Sherry Mask
Rockwall,TX
Summary
Dedicated medical billing specialist with extensive expertise in claims processing and denial management. Proven track record in leading teams to enhance billing efficiency and improve reimbursement rates. Committed to supporting healthcare providers through streamlined administrative services.
Overview
16
16
years of professional experience
Work History
Medical Billing Specialist, Lead Follow-Up
Claimcare, Inc.
Irving, TX
03.2021 - Current
- Supervised daily operations for FU team, including follow-up reports, hot lists, emails, and troubleshooting claims denials and appeals
- Responsible for assigning team daily duties and coordinating team members with all arenas for clients' claims including scrubbing, demos, claim submittals, rejections, denials, appeals, etc.
- Led a team supporting up to eight clients and six DE and FU team members
- Facilitated client meetings to discuss project updates and address concerns
- Communicated with clinics to obtain corrected data and address inquiries from Physicians' Offices via email and calls
- Work closely with multiple departments to ensure compliance and accuracy with protocol for charges, posting, follow-up
- Perform routine investigation into rejected and denied claims
- Request patient medical information from hospitals and providers offices to support medical necessity
- Conducted audits for new hires at 30, 60, and 90 days and performed annual reviews of team members.
- Works collaboratively with management to create and analyze tracking reports to evaluate trends
Medical Billing Specialist, Sr. Role Follow-Up
Claimcare, Inc.
Irving, TX
08.2019 - 03.2021
- Processed medical claims using advanced billing software and systems.
- Reviewed patient records for accuracy and completeness before submission.
- Communicated with insurance companies to resolve billing discrepancies.
- Led team of 3 FU members to support billing processes for five clients
Medical Billing Specialist, Follow-Up
Claimcare, Inc.
Irving, TX
02.2019 - 08.2019
- Followed up on outstanding reports and rejections from clearinghouses to ensure timely resolution.
- Analyze billing and claims for accuracy and completeness; resubmit claims to proper insurance carriers and follow up on any issues
- Resolved EDI claim rejections swiftly to uphold workflow continuity.
- Reviewed and modified rejected claims.
- Filed appeals for denied claims to secure appropriate reimbursements.
- Works directly with insurance companies to get claims processed and paid
- Check A/R reports to identify trends, work with denials, appeals, refunds, and insurance balances
- Collaborated with billing manager on client accounts to ensure compliance and accuracy.
- Performs corrections for patient registration information that includes patient demographics and insurance information
Accounting Specialist I
Associa (Principal Management Group branch)
Dallas, TX
03.2017 - 02.2019
- Managed full-cycle accounts receivable, including billing, applying payments, processing bank deposits and daily transfers, and reconciling customer accounts to maintain financial accuracy.
- Collected monthly rent, tracked delinquent payments, sent late notices, and enforced late fees to ensure timely revenue flow.
- Recorded invoices & monthly deposits for offsite HUD properties
- Recorded HAP payments from the government for each HUD property at the first of the month.
- Collaborated closely with outside auditors for yearly HUD audits on properties
- Collaborated closely with managers to assist with resident maintenance issues.
- Ensured maintenance requests were managed satisfactorily by following up with residents and the in-house maintenance division.
- Entered new tenants' information into Yardi along with security deposits and pet security deposits for new tenants
- Processed and managed service requests, updated tenant contact information, researched past due invoices, and set up new vendors in the system.
- Helped create owners' monthly draws, including figuring management fees for the company, creating EFT, uploading and verifying the EFT to the bank for payment
- Trained and instructed new employees on Yardi software
- Worked on updating the company website with guidelines from the corporate office.
- Collaborated with Property Manager to maintain efficient operations for over sixty rental units, ensuring tenant satisfaction and compliance.
- Worked on final operating statements, funds distribution, closing of bank accounts, and any other relevant closing duties for closing out properties sold for owners
- Coordinated with property manager on tenant eviction process, including preparing and filing court paperwork and representing the owner in court.
- Performed property inspections including performing periodic inspections (inside and outside) on a defined schedule looking for repair needs, safety hazards, code violations, lease violations, and city inspections
- Worked with upper property management executives in the company performing multiple accounting responsibilities including running all checks for branch office through RDC, communicating with company banks for maintenance and upkeep of RDC machine and completing cash apps for financial recording and sending to corporate for posting
Administrative Assistant/Billing Dept/Front Office Mgr.
Dallas Healthcare
Dallas, TX
07.2010 - 03.2017
- Main duties of position prior to June 2016 include scrubbing patient charts and superbills with state guidelines for Medicaid and with coding guidelines before sending them to third party billing company along with front desk reception duties, oversaw back-office duties including assisting office manager with daily running of office
- Duties after June 2016 include in-house billing, managing denials, posting EOB payments to Athenahealth, posting cash pay payments to patient's chart, reconciling daily in office cash/credit payments, and weekly scanning Medicaid EOBs into Athenahealth along with previous duties.
- Checked in patients, performed registration of new patients and updating of existing patient demographic and processing of patient records
- Responsible for billing patient claims and following up on denials
- Investigated insurance claim denials.
- Established accountability system for tracking outstanding patient balances, enhancing financial oversight.
- Maintained HR documents and bi-weekly payroll for company
- Entered new employees, deleted previous employees, and assigned new passwords in the EMR system.
- Maintained HR files on employees including vacation and time off requests, time sheets, tax documents, and continuing educational files
- Maintained yearly office receipts for AP
- Performed office manager duties in absence of office manager
- Updated office OSHA documents and MSDS sheets in the office.
- Procured essential office and medical supplies for daily operations.
- Coordinated vendor relationships and sourced pharmaceutical samples and patient education resources, ensuring quality support for clinic operations.
- Trained front desk employees on new features in the Athena and AdvancedMD practice management system.
- Troubleshot IT computer issues in the office and installed new computers and printers as needed.
- Drafted professional correspondence for providers when required.
- Scheduled conferences and CE seminars for providers and administrative employees
- Assisted various vendors, insurance companies, law firms, etc. that needed information from office
- Interviewed potential employees for open positions including administrative, MA and student externship positions.
- Maintained office email system
- Changed the web page and updated it for VIS updates, weather closings, and flu shots.
- Created a calendar checklist for monthly items up for renewal in office including building insurance, malpractice insurance, CLIA and lab renewals, provider licenses, DEA renewals, etc.
- Worked on credentialing packets for insurance providers
- Troubleshot issues with Proximiti, the texting-based reminder system.
- Verified state Medicaid insurance via websites and commercial insurance via Availity
- Responsible for billing patient claims and following up on denials
Education
Medical Billing/Coding class - Medical Billing, Coding, Terminology
Penn Foster
200 Hickory Street, Scranton, PA12-2017
Bachelor's Degree - Business Administration
Arkansas State University
Jonesboro, Arkansas05-1994
Skills
- Claims processing
- Medical coding
- ICD-10 proficiency
- CPT knowledge
- Claims management software
- Billing software navigation
- Reimbursement procedures
- Practice management software
- Claim submission
- Insurance verification
- Electronic claims
- Claims review
- Chart auditing
- Billing procedures
- Specialty billing knowledge
- Healthcare regulations
- Compliance auditing
- Accounts receivable
- Accounts payable
- Financial reporting
- Healthcare financial analysis
- Patient billing
- Revenue cycle management
- Medical office procedures
- Practice management software
- Medical terminology
- Information requests
- Files and records management
- Account analysis
- Account follow-up
- Account reconciliation
- Medical claims submission
- Data entry
- Billing technology
- Multitasking and organization
- Time management
- Team leadership
- Team collaboration
- Training and mentoring
- Independent work skills
- Problem solving
- Critical thinking
- Effective communication
- Verbal and written communication
- Clerical support
- HIPAA compliance
- HIPAA compliance certification
- Knowledgeable in [software]
- [Number] WPM
- Operations support
- Insurance billing
- Accounts receivable
- Multitasking and organization
- Data entry
- Account reconciliation
- Medical claims submission
- Records administration
- Critical thinking
- Operations support
- Claims management software
- Database systems
Timeline
Medical Billing Specialist, Lead Follow-Up
Claimcare, Inc.
03.2021 - Current
Medical Billing Specialist, Sr. Role Follow-Up
Claimcare, Inc.
08.2019 - 03.2021
Medical Billing Specialist, Follow-Up
Claimcare, Inc.
02.2019 - 08.2019
Accounting Specialist I
Associa (Principal Management Group branch)
03.2017 - 02.2019
Administrative Assistant/Billing Dept/Front Office Mgr.
Dallas Healthcare
07.2010 - 03.2017
Medical Billing/Coding class - Medical Billing, Coding, Terminology
Penn Foster
Bachelor's Degree - Business Administration
Arkansas State University