Patricia Stringer
Jackson,MS
Summary
Results-driven medical billing and collections professional with over 30 years of experience across diverse specialties and EHR systems, including physician and hospital billing, ambulatory care, and orthopedics. Expertise in CPT codes, modifiers, and coding-related issues, complemented by a comprehensive understanding of the full revenue cycle process for three clinics. Proven ability to enhance operational efficiency and ensure compliance while maximizing revenue recovery. Committed to delivering exceptional service and support within the healthcare industry.
Overview
19
19
years of professional experience
Work History
Medical Billing Specialist
Medical Management Services
11.2023 - Current
- Processed medical claims efficiently, ensuring accurate coding and timely submissions.
- Reviewed and resolved billing discrepancies to enhance revenue cycle management.
- Collaborated with healthcare providers to gather necessary documentation for claims approval.
- Trained new staff on billing software and compliance regulations to ensure operational consistency.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Located errors and promptly refiled rejected claims.
- Identified and resolved patient billing and payment issues.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
- Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- 40-60 claims out daily
A/R Follow Up Medical Biller/Owner (Remote)
PS Medical Billing
10.2015 - 05.2023
- Follow up with insurance companies regarding Hospital/Commercial/Facility claims utilizing the UB-04 form
- Work Accounts Receivable
- Month-end reports
- Monthly meetings
- Software systems, AdvancedMD, Kareo, Practiced Fusion, Athena, Payspan, Waystar
- Handle Appeals/eob denials
- Training employees and providers on Software
- Worked Rejections off software
Medical Biller for 5 Clinics
E Health Tech
08.2012 - 10.2015
- Worked Insurance Remits and Denials
- Worked collection accounts.
- Provider Credentialing
- Medical billing
- Enter charges and payments.
- Ran month end reports and had Monthly meetings with Providers
- Updated fee schedule Electrically submitted claims and worked denials.
- Verified accuracy of accounts payable payments, reduction in payment Errors
Clinic Coordinator
PIONEER HEALTH SERVICES
04.2007 - 10.2012
- Oversaw 18 Clinics
- Managed 8 Employees
- Training new employees
- Medicare Credit Balance Report
- Monthly Clinic Meetings to go over accounts receivable
- Updated fee schedules in the master files
- Billing for Rural health providers
- Traveled to do assessments of new clinics
- Work AR AND Denials EOBS
- Worked rejections
- Appeals
- Patient Collections
- Rural Health Primary Care, Orthopedics, Physical Therapy
Education
High School Diploma -
Florence High School
Florence, MS 05.1988
Skills
- AdvancedMD
- CMS-1500
- Athena
- Insurance Web portal Websites
- UB-04
- AS400 Practice Fusion
- Kareo
- Meditech
- Waystar
- Availity
- HIPAA compliance
- Insurance verification
- CPT knowledge
- Denial management
- ICD-10 proficiency
Timeline
Medical Billing Specialist
Medical Management Services
11.2023 - Current
A/R Follow Up Medical Biller/Owner (Remote)
PS Medical Billing
10.2015 - 05.2023
Medical Biller for 5 Clinics
E Health Tech
08.2012 - 10.2015
Clinic Coordinator
PIONEER HEALTH SERVICES
04.2007 - 10.2012
High School Diploma -
Florence High School