Trista Fiscus
Goose Creek,SC
Summary
Competent Accounts Receivable Specialist bringing 6+ years of experience carrying out all accounts receivable functions in high volume environments. Proficient in tracking payments, resolving billing issues and preparing account statements. Recognized as dedicated professional driven to meet team targets and enhance bottom-line performance. Strong business acumen with the background and knowledge to work independently and in a group environment.
Overview
16
16
years of professional experience
Work History
Billing Department Supervisor
Lowcountry Urology Clinics
05.2023 - 12.2023
- Oversee billing department and approve PTO
- Communicate with Site office managers to maintain processes, compliance
- Perform staff reviews and administer feedback with daily tasks as needed; address staff concerns/inquiries regarding daily functions
- Work with accounting to perform needed financial reports with EMR systems
- Process and post insurance payments
- Keep working knowledge of CPT and ICD-10 codes as pertaining to insurance filing
- Special projects from upper management as required
AR Billing Specialist
Lowcountry Urology Clinics
10.2020 - 05.2023
- Verify upcoming patient appointments with deductible/coinsurance/copay due
- Recognize terminated policies and notify respective office
- Identify and assign problematic/pending claims within EMR to appropriate coworkers
- Verify accuracy of billing data and revise any errors within insurance groups for timely claims submission
- Identify any payments not being paid at allowed/contracted rate and research/contact entity to resolve/find solutions with monthly A/R reports; reconciliation and denials; submit appeals as necessary
- Assist in balancing accounts within EMR, Greenway; credits to debits
- Work closely with the billing supervisor on adjustments, payment reversals, and refunds
- Submission of secondary CMS 1500 forms to commercial payers and Medicaid
- Work within QS1 to identify open IOD claims for specialty medications and post payments appropriately
- Assist in training new A/R hires with systems and insurance websites navigation
- Communicate effectively with colleagues
- Display excellent service to patients as needed.
Payment Poster
CVS Health Corporation
08.2017 - 10.2020
- Increased accuracy of patient account balances by diligently applying payments according to insurance guidelines.
- Identify and research payment discrepancies to determine appropriate solutions according to company policies
- Proactively work with management to identify electronic payer errors and offer solutions
- Complete special projects as directed by management: locate misapplied/unapplied payments, rectify incorrect bill groups
- Volunteer for additional training in development of skills to facilitate identification of patient payments across multiple systems
- Assisted in the development of training materials for new Payment Poster hires, improving onboarding success rates.
- Consistently maintained high levels of productivity, exceeding departmental goals each month.
- Maintained compliance with HIPAA regulations while handling sensitive patient information during payment posting tasks.
- Accurately posted payments and adjustments both electronically and manually.
Coding and Reimbursement Specialist
Extremity Imaging Partners, Inc.
07.2012 - 08.2017
- Verified insurance benefits and eligibility
- Identified primary and secondary insurance carriers and processed billing
- Responsible for obtaining and following up on authorizations
- Assigned responsibility for copay to next payer
- Successfully transitioned office billing from ICD-9 to ICD-10 and mentored staff
- Interpreted radiological reports and applied appropriate ICD-10 codes for billing
- Processed patient/insurance credit card payments
- Posted insurance/patient payments and adjustments accordingly
- Performed general office tasks and duties as required.
Medical Office Administrative Assistant
Dr. Kang Ning Kenneth Hu
07.2007 - 02.2012
- Reconciled daily super bills and hospital surgical procedures with proper ICD-9, CPT codes, and modifiers
- Summary Skills Experience Processed billing of electronic and CMS 1500 forms
- Posted insurance/patient payments and adjustments accordingly
- Scheduled patients for surgery/radiology examinations and obtained insurance authorizations for said procedures
- Assisted doctor with minor office procedures
- Responsible for set-up/clean-up of exam rooms, sterilization of equipment, and ordering medical supplies
- Prepared weekly bank deposit and other general office tasks as required
- Adhered to strict HIPAA guidelines to protect patient privacy.
Education
Pre-nursing
Butler County Community College
Butler, PAHigh School Diploma -
Butler Area Senior High School
Butler, PA06.1990
Skills
- Billing
- Payment posting
- Insurance Verification
- Credit and collections
- Billing systems and software
- Medical coding knowledge
- Microsoft Office
- HIPAA Compliance
- Claims Processing
- Patient account management
- Cash Flow Management
- Account Reconciliation
References
References available upon request
Timeline
Billing Department Supervisor
Lowcountry Urology Clinics
05.2023 - 12.2023
AR Billing Specialist
Lowcountry Urology Clinics
10.2020 - 05.2023
Payment Poster
CVS Health Corporation
08.2017 - 10.2020
Coding and Reimbursement Specialist
Extremity Imaging Partners, Inc.
07.2012 - 08.2017
Medical Office Administrative Assistant
Dr. Kang Ning Kenneth Hu
07.2007 - 02.2012
Pre-nursing
Butler County Community College
High School Diploma -
Butler Area Senior High School
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