Tracy McCarthy May
Grand Bay,AL
Summary
Medical Biller - Revenue Cycle Specialist with over 30 years of hands-on experience in account management, and medical billing and coding. Comfortable working independently or as part of supportive team. Reliable and Professional. Meticulous revenue cycle manager pursuing an opportunity to apply strong knowledge of accounts payable and receivable in a clinical environment. Diligent and structured with a proven history of implementing improvements to increase financial performance and achieve company objectives.
Overview
17
17
years of professional experience
Work History
Revenue Cycle Manager
Veterans Recover
Mobile, AL
11.2022 - Current
- Generated reports detailing key metrics such as days in accounts receivable, denial rate.
- Managed collection efforts by providing guidance on follow-up procedures for unpaid invoices.
- Coordinated between various departments such as front desk staff, medical coders and billers.
- Developed strategies to reduce denials, improve accounts receivable, and enhance revenue cycle performance.
- Maintained oversight of all billing operations including coding, charge entry, payment posting, collections and appeals.
- Performed data analysis to identify trends in denials or rejections from payers and develop strategies for resolution.
- Analyzed financial reports on a regular basis to identify areas of improvement in the revenue cycle process.
- Ensured adherence to HIPAA guidelines when handling protected health information.
Billing Specialist
Southern Cancer Center USON
Daphne, AL
10.2018 - 11.2022
- Executed medical billing including submitting claims to insurance companies and researching and resolving denials and explanation of benefit rejections within billing cycle timeframe.
- Calculated figures, percentage allocations for credits.
- Contacted insurance providers to verify correct insurance information.
- Secondary Billing with Explanation of Benefits.
- Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
- Verified insurance coverage and identified third-party payers for billing purposes.
- Monitored accounts receivable activity to ensure timely payment of invoices.
- Answered customer inquiries regarding billings, payments, account status.
Billing Specialist/Charge Entry
Cardio Thoracic & Vascular Surgical/CTVS
Mobile, AL
12.2016 - 10.2018
- Checked claims coding for accuracy with ICD-10 standards.
- Submitted claims to insurance companies.
- Performed insurance verification, pre-certification and pre-authorization.
- Collected, posted and managed patient account payments.
- Assessed billing statements for correct diagnostic codes and identified problems with coding.
- Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.
- Processed and sent monthly invoices to customers on standard billing cycle, including adjustments, credit memos and corrections.
Order Notification/Medicare Biller
Southern Cancer Center
Daphne, AL
03.2013 - 12.2016
- Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
- Reviewed medical records to meet insurance company requirements.
- Researched and communicated insurance requirements, including patient financial responsibilities and fee-for-service
- Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.
- Worked return claims and dealt with insufficient payments.
- Completed and submitted appeals.
- Applied HIPAA Privacy and Security Regulations while handling patient information.
- Resolved discrepancies on Medicare claims with insurance carriers.
- Processed appeals to insurance companies related to denied or underpaid Medicare claims.
Billing Specialist/Charge Entry
Azalea City Plastic Surgery
Mobile, AL
02.2008 - 03.2013
- Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.
- Liaised with patients, insurance companies and billing office personnel to effectively create and post bills, obtain payments and update system information.
- Processed and sent monthly invoices to customers on standard billing cycle, including adjustments, credit memos and corrections.
- ICD-CPT Coding
- Obtained authorizations for Surgical procedures
- Financial Consultant
- Assist with Patient's in Office Procedures
- Accounts Receivable and Accounts Payable
- Workers Compensation Benefits, Claims & Billing
Education
High School Diploma -
North Eugene High School
Eugene, OR06.1984
Skills
- Data Entry
- Billing
- CPT Coding
- HIPAA Compliance
- Account Reconciliation
- Insurance Knowledge
- Medical Billing and Collections
- Claims Management
- Medical Billing
- Account Monitoring
- Billing cycle performance
- Revenue quotas
- Critical Thinking
- Work Planning
- Compliance Assessment
Timeline
Revenue Cycle Manager
Veterans Recover
11.2022 - Current
Billing Specialist
Southern Cancer Center USON
10.2018 - 11.2022
Billing Specialist/Charge Entry
Cardio Thoracic & Vascular Surgical/CTVS
12.2016 - 10.2018
Order Notification/Medicare Biller
Southern Cancer Center
03.2013 - 12.2016
Billing Specialist/Charge Entry
Azalea City Plastic Surgery
02.2008 - 03.2013
High School Diploma -
North Eugene High School
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