Summary
Overview
Work History
Education
Skills
Timeline
Generic

Mischa Myers

Columbia,SC

Summary

Detail-oriented and accomplished Medical Billing and Coding Specialist with over 5 years of extensive experience in the healthcare sector, specializing in billing, coding, customer service, and collections. Proven ability to streamline processes and enhance revenue cycle management while ensuring compliance with industry regulations. Seeking to leverage expertise in a billing specialist role or a related field to contribute to organizational success and improve financial outcomes. Committed to delivering exceptional service and fostering positive relationships with clients and healthcare providers.

Overview

13
13
years of professional experience

Work History

Eligibility Specialist

Pacer Staffing - SCDHHS
09.2023 - Current
  • Reviewing applicants and determining if individuals qualify for government assistance programs, by assessing their personal and financial circumstances, including income, assets, and expenses, through document verification and interviews, to ensure accurate and timely eligibility determinations while adhering to program guidelines.
  • Current 40 hours worked weekly

Personal Shopper – Full-Service Shopper

Self-Employed
08.2017 - 09.2023
  • Assists clients with their shopping needs by providing personalized advice and selecting items on their behalf, focusing on customers online list to include groceries or other goods, based on the client's specific budget, and preferences; building relationships with customers to understand their needs and make purchase recommendations while ensuring a positive shopping experience.
  • 40 Plus hours worked weekly

Customer Service Specialist I & II

BCBS of SC
06.2015 - 07.2016
  • Providing excellent customer service by answering inquiries, resolving issues, explaining health insurance plans, processing requests, and maintaining accurate records, all while adhering to company policies and procedures, with a focus on building positive customer relationships and ensuring their understanding of their benefits package; essentially acting as a primary point of contact for members regarding their health insurance needs.
  • 40 Hours worked weekly

Medical Collections Specialist I & II

Virtual Business office
04.2012 - 06.2015
  • Performs billing of claims to Government and Non-Government payers, Identifies and posts contractual and untimely adjustments to accounts, performs self-pay reviews on accounts, utilizes and applies industry knowledge of UB04 and 1500 codes and billing requirements. Performs review of denied claims (zero pays) to identify trends. Adheres to the HIPAA privacy and security regulations. Performs research as needed to resolve inquiries. Accurately utilized external client systems to access patient account information daily and documented all activity appropriately. Accessed and interpreted EOB/Remit information within client imaging systems for account documentation/correspondence/follow-up. Contacted insurance payers professionally (in all forms) with payer resources such as: website, E-mail, telephone, customer service departments.
  • 40 Hours worked weekly

Education

Associates - Medical Assisting

South University
Columbia, SC
06.2012

Skills

  • Windows XP, Word, Excel, Power Point, Skilled in varies Patient Access Systems/work drivers, such as Patient Access Systems, Work drivers and Billing Systems: Xpeditor - Quadax, Citrix, Allscripts, Florida Shares Direct Data Entry/HIQA, HPF, STAR, EPIC and entry level knowledge of MedicalManagerWork, CES, PIRS, FIPS and individual ACA plans

Timeline

Eligibility Specialist

Pacer Staffing - SCDHHS
09.2023 - Current

Personal Shopper – Full-Service Shopper

Self-Employed
08.2017 - 09.2023

Customer Service Specialist I & II

BCBS of SC
06.2015 - 07.2016

Medical Collections Specialist I & II

Virtual Business office
04.2012 - 06.2015

Associates - Medical Assisting

South University

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Mischa Myers