Stacy Schultz
Jenison,MI
Summary
Organized Medical Biller boasts 21-year career performing difficult multitasking and claims-processing tasks. Works quickly with insurance companies to resolve problematic disputes and handle patient inquiries. Brings can-do attitude to collaborating with medical professionals, insurance providers.
Demonstrates leadership skills that guides teams toward succuss, Optimized performance and sustain success.
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
21
21
years of professional experience
Work History
Senior Medical Biller/Denial/Claim Edit Specialist
Corwell Health
Grand Rapids, MI
08.2002 - Current
- Reviewed and corrected medical billing documents for accuracy prior to submission.
- Analyzed patient records, insurance information, and medical coding data to ensure proper reimbursement from insurance companies.
- Trained other staff members in medical billing processes and procedures.
- Conducted audits of existing accounts receivable records for accuracy and compliance.
- Processed electronic payments from payers in a timely manner according to established deadlines.
- Worked collaboratively with providers, coders, billers, auditors, and finance team members as needed.
- Identified areas of improvement within current workflows in order to increase revenue cycle efficiency.
- Participated in regular meetings with senior management teams regarding any issues or projects that need to be reviewed and resolved.
- Researched rejected claims due to incorrect coding or inaccurate information submitted by providers.
- Addressed and responded to staff and client inquiries regarding CPT and diagnosis codes.
- Applied HIPAA privacy and security regulations while handling patient information.
- Communicated with insurance representatives to complete claims processing or resolve problem claims.
- Completed and submitted appeals for denied claims using provider portals and phone communication.
- Reviewed account information to confirm patient and insurance information is accurate and completed
- Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
- Performed insurance verification, pre-certification and pre-authorization.
- Trained new team members on company policies and several biling systems to keep team operations productive and efficient.
- Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
- Participated in workshops, seminars and training classes to gain stronger education in industry updates and federal regulations.
- Verified accuracy and integrity of motor vehicle and workers' compensation claims through careful research and analysis.
Education
Physical Education Teaching And Coaching
Alpena Community College
Alpena, MI1994
Skills
- Highly educated and well rounded on the Revenue Cycle System
- Teamwork and Collaboration
- Claims Processing
- Account Reconciliation
- HIPAA Compliance Certification
- Commercial and Private Insurance
- Claims Review
- Multitasking and Organization
- Billing and Collection Procedures
- Work Prioritization
- Medicaid and Medicare Knowledge
- Critical Thinking
- Medical Coding Understanding ICD-10
- efficient in several insurance portal
- Proficient in Waystar, Emdeon, and Payment Manager programs
- Versatile in Microsoft Word and Microsoft Excel
- HIPAA Compliance
- Data Entry
- CPT Code Modifiers
- Submission of Medical Claims
- Insurance Claims Processing
- Payment Posting
- Payer Contracts
- CMS-1500 Billing Forms
- Medical Terminology
- Claim Review
- Account Follow-Up
- Electronic Claims
- Proficiency in Epic
References
References available upon request.
Timeline
Senior Medical Biller/Denial/Claim Edit Specialist
Corwell Health
08.2002 - Current
Physical Education Teaching And Coaching
Alpena Community College
Similar Profiles
Heather A. CollinHeather A. Collin
Patient Service Representative at Corwell HealthPatient Service Representative at Corwell Health
Kristen CoughlinKristen Coughlin
RN at Corwell HealthRN at Corwell Health
Mandy HowardMandy Howard
Sr Application Analyst at Corewell HealthSr Application Analyst at Corewell Health