Susie Bernard (Miller)
Salida,CO
Summary
At GeriPro Inc, I spearheaded the optimization of Part B supply claims, enhancing Medicare reimbursements through meticulous claims analysis. I increased claims payments from Medicare Advantage plans though consistent appeals management. My organIzational, communication and problem-solving skills led to streamlined billing and collections processes. Known for prompt client communication and a deep understanding of claims analysis, I drove efficiency and maximized revenue.
Overview
26
26
years of professional experience
Work History
Director of Reimbursement
GeriPro Inc
12.2008 - 10.2024
- Responsible for all Part B supply claims collection for Medicare and Medicare Advantage plans.
- Compiled and analyzed data regarding various payors.
- Established and checked coding procedures, monitored reports and updated internal files.
- Managed claim denials and appeals process.
- Actively maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third party requirements regarding billing.
- Displayed functional familiarity with Medicare, Medicaid and private insurance coverage protocols.
- Controlled accounts payable, accounts receivable, billing and claims processes to obtain maximum reimbursement from Medicare, Medicaid and other insurance providers.
- Managed EDI and DDE set up for multiple Fiscal Intermediaries.
- Used strong analytical and problem-solving skills to develop effective solutions for challenging situations.
- Did consulting for nursing homes for inpatient AR collections from Medicare, Medicare Advantage and Medicaid.
Assistant to the President / Sales Assistant
Filing Solutions/ Versia Storage
11.2003 - 06.2006
Manager Client Communications
Kolbe Corp
10.1998 - 11.2003
Education
Bachelor of Arts - Art
University of Georgia
Athens, GA12-1994
Skills
- Accounts receivable management
- Appeals management
- Claims analysis
- Claims investigation and research
- Insurance regulations
- EDI and DDE expertise
Timeline
Director of Reimbursement
GeriPro Inc
12.2008 - 10.2024
Assistant to the President / Sales Assistant
Filing Solutions/ Versia Storage
11.2003 - 06.2006
Manager Client Communications
Kolbe Corp
10.1998 - 11.2003
Bachelor of Arts - Art
University of Georgia
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