Megan Ulshafer
Davison,Michigan
Summary
Reliable Medical Biller with 16 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 claims.
Overview
16
16
years of professional experience
Work History
Medical Biller/Accounts Receivable
Vascular Institute of Michigan
Flint, Michigan
04.2020 - Current
- Reviewed medical records and coded office visits, ultrasounds and surgeries into ICD-10 and CPT
- Used Epic to track our hospital patient's and pull records
- Transmitted insurance claims through Fivos software
- Reduced account receivables aging through diligent follow-up on outstanding claims and prompt resolution of denials.
- Conducted thorough audits of patient files to ensure proper documentation and accurate invoicing.
- Posted patient and insurance payments including EFT’s through Trizetto
- Prepared and deposited bank deposit weekly.
- Data entry and insurance verification
Insurance Reimbursement Specialist (Medical Team)
Diplomat Specialty Pharmacy
Flint, Michigan
04.2017 - 03.2020
- Obtained medical benefits monthly for medications, coding appropriate HCPCS, CPT and ICD-10 codes
- Including verifying patient liability based on insurance fee schedules
- Verified Medicare compliance in each patient file such as obtaining chart notes, verifying delivery logs were compliant before shipment went out, DWO and AOB etc
- Set up patient deliveries incoming calls and outgoing calls
- Process claims to clearance house at time of shipment
- Assisted doctor offices to obtain prior authorizations for high touch medications
- Including filling out prior auth forms, obtaining chart notes and submitting to insurance
Medical Biller/Accounts Receivable/Front office
Genesys Integrated Group Practice, P.C.: Office of Dr Bill Hukill
Davison, Michigan
02.2012 - 08.2017
- Reviewed medical records and coded appropriate CPT and ICD-10 codes
- Data entry, verified insurance and verified copay and deductible
- Posted patient payment and worked patient account receivable, turning appropriate account to collections
- Front office duties including: order testing, get authorization for testing, prepared daily bank deposit, and send prescriptions etc
Medical Biller/Accounts Receivable
Flint Surgical Specialist, P.C.
Flint, Michigan
08.2008 - 08.2012
- Reviewed medical records and coded appropriate procedure and diagnosis into ICD-9 and CPT
- Transmitted insurance claims through CVS software
- Tracked patient account receivable turning the appropriate accounts to collections
- Posted patient and insurance payments
- Worked insurance rejections and insurance account receivable
- Data entry and verified insurance through the Internet
Education
Medical Insurance Billing and Office Administration Certificate -
Ross Medical Education Center
Flint, Michigan05.2008
Skills
- CPT coding knowledge
- ICD-10 Proficiency
- HIPAA Compliance
- Time Management
- Attention to Detail
- Claim submission
- Medical terminology understanding
- Patient account management
References
Available upon request
Timeline
Medical Biller/Accounts Receivable
Vascular Institute of Michigan
04.2020 - Current
Insurance Reimbursement Specialist (Medical Team)
Diplomat Specialty Pharmacy
04.2017 - 03.2020
Medical Biller/Accounts Receivable/Front office
Genesys Integrated Group Practice, P.C.: Office of Dr Bill Hukill
02.2012 - 08.2017
Medical Biller/Accounts Receivable
Flint Surgical Specialist, P.C.
08.2008 - 08.2012
Medical Insurance Billing and Office Administration Certificate -
Ross Medical Education Center