Summary
Overview
Work History
Education
Skills
Certification
Additional Information
Timeline
Generic

Valerie Grantham

Leesburg,FL

Summary

Goal emphasizes participation in collaborative environments, embracing learning opportunities, and refining technical skills while encouraging personal growth.

Overview

1
1
Certification
14
14
years of professional experience

Work History

Billing Specialist / Billing & Coding Manager

Macinnis Dermatology
08.2019 - Current
  • Scrubbing of claims to payers for accurate billing.
  • Post payer payments electronically and manually.
  • Post patient payments.
  • Payer and patient refunds.
  • Appeals and disputes.
  • Discuss billing issues with patients.
  • Work AR for payers and patients.
  • Work and solve denials.
  • Collection accounts.
  • Reconciliation of daily batches.
  • Analyze and review patient billing statements.
  • Month end reconciliation and analytic reporting.
  • Credentialing of providers with payers.
  • Manage the team and oversee operations.
  • Working remotely since March of 2020

Billing Manager

Florida Cardiovascular Specialists, PA
01.2016 - 01.2019
  • Posting of all payments for Insurance and Patients. EFT's and Checks
  • A/R
  • Denials
  • Appeals and Reconsiderations to get claims paid.
  • Manage a department of four billers and A/R workers.
  • Appeals and Reconsiderations, Claim Reconciliations.
  • Charge posting
  • Month end and Invoicing of outside studies.

Financial Coordinator

Cardiovascular Institute Dr Eze Uche, MD
06.2012 - 07.2014
  • Posting of all charges and all payments. Worked denials, A/R, patient liaison, daily close out, deposits, electronic transmission of claims, print and mail paper claims, do all insurance authorizations and referrals, assist with credentialing, retrieve payments from insurance sites and post.
  • Accomplishments
  • I learned a lot at this job, I had the opportunity to express ideas and try them to see if they would work and most did. We changed systems and all learned together and felt comfortable with what we where doing. We had a very supportive manager.
  • Skills Used
  • Patient relations, all financial and billing skills were used daily and I learned a lot.

Education

High school - undefined

Leesburg High School
Leesburg, FL
01.1992

Skills

Medical billing and coding

Insurance verification and claims

Accounts receivable and payable

Medical scheduling and reception

Data entry and clerical support

CPT and ICD-10 coding

EMR systems proficiency

Microsoft Office applications

Certification

  • OSHA CERTIFIED
  • CPR CERTIFIED

Additional Information

Software/System’s that I’m proficient with: Clearinghouse’s Optum 360, Emdeon and ZirMed Insurance verification and authorization sites: Availity, PaySpan, NIA, Evicore, Navinet, United Healthcare. Familiar with Mericare Replacement Plans such as: Freedom, Optimum, UHC, BCBS

Timeline

Billing Specialist / Billing & Coding Manager

Macinnis Dermatology
08.2019 - Current

Billing Manager

Florida Cardiovascular Specialists, PA
01.2016 - 01.2019

Financial Coordinator

Cardiovascular Institute Dr Eze Uche, MD
06.2012 - 07.2014

High school - undefined

Leesburg High School
Valerie Grantham