Summary
Work History
Education
Skills
Timeline
Generic

Mary Young

Medical Billing Specialist
Washington,DC

Summary

Certified Medical Billing Specialist with 30 years of experience in fast-paced, multiple-client medical billing company serving large private practice conglomerates and outpatient clinics. Researched denied claims and submitted appeals. Familiar with health billing and collections. Detail-oriented professional with a focus on deadlines and the assurance that all medical billing is handled efficiently and without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information.

Work History

Medical Billing Specialist

Kibbey & Terle Physical Therapy, LLC
Chevy Chase, MD
2003 - Present
  • Accurately posted and sent out all medical claims.
  • Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
  • Managed collections claims for unpaid bills against estates of debtors.
  • Precisely completed appropriate claims paperwork, documentation and system entry.
  • Precisely evaluated and verified benefits and eligibility.
  • Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
  • Maintained and updated collections tracking spreadsheet to help organize payment information.
  • Identified and resolved patient billing and payment issues.
  • Provided back up support to the Medical Receptionist and their duties which include but not limited to: answering incoming calls, scheduling appointments, insurance verification, pre-authorization, pre-certification, registering new patients and entering demographic information into databases.

Medical Claims Technician/Payroll Clerk

Personal Touch Home Health Agency
Washington, DC
2000 - 2003
  • Maintained payroll information by calculating, collecting and entering data.
  • Initiated direct deposits and prepared manual checks for 50 employees.
  • Adjusted employee tax status along with information regarding withholding.
  • Managed payroll data entry and processing for 50 employees to comply with predetermined company guidelines.
  • Maintained employee confidence and protected payroll operations by keeping information confidential.
  • Processed wage garnishments and child support.
  • Processed new hire paperwork and documents.
  • Researched and resolved time discrepancies.
  • Updated employee files with new details such as changes in address or salary levels.
  • Processed claims and bills for patients weekly
  • Created patient and filed forms
  • Maintained files to ensure compliance with the doctor's orders

Medical Receptionist

Dr. Barbara Douglas, MD Office
Washington, DC
1997 - 2000
  • Used computer programs and registration systems to schedule patients for routine and complex procedures.
  • Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing.
  • Adhered to strict HIPAA guidelines at all times to protect patient privacy.
  • Maintained current and accurate medical records for patients.
  • Responded to correspondence from insurance companies to verify patient's coverage.
  • Supported office staff and operational requirements with administrative tasks.
  • Completed and filed financial documentation for accounting purposes.
  • Adeptly managed multi-line phone system and pleasantly greeted all patients.
  • Used computerized data management systems to organize immense datasets and coordinate care details for large patient bases.
  • Kept waiting room neat and organized at all times by stacking magazines, removing trash and cleaning glass.
  • Checked patient data including insurance, demographic and health history to keep information current.
  • Referred and screened patients to make best use of resources, triage staff and serve community members.
  • Carefully transcribed phone messages and relayed to appropriate personnel.
  • Provided ample support to team members, providing creative solutions to complex challenges regarding scheduling, conflict resolution and medical care.
  • Organized paperwork such as charts and reports for office and patient needs.

Education

Certification in Medical Office of Administration

American Registry of Medical Assistants
Northern, Virginia

Diploma in Medical Office Administration

Applied Career Training
Northern, Virginia

Skills

Medicare and Medicaid process

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Timeline

Diploma in Medical Office Administration

Applied Career Training

Certification in Medical Office of Administration

American Registry of Medical Assistants

Medical Receptionist

Dr. Barbara Douglas, MD Office
1997 - 2000

Medical Claims Technician/Payroll Clerk

Personal Touch Home Health Agency
2000 - 2003

Medical Billing Specialist

Kibbey & Terle Physical Therapy, LLC
2003 - Present

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Mary YoungMedical Billing Specialist