STEPHANIE BRUCE
Centreville,Maryland
Summary
Efficient Accounts Receivable Specialist offering 34 years of experience in billing and accounts receivable functions. Excellent knowledge of collection and claims procedures with strong communication skills. Proficient in tracking payments and resolving billing issues.
Overview
33
33
years of professional experience
Work History
Accounts Receivable and Billing Specialist
The Heart Center of Northern Anne Arundel County
05.2017 - Current
- Utilize different insurance provider portals to verify eligibility.
- Research and make necessary corrections to clearing house denials.
- Audit charges for correct coding.
- Work with front desk to educate and limit front end errors.
- Post no show charges as appropriate.
- Post patient check payments and credit card payments.
- Review reports from external credit card processing website.
- Post insurance EFT/ACH payments, credit card payments, and paper check payments.
- Review and correct any insurance denials.
- Request appeal, reconsideration or redetermination of denied claims.
- Review and research complex claim denials for appropriate action.
- Answer patient billing line, answer inquires, update patient information and take credit card payments by phone.
- Submit claims electronically through clearing house.
- Process insurance and patient refunds.
- Review aging reports for unpaid claims.
- Enter authorization information and link to corresponding service.
Front Desk, Billing and Surgical Coordinator
Misty Lee Wray, M.D., LLC
05.2014 - 11.2016
- Greet patients in a friendly and professional manner
- Provide patient forms to be completed, obtain insurance cards and photo ID
- Scan patient paperwork, insurance cards, and photo ID into EMR
- Enter patient demographics and insurance information into the practice management system
- Verify insurance coverage and benefits
- Collect copays and payments for products
- Schedule appointments by phone and at check out
- Request medical records from other practices
- Create reminder call files
- Review charges for accurate coding
- Post office charges and surgery charges
- Submit claims electronically through ChangeHealthCare (Emdeon)
- Post payments by check, EFT, credit card, and cash
- Run patient statements
- Accounts receivable follow up and appeals
- Generate monthly reports
- Provide patients with surgery information packet
- Go over procedure information and have patients sign surgical consent
- Collect any money due for procedure
- Schedule surgery with the appropriate ASC
- Fax demographic and insurance information to the ASC
- Contact the PCP to get surgical clearance paperwork
- Work with the surgery center on any scheduling conflicts or paperwork concerns
- Provider insurance credentialing
- Provider facility credentialing
- Provider license credentialing
- Ordering supplies
- Scheduling meetings for the doctor
- Point of contact for vendors
Accounts Receivable Manager
Doctors' Choice Medical Services
01.2001 - 05.2014
- Trained staff on new billing system
- Trained new employees on billing system
- Managed the work flow of multiple employees
- Met with clients and their office staff to address concerns and resolve issues
- Answered patient phone inquiries in a timely manner
- Prepared accounts for collections
- Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, and patient identification
- Completed appeals and filed and submitted claims
- Posted charges, payments and adjustments
- Applied payments, adjustments and denials into billing system
- Submitted refund requests for claims paid in error
- Carefully prepared, reviewed and submitted patient statements
- Ensured timely and accurate charge submission through Realmed
- Thoroughly reviewed remittance codes from EOBS
- Accurately entered procedure codes, diagnosis codes and patient information into billing software
- Performed quality control of the data entry system to verify that claims and payments were posted correctly
Medical Billing Supervisor
Small Business Success, Inc
01.1995 - 12.2000
- Provided administrative support for two physicians
- Completed registration quickly and cordially for all new patients
- Accurately entered procedure codes, diagnosis codes and patient information into billing software
- Consistently ensured proper coding, sequencing of diagnoses and procedures
- Quickly responded to staff and client inquiries regarding CPT codes
- Confirmed patient information, collected copays and verified insurance
- Completed appeals and filed and submitted claims
- Posted charges, payments and adjustments
- Applied payments, adjustments and denials into billing system
- Submitted refund requests for claims paid in error
- Carefully prepared, reviewed and submitted patient statements
- Performed quality control of the data entry system to verify that claims and payments were posted correctly
- Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials
- Efficiently performed insurance verification and pre-certification and pre-authorization functions
- Performed full-cycle medical billing in a fast-paced medical billing company
Medical Billing Specialist
Professional Specialties Associates
01.1995 - 08.1995
- Involved in the start-up of a new billing system
- Trained the staff on new billing system
- Performed full-cycle medical billing in a fast-paced medical billing office
- Prepared and attached all required claims documentation including referrals and treatment plans
- Performed quality control of data entry system to verify the correct posting of claims and payments
Medical Billing Specialist
Emergency Medicine Associates
01.1992 - 01.1995
- Worked extensively with problem accounts
- Posted payments and procedures
- Followed up the accounts receivable
- Submitted claims both electronically and by paper
- Skip-traced bad addresses
- Prepared accounts for collection
Education
High School Diploma -
Wheaton High School
Silver Spring, MD06.1990
Career training - Medicare and Private Insurance Coding - specializing in cardiology
Time Management - undefined
How to Handle Difficult People -
Skills
- Accounts receivable expertise
- Research and due diligence
- Policy development
- IDC-10 coding knowledge
- CPT and HCPCS coding knowledge
- Collections management
- Aging reports analysis
- Process improvements
Timeline
Accounts Receivable and Billing Specialist
The Heart Center of Northern Anne Arundel County
05.2017 - Current
Front Desk, Billing and Surgical Coordinator
Misty Lee Wray, M.D., LLC
05.2014 - 11.2016
Accounts Receivable Manager
Doctors' Choice Medical Services
01.2001 - 05.2014
Medical Billing Supervisor
Small Business Success, Inc
01.1995 - 12.2000
Medical Billing Specialist
Professional Specialties Associates
01.1995 - 08.1995
Medical Billing Specialist
Emergency Medicine Associates
01.1992 - 01.1995
High School Diploma -
Wheaton High School
Time Management - undefined
Career training - Medicare and Private Insurance Coding - specializing in cardiology
How to Handle Difficult People -
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