Trechell Pierson
Richmond
Summary
Results driven medical biller with several years of hands-on experience in account management, revenue generation and medical billing and coding. Accomplished in developing strategies to improve workflows and processes, and actualizing procedures to enhance revenue generation while working remotely. Demonstrated leadership skills guide teams towards success, optimize performance and sustain organizational success.
Overview
15
15
years of professional experience
Work History
Clinical Billing Specialist/Ambulatory Charge Capture Services
MD Anderson Cancer Center
Houston
12.2022 - Current
- Processed an average of 300+ medical encounters per day using EPIC
- Assists in training new and existing employees
- Reviews outpatient physician and ATC charges entered by the clinical staff for accuracy
- Conducts daily reconciliation of charges and audits to find billing trends
- Contacts providers to provide missing information to correctly capture all charges
- Generates reports for tracking status of charges for ATC billing
Patient Access Specialist/Financial Clearance Associate
MD Anderson Cancer Center
Houston
06.2014 - 12.2022
- Collects and collates patient data and insurance information for intake and registration process.
- Explains patient's insurance benefits thoroughly regarding deductibles, co-pays and out of pocket coinsurances prior to their appointments
- Verifies insurance benefits and obtains all necessary referrals and authorizations.
- Ensures all MSPQ's are completed accurately to avoid billing errors
- Provided financial counseling to patients to assist with their financial hardships (PFA'S)
- Create cost estimates with payment plan options and financial discounts for self-pay patients
- Utilized medical overrides and account reviews as needed to prevent delays in treatment
Medicare Analyst
UGHS Autimis Billing, LLC
Houston
07.2013 - 05.2014
- Performs monthly review of accounts receivable aging for all inpatient/outpatient account balances and acts to meet expectations of ADSO and percentage of aged A/R
- Manages the billing of all Medicare Hospital inpatient and outpatient claims to ensure timely and accuracy of billing.
- Submit valid claim corrections within the Medicare DDE system to capture hospital late and unbilled charges
- Analyze/Audit Medicare/Commercial accounts to determine the appropriate adjustments, appeals, and payments.
- Prepares state and government audit reports as required including quarterly credit balance for Medicare.
- Correct Medicare RTP Billing rejections on-line via Medicare FSS terminal
Billing Analyst
Sava Senior Care
Houston
05.2011 - 07.2013
- Managed the billing of SNF claims to ensure timely and accuracy of billing assigned payers.
- Undertook monthly review of aging accounts receivables for all resident account balances and delivered management to beat expectations of ADSO on percentage of aged Accounts Receivables.
- Audited regional accounts to ensure unbilled and late charges were captured and billed appropriately with correct modifiers
- Corrected Medicare RTP Billing rejections on-line via Medicare FSS terminal.
- Collated daily rejection reports and reported any billing issues to Reimbursement Manager.
- Prepared state and/or government audits as required including quarterly credit balance for Medicare.
Education
Bachelor of Science - Biology
Texas Southern University
Houston, Texas01.2004
Skills
- Intake specialist
- Claims processing
- Insurance verification
- Revenue Cycle Management
- Medical biller and coding specialist
- Auditing skills
- Attention to detail
- Expert in training
- Effective problem solver
- Strong communication skills
- Financial counselor
- Proficient with EPIC and other billing software
- Patient account management
- Experienced healthcare collector
- Conflict resolution
- Team collaboration
- Denial management
- HIPAA compliance
- Payment posting
- Analytical thinking
- Data entry proficiency
- Multitasking and organization
- Outpatient/inpatient billing
- Customer service
- Medical terminology
- Expert knowledge of Microsoft Office 365
- Organized team meetings via Zoom, Microsoft Teams or Skype
- EMR (electronic medical records)
Accomplishments
Awarded 2022 Heart of MD Anderson Cancer Center
Timeline
Clinical Billing Specialist/Ambulatory Charge Capture Services
MD Anderson Cancer Center
12.2022 - Current
Patient Access Specialist/Financial Clearance Associate
MD Anderson Cancer Center
06.2014 - 12.2022
Medicare Analyst
UGHS Autimis Billing, LLC
07.2013 - 05.2014
Billing Analyst
Sava Senior Care
05.2011 - 07.2013
Bachelor of Science - Biology
Texas Southern University