Sandra L. Epps
Fort Washington,MD
Summary
Professional with strong expertise in medical billing, bringing reliable and adaptable approach to navigating evolving needs. Proven track record in team collaboration and achieving results through effective communication and problem-solving. Skilled in coding, claims processing, and patient account management, with keen eye for accuracy and compliance. Known for dependability and focus on efficiency, ready to contribute to streamlined billing operations.
Overview
32
32
years of professional experience
1
1
Certification
Work History
Medical Biller
RadNet
03.2009 - 05.2022
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Filed and updated patient information and medical records.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Collected payments and applied to patient accounts.
- Posted payments and collections on regular basis.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
- Liaised between patients, insurance companies, and billing office.
- Delivered timely and accurate charge submissions.
Insurance Follow Up-Collector
Arizona Hospital
01.1998 - 02.2009
- Responsibilities included but are not limited to: Verifying insurance primary or secondary payer
- Calling insurance company for a precertification number
- Correcting addresses and policy numbers
- Billing commercial claims paper, work return mail, and contractual adjustments
- Add or delete insurance claim plan
- Checking the DC Medicaid and Medicare terminals for eligibility
- Also, checking Blue Cross Terminal for payments and denials
- Collaborated with team members to achieve monthly targets, promoting a positive work environment and boosting overall productivity.
- Contacted customers to discuss payment schedules and set up or immediately process payments.
- Reduced outstanding debts by implementing strategic collections tactics and maintaining open lines of communication with customers.
Inpatient Claim Specialist
Greater Southeast Hospital
01.1998 - 01.1999
- Responsibilities included all the inpatient electronic billing for Medicare, Blue Cross Blue Shield, Medicaid, and all Third party Payers
- Billed claims that were secondary to Medicare and (MSP), worked A/R, 72-hour report, and rejection reports
- Followed up with the Billing Manager monthly to report the Medicare Suspense on ways of improving this status location
- Reviewed and maintained accurate claim files, ensuring all necessary documentation was in place for future reference.
- Maintained compliance with industry regulations by staying up-to-date on changes in policies and procedures, ensuring proper handling of sensitive information.
- Conducted thorough investigations into insurance claims to determine coverage eligibility and appropriate compensation amounts.
- Enhanced customer satisfaction with prompt and accurate claim resolutions, resulting in positive feedback and increased client retention.
Outpatient Medicare Biller
Greater Southeast Hospital
01.1995 - 01.1998
- Responsible for separating bills, making any adjustments needed for electronic billing, keying claims into the POSI system, running the Downloads and Compliance reports for the bills
- Also running the Transmission Reports and keeping a logbook for all the reports
- Train new personnel with Medicare Outpatient Billing
- Provide follow-up with outstanding accounts, check the Online Medicare System for various information due to denied claims, key claims online with Medicare and keep abreast of the Suspense Accounts
- Assisted in the development of internal policies and procedures related to the Medicare billing process, ensuring consistency across the organization.
- Played an integral role in maintaining a positive work environment by actively contributing to team meetings and consistently offering support to colleagues.
- Provided exceptional customer service, addressing patient inquiries about their Medicare bills in a professional manner.
- Actively participated in industry conferences and workshops to stay updated on trends and developments in the field of medical billing.
- Reduced claim denials, maintaining thorough knowledge of Medicare regulations and guidelines.
Billing Coordinator
Greater Southeast Hospital
01.1990 - 01.1994
- Responsible for filing claims electronically, and manually
- Verifying insurance, CPT-4 and ICD-9 codes and reconcile the A/R, which consist of applying payments, adjustments and making follow-ups on outstanding accounts
- Additionally, acted as a Patient Accounts clerk; write of accounts to bad debt, pull EOB, copy referrals, pull registrations for paper claims
- Received phone calls from patients regarding their accounts
- Mail patient statements
- Answered telephone and in person inquiries with friendly demeanor and full knowledge of billing department processes.
- Completed appeals of denied claims on patient bills.
- Developed customized billing reports for internal stakeholders, supporting informed decision-making processes.
- Established clear communication channels between departments to promote seamless coordination in all aspects of the billing process.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Monitored accounts receivable aging reports, identifying trends and proactively addressing potential collection issues.
- Entered details into accounts and tracked payments.
- Coordinated with clients to resolve outstanding balances, resulting in a higher percentage of on-time payments.
Education
High School Diploma -
Crossland High
Temple Hills, MDSkills
- Insurance claims
- Medical billing
- Customer service
- CPT knowledge
- Claim submission
- Medicare and medicaid process
- CMS-1500 billing forms
- Insurance billing
- Electronic claims
Certification
- IBM Compatibles PC
- EC 2000, Overview
- Medical Terminology
- Quattro Pro
- Word Perfect
- Pegasus Electronic Mail
Timeline
Medical Biller
RadNet
03.2009 - 05.2022
Insurance Follow Up-Collector
Arizona Hospital
01.1998 - 02.2009
Inpatient Claim Specialist
Greater Southeast Hospital
01.1998 - 01.1999
Outpatient Medicare Biller
Greater Southeast Hospital
01.1995 - 01.1998
Billing Coordinator
Greater Southeast Hospital
01.1990 - 01.1994
High School Diploma -
Crossland High
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