Trechell Pierson
Richmond,TX
Summary
Results-driven billing professional with over 15 years of experience, recognized for a meticulous approach to resolving discrepancies and enhancing financial accuracy. Committed to company values through an exceptional work ethic and proactive mindset. Leverages attention to detail and innovative problem-solving skills to streamline processes and improve overall efficiency. A dedicated team player thriving in dynamic environments, consistently delivering high-quality results that support organizational goals.
Overview
15
15
years of professional experience
Work History
Clinical Billing Specialist/Charge Capture Analyst
MD Anderson Cancer Center
12.2022 - Current
- Managed processing of over 275 medical claims daily utilizing Epic
- Supports training initiatives for clinical support teams and billing specialists, delivering coverage in multiple specialty clinics as necessary.
- Analyze all inpatient and outpatient technical charges to confirm correct assignment of charges to respective cost centers for revenue analysis.
- Conducts daily charge capture reviews to ensure clinical center charges are accurately entered into billing system and posted promptly.
- Coordinate with clinical support team members to troubleshoot charge or encounter problems and execute appropriate charge corrections.
- Facilitated development of reconciliation and audit processes to guarantee capture of all inpatient and outpatient technical charges.
- Utilized designated reports and work queues across EHR and billing systems.
Financial Clearance Specialist
MD Anderson Cancer Center
07.2018 - 12.2022
- Ensures insurance coverage for services and obtains necessary referrals and authorizations.
- Facilitated financial counseling for insured and uninsured patients, including development of cost estimates and exploration of available payment plan options
- Implement medical overrides and conduct account reviews when required.
- Oversaw 20+ new patient referrals daily while verifying patient insurance benefits.
- Collaborated with referral sources to guarantee accurate routing of patients to appropriate cancer clinics based on diagnosis.
- Managed patient transfers to outside cancer facilities based on requests from patients or physicians.
- Authorization specialist proficient in obtaining authorizations for all infusion therapies (chemotherapy, antibiotics, and hydration), diagnostic imaging, radiation, outpatient/inpatient surgeries, and protocol therapies.
- Partnered with commercial Medicare/Medicaid plans, TPAs, and OON providers to facilitate letter of agreements for patients' service access at their insurance's in-network rate
Patient Access Specialist
MD Anderson Cancer Center
06.2014 - 06.2018
- Assist patients and families in person, by phone, and through email in addressing questions related to new patient intake process.
- Supported management of new patient appointments through effective scheduling and rescheduling, providing essential information about healthcare services.
- Support patients with insurance eligibility checks and billing questions, guaranteeing accurate and swift resolution of any concerns.
- Demonstrated empathy and active listening expertise in handling patients' concerns and complaints, promoting a positive and supportive environment.
- Coordinated with healthcare providers and departmental teams to ensure effective patient transitions and uphold continuity of care.
- Recorded comprehensive and precise details of all customer interactions in facility database.
- Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
Medicare Analyst
UGHS/Autimis Billing LLC
07.2013 - 05.2014
- Conducted monthly assessment of accounts receivable aging for all inpatient and outpatient account balances to align with adso expectations and aged A/R percentage
- Oversees billing processes for all Medicare hospital in-patient and outpatient claims to guarantee timely and accurate billing.
- Execute valid claim corrections in Medicare DDE system for capturing hospital late and unbilled charges.
- Review Medicare and commercial accounts to determine suitable adjustments, appeals, and payments.
- Compiles state and government audit reports as mandated, including quarterly credit balance for Medicare.
- Correct Medicare RTP billing rejections digitally utilizing Medicare FSS terminal.
Billing Analyst
Sava Senior Care
05.2011 - 07.2013
- Administered SNF claims billing to uphold timeliness and correctness for specified payers.
- Performed comprehensive review of monthly aging accounts receivables for resident account balances, consistently exceeding management's adso targets on aged receivables.
- Reviewed regional accounts to guarantee unbilled and late charges captured and billed accurately with correct modifiers.
- Resolved Medicare RTP billing rejections through online processing via Medicare FSS terminal.
- Consolidated daily rejection reports and informed reimbursement manager regarding billing concerns.
- Facilitated state and government audits as mandated, including quarterly credit balance for Medicare.
Education
Bachelor of Science - Biology
Texas Southern University
Houston, TXSkills
- Payment posting
- Billing systems and software
- Customer service
- Medical billing and collections
- Medical coding
- Claims processing
- Patient account management
- Revenue cycle management
- Data entry proficiency
- Problem-solving
- Insurance verification
- Multitasking and organization
Timeline
Clinical Billing Specialist/Charge Capture Analyst
MD Anderson Cancer Center
12.2022 - Current
Financial Clearance Specialist
MD Anderson Cancer Center
07.2018 - 12.2022
Patient Access Specialist
MD Anderson Cancer Center
06.2014 - 06.2018
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