Susan Walsh
Gurley,AL
Summary
Proven professional with exceptional record of achievement in enhancing quality improvement initiatives for billing cycle. Exceptional partner to executive team, improving accounts receivable, and assisting with special projects. Dedicated to team success and solving problems with minimal oversight.
Overview
15
15
years of professional experience
Work History
Reimbursement Specialist II
Philips (formerly CardioNet)
Conshohocken, PA
09.2010 - Current
- Oversaw billing operations for all payer types, ensuring the precision of computer-generated reports
- Ensured accurate and up-to-date billing system as I monitored various payer types.
- Maintained accurate record of payments received in cash receipts journal
- Managed and resolved delinquent accounts through effective collection strategies.
- Maintained a record of all posted payments in patient accounts
- Safeguarded the correctness of CPT/ICD-9 codes used in insurance billing.
- Managed and resolved insurance rejections through Emdeon system.
- Demonstrated proficiency in preparing and adjusting clinic invoices
- Facilitated training sessions to ensure seamless integration of new employees
Billing Specialist
David Medical Group
Huntsville, AL
04.2009 - 09.2009
- Successfully oversaw the management of insurance account receivables, effectively resolving claim rejections.
- Successfully sustained a first claim yield rate of 98% and ensured that insurance A/R older than 90 days remained low, at only 5%
- Managed and documented insurance rejections within an organized audit log.
- Managed and updated CPT/ICD-9 codes to ensure accurate insurance billing
- Ensured accuracy and efficiency in entering patient charges
- Successfully handled the processing of hard copy claims to secondary insurance.
- Proficiently addressed customer concerns regarding patient/industrial insurance bills
- Served as point of contact for patient admissions and assisted with reception responsibilities
Education
High School Diploma -
Mentor High School
Mentor05-1982
Skills
- Medical Billing
- Financial Accounting
- Insurance Verification
- Eligibility Verification
- Payment posting
- Claims Processing
References
References available upon request.
Timeline
Reimbursement Specialist II
Philips (formerly CardioNet)
09.2010 - Current
Billing Specialist
David Medical Group
04.2009 - 09.2009
High School Diploma -
Mentor High School
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