Venya Beachem
Chicago,IL
Summary
With a proven track record at Strivant Healthcare, I excel in leading AR teams to surpass goals through strategic planning and performance monitoring. Expert in regulatory compliance and insurance verification, my attention to detail and ability to train and motivate staff have significantly boosted efficiency and financial outcomes. Seasoned Senior Medical Billing Specialist known for high productivity and efficient task completion. Skilled in medical coding, claims processing, and revenue cycle management. Excel at communication, problem-solving, and time management to ensure smooth billing operations and compliance with healthcare regulations.
Overview
21
21
years of professional experience
Work History
AR Team Lead
Strivant Healthcare
Tinley Park, IL
06.2022 - 01.2025
- Facilitated team meetings to discuss targets, strategies, and address any issues.
- Assisted the manager in setting achievable goals for the team while monitoring progress towards them.
- Offered training and support to keep team members motivated and working toward objectives.
- Conducted regular performance evaluations, providing constructive feedback and personalized coaching.
- Delegated tasks appropriately according to individual skill sets.
- Supported the manager in developing plans for future projects, initiatives and objectives.
- Facilitated training sessions for new employees on company policies and procedures.
- Held regular one-on-one coaching sessions with staff members to encourage personal development.
- Managed time effectively to ensure tasks were completed on schedule and deadlines were met.
- Researched complex billing issues involving multiple providers, or services rendered over a period of time.
- Collaborated closely with other departments to resolve claims issues.
- Analyzed rejected claims and corrected errors as necessary before resubmitting them for payment.
- Assessed billing statements for correct diagnostic codes and identified problems with coding or billing.
Medical Billing/ Payment Poster and Compliance Specialist
Renaissance Social Services, Inc.
Chicago, IL
09.2017 - 05.2022
- Work claims and claim denials to ensure maximum reimbursement for services provided.
- Submitted contracts to different insurance companies to become in network providers.
- Verified the accuracy of claim data prior to submission to insurance carriers.
- Communicated with insurance representatives to complete claims processing or resolve problem claims.
- Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Applied payments, adjustments, and denials into medical manager system.
- Performed insurance verification, pre-certification and pre-authorization.
- Ensured HIPAA compliance by maintaining confidentiality of all patient information.
- Reviewed claims for coding accuracy.
- Completed and submitted appeals for denied claims.
- Assessed billing statements for correct diagnostic codes and identified problems with coding.
Medical Billing Specialist/Payment Poster
Northwestern Medicine
St. Charles, IL
07.2016 - 12.2017
- Responsible for the accuracy of posting checks, credit cards, and electronically transferred funds to customers' accounts within Intergy and Epic billing software.
- Ensures that medical payments, allowances, adjustments, denials, and rejections are posted correctly.
- Responsible for the accurate, timely submission of insurance claims, and the collection of the designated portion of the accounts receivable.
- Responsible for the correction of claim rejections, the resubmission of rejected claims, and the resolution of all delinquent patient accounts, per guidelines, in order to secure payment.
- Submitted appeals using provider portals and phone communication.
- Processed credit card payments from patients in accordance with office policy.
- Monitored aging accounts receivable balances ensuring timely resolution of outstanding balances.
- Analyzed rejected claims and corrected errors as necessary before resubmitting them for payment.
- Reviewed and verified benefits and eligibility with speed and precision.
- Submitted appeals for denied claims when appropriate according to the insurance company's criteria.
Medical Billing Specialist/Payment Poster
Millennium Medical Management
Westmont, IL
08.2010 - 07.2016
- Knowledge of Insurance guidelines including
- Submitted appeals using provider portals and phone communication.
- Processed credit card payments from patients in accordance with office policy.
- Monitored aging accounts receivable balances ensuring timely resolution of outstanding balances.
- Reviewed and verified benefits and eligibility with speed and precision.
- Submitted refund requests for claims paid in error.
- Posted charges, payments and adjustments.
- Collected, posted and managed patient account payments.
- Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
Medical Biller/Payment Poster
Springfield Service Corp
Tinley Park, IL
05.2004 - 07.2010
- Reviewed and resolved claim issues captured in TES/CLAIMS edits, and the clearing house.
- Accurately posted payments from insurance companies and patients.
- Performed insurance verification, pre-certification and pre-authorization.
- Collected, posted, and managed patient account payments through correspondence.
- Performed follow up activities on unpaid claims with insurance companies or other third party payers by phone or written correspondence.
- Input details into accounts and tracked payments.
- Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
- Communicated with insurance representatives to complete claims processing or resolve problem claims.
- Submitted electronic claims to various insurance carriers.
- Maintained accurate patient data in electronic health records system.
- Completed day-to-day duties accurately and efficiently.
- Posted payments for insurance companies, including Medicare and Medicaid, by accurately entering data into the system.
- Applied cash receipts and performed daily bank deposits.
Education
Masters - Social Work
Chicago State University
Chicago, IL01.2012
Skills
- Trend tracking
- Performance monitoring
- Work assignment delegation
- Financial Analysis Skills
- Regulatory compliance
- Employee training
- Attention to detail
- Insurance verification
- Denial management
- Medicare, Commercial, Private Insurance and medicaid process
- Knowledgeable in EPIC, PIMSY, LSS, IDX
- Account follow-up
- Payer contracts
References
References available upon request.
Timeline
AR Team Lead
Strivant Healthcare
06.2022 - 01.2025
Medical Billing/ Payment Poster and Compliance Specialist
Renaissance Social Services, Inc.
09.2017 - 05.2022
Medical Billing Specialist/Payment Poster
Northwestern Medicine
07.2016 - 12.2017
Medical Billing Specialist/Payment Poster
Millennium Medical Management
08.2010 - 07.2016
Medical Biller/Payment Poster
Springfield Service Corp
05.2004 - 07.2010
Masters - Social Work
Chicago State University
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