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Merisa Shuskey
Leander,USA
Work Preference
Summary
Accomplished billing professional specializing in medical and vision billing. Successfully managed insurance and patient accounts receivable, enhancing claim recovery rates and reducing outstanding balances. Proven ability to lead teams in optimizing billing operations and ensuring accuracy through effective training and onboarding.
Overview
27
27
years of professional experience
Work History
Director/Operations RCM Manager
Abeo Billing, LLC
Austin, TX
11.2014 - Current
- Managed insurance accounts receivable by resolving rejections, denials, and appeals, improving claim recovery rates
- Managed patient accounts receivable by setting up payment arrangements, sending statements, and conducting follow-up calls to reduce outstanding balances
- Supervised a team handling all aspects of medical and vision billing for optometrists nationwide, ensuring accurate and timely processing
- Processed daily invoices, including insurance verification and clean claim batching, to ensure timely electronic and paper submissions
- Performed daily and monthly office balancing by retrieving checks, preparing deposits, and executing month-end closeouts to maintain financial accuracy
- Developed case and training documentation, scheduled weekly meetings, and trained new employees to improve onboarding efficiency
- Increased client base by marketing and selling new billing services to prospective clients
Owner/Operations Manager
Accurate Medical Billing & Coding
09.2009 - 10.2014
- Scrubbed medical invoices daily, including insurance verification, adding modifiers, and clean claim batching using LCDs to meet medically necessary standards, to ensure timely electronic and paper submissions
- Managed insurance accounts receivable by resolving rejections, denials, and creating appeals, improving claim recovery rates
- Managed patient accounts receivable by setting up payment arrangements, sending statements, and conducting follow-up calls to reduce outstanding balances
- Performed daily and monthly office balancing by retrieving checks, processing credit card payments, preparing deposits, and executing month-end closeouts to maintain financial accuracy
Biller/Assist. Billing Supervisor
Capital Nephrology Associates
Austin, TX
07.2008 - 09.2009
- Worked front desk in an office when needed
- Transcription of doctor's notes into an EHR system
- Entering in daily charges for claims submission
- Assisting patients with resolving any billing needs
Claims Supervisor
e-MDs
Austin, TX
12.2006 - 03.2008
- Supervised team training providers nationwide on EHR usage for medical billing
- Developed case and training documentation, scheduled weekly meetings, and trained new employees to streamline onboarding process
- Reviewed and analyzed ANSI files to clarify reasons for provider rejections or denials
Education
Medical Billing & Coding - College Degree
Fairfield Career Center
Lancaster, OH06-2000
Skills
- EHR programs: PBSI, ClaimMD, MediSoft, e-MDs, NextGen, CrystalPM
- ICD-10, CPTs, HCPCs
- LCDs
- HIPAA certification
- MIPs/Macra
- Payers: Medicare, Medicaid, Tricare, TriWest/VA, VSP, Eyemed, Spectera, Superior/Davis, and multiple commercial payers
- Specialties: Home healthcare, Hospice Care, General practice, ENT, Endocrinology, Cardiology, Internal Medicine, Nephrology, Optometry, and Rural Health
- Clearinghouses: Ensora (ApexEdi), Trizetto, Office Ally, Availity, Waystar
- QuickBooks
- Excel
- Word
- PowerPoint
- Outlook
- RingCentral
- GoToAssist
- Claims management
- Revenue cycle management
- Insurance verification
- Medical billing
- Appeals processing
- Financial reporting
- Team leadership
- Client relationship management
- Healthcare compliance
- Process optimization
- Problem solving
- Effective communication
- Training development
- Data analysis
- Strategic planning
- Budget control
- Business strategy
- Budget management
- Relationship building
- Human resources management
- Staff development
- Contract management
- Problem-solving
- Talent acquisition
- Industry knowledge
- Facilities management
- Conflict resolution
- Negotiation
Timeline
Director/Operations RCM Manager
Abeo Billing, LLC
11.2014 - Current
Owner/Operations Manager
Accurate Medical Billing & Coding
09.2009 - 10.2014
Biller/Assist. Billing Supervisor
Capital Nephrology Associates
07.2008 - 09.2009
Claims Supervisor
e-MDs
12.2006 - 03.2008
Medical Billing & Coding - College Degree
Fairfield Career Center