Summary
Overview
Work History
Education
Skills
Timeline
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Sheree Hartley

GEORGETOWN

Summary

Medical Biller with extensive experience at Common Spirit Health at Home, adept at resolving complex insurance claims and enhancing revenue collections. Proven track record in improving patient satisfaction through effective communication and compliance with HIPAA regulations. Skilled in electronic claims processing and committed to delivering accurate billing solutions. Have dealt with Veteran Administration, VA Community Care Ins., Hospice, Medicaid, Workers Comp and many others

Overview

25
25
years of professional experience

Work History

Medical Biller

Common Spirit Health at Home
03.2016 - 05.2023
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
  • Ensured timely payments from insurance providers through submission of accurate and complete claims.
  • Collected payments and applied to patient accounts.
  • Maintained compliance with industry regulations by staying updated on changes to medical billing codes and requirements.
  • Delivered timely and accurate charge submissions.
  • Collaborated with healthcare providers, ensuring accurate documentation for seamless billing operations.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
  • Improved patient satisfaction levels with clear explanations of their financial responsibilities and available payment options.
  • Adhered to established standards to safeguard patients' health information.
  • Conducted detailed analyses of billing cycles to identify patterns and implement strategies for reducing delays in payments.
  • Improved patient satisfaction by providing clear explanations of billing procedures and addressing billing inquiries promptly.
  • Maintained up-to-date knowledge of billing software and healthcare regulations, contributing to department's compliance and efficiency.

Medical Biller

Ohio Valley Manor Nursing Facility
07.2013 - 03.2016
  • Posted payments and collections on regular basis.
  • Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
  • Implemented quality control measures to identify potential errors before submitting claims, reducing rejections significantly.
  • Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
  • Established strong relationships with insurance representatives, facilitating prompt resolution of billing issues.
  • Assisted patients in understanding insurance benefits, leading to a positive experience during their visit.
  • Responded to customer concerns and questions on daily basis.
  • Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
  • Monitored outstanding invoices and performed collections duties.
  • Processed payment via telephone and in person with focus on accuracy and efficiency.
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
  • Ensured timely payments from insurance providers through submission of accurate and complete claims.
  • Collected payments and applied to patient accounts.
  • Maintained compliance with industry regulations by staying updated on changes to medical billing codes and requirements.
  • Adhered to established standards to safeguard patients' health information.

Medical Biller, Accounts Receivable

Brown County General Hospital
10.1998 - 07.2013
  • Assisted with staff training on updated medical coding systems, ensuring accuracy across all team members'' workloads.
  • Contributed to practice growth by providing detailed analysis of revenue patterns that informed strategic business decisions on expanding services or locations offered.
  • Resolved complex billing issues involving multiple parties by effectively coordinating communication among healthcare providers, insurers, and patients.
  • Reduced account receivables aging through diligent follow-up on outstanding claims and prompt resolution of denials.

Education

High School Diploma -

GEORGETOWN EXEMPT VILLAGE SCHOOL
Georgetown, OH
05-1976

High School Diploma -

SOUTHERN HILLS VOCATIONAL
Georgetown, OH

Skills

  • Insurance claims
  • Insurance billing
  • Medical billing
  • Electronic claims
  • HIPAA compliance
  • Insurance verification
  • Customer service
  • CPT knowledge
  • Patient billing
  • Billing and collection procedures
  • Insurance claims processing
  • Claim submission
  • Medicare and medicaid process
  • CMS-1500 billing forms
  • Medical claims submission
  • Claims review
  • Multitasking and organization
  • Account follow-up
  • Verbal and written communication
  • Medical billing technology

Timeline

Medical Biller

Common Spirit Health at Home
03.2016 - 05.2023

Medical Biller

Ohio Valley Manor Nursing Facility
07.2013 - 03.2016

Medical Biller, Accounts Receivable

Brown County General Hospital
10.1998 - 07.2013

High School Diploma -

GEORGETOWN EXEMPT VILLAGE SCHOOL

High School Diploma -

SOUTHERN HILLS VOCATIONAL

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Sheree Hartley