patients' medical records and information.
  • Gathered information from multiple sources to simplify billing and organize accounts.
  • Prepared billing statements for patients and verified correct diagnostic coding.
  • Devised new methods to make workflows more efficient and brought suggestions to attention of Medical Claims.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
  • (2)

Medical Billing and Collections Specialist

Tekwani Vision Center
St. Louis, MO
07.2004 - 01.2020
  • Reviewed patient records, resolved patients questions on patient's accounts.
  • Posted charges, payments and write-ups for all medical doctors' specialty procedures.
  • Translated and interpreted medical billing codes with strong accuracy to enable swift payment from insurance agencies.
  • Reviewed outgoing bills for eligibility and accurateness.
  • Orchestrated day-to-day operations of billing department, including medical coding, payment posting, accounts receivables and collections.
  • Transferred balances to correct payers.
  • Reviewed services rendered and completed to reconcile codes.
  • Assisted patients by determining financial assistance available and setting up payment plans.
  • Collected payments and applied to patient accounts.
  • Implemented new coding procedures that reduced mistakes by 100% and simplified processes.
  • Filed and updated patient information and medical records.
  • Prepared accounts with past due balances of more than 120 days and transferred those cases to collection agency.
  • Verified proper ICD-10 coding on claims.
  • Maintained current accounts through aged revenue reporting.
  • Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
  • Analyzed medical records to satisfy insurance company mandates.
  • Efficiently collected payments and communicated with clients.
  • Researched and followed up on denied insurance claims.
  • Communicated with insurance providers to resolve any denied claims and resubmit.
  • Compiled and tracked outstanding balances owed to medical facility.
  • Precerted surgeries and referrals.
  • (3)

Education

Certificate - Medical Coding

AAPC
St Louis, MO
01-2021

Certificate - Cpt and Icd-10 Coding

St Charles Community College
Saint Charles, MO
01-1999

No Degree - Medical Assistance

Al Med Acedemy
Arnold, MO
05-1996

High School Diploma -

Visual Performing Arts High School
St Louis, MO
01-1980

Skills

  • Customer Service, Phone Ethix, Behavioral Health, Insurance Auditing, 10 Key Data Entry, Documentation Review, Medical Terminology, Phone Communication, Accounts Receivable, End of the Day Reconciling, Medical Billing, Claims, Reprising Claims, Work on Rejecting Claims, Appeals, Coding, Credentialing, Charge back's, Read EOB's, Collections, Patient's accounts, HIPPA, Medicare, Medicaid, Commercial Insurance HMO's, PPO's & POS Microsoft Word & Outlook Inpatient & Outpatient Billing, Set up Insurance with Clearing House Completed Medical Assistance Program, and Coding& Insurance Billing
  • Medical terminology
  • Patient data confidentiality
  • Patient intake
  • Recordkeeping
  • Relationships and rapport

Languages

English
Full Professional

Timeline

Insurance Follow-up/ Patient Representative

LifePoint Health Rehab/Beacon Hill Staffing
07.2022 - 08.2023

Medical Biller/Collector

McCallum Place Eating Disorder Center
11.2021 - 02.2022

Customer Service Representative

Precision Practice Management
02.2020 - 09.2020

Medical Billing and Collections Specialist

Tekwani Vision Center
07.2004 - 01.2020

Certificate - Medical Coding

AAPC

Certificate - Cpt and Icd-10 Coding

St Charles Community College

No Degree - Medical Assistance

Al Med Acedemy

High School Diploma -

Visual Performing Arts High School
Mary Moritz