Wendi Bean
Sound Beach,NY
Summary
Dynamic and versatile professional with a proven ability to adapt to diverse roles and responsibilities. I am required to process 68 claims a day and 50 appeals a month to make my productivity requirement. I have done that and have a 99% in productivity and 100% in accuracy, I am also productive in money received with denials to benefit my organization. I poses strong organizational, communication, and problem-solving skills, as well as a positive attitude and a commitment to excellence. Experienced in Epic software, Microsoft Office, and client communication, with a track record of achieving goals and contributing to organizational success. A quick learner who can work effectively in fast-paced and team-oriented environments. Ready to bring dedication, efficiency, and enthusiasm to a general position.
Overview
9
9
years of professional experience
Work History
Follow-Up Physician Billing
Catholic Health Services
Melville, NY
12.2018 - Current
- Reviews, corrects, and approves all primary and secondary billing and submits hard copy or electronic claims to appropriate payors. We have a productivity requirement of at least 68 claims per day and 50 appeals in which I meet those standards and sometimes more. I have a 99% productivity and accuracy score
- Reviews and edits any rejections stemming from electronic billing submissions and corrects and resubmits claims, as required
- Verifies the accuracy of patient insurance and demographic information
- Generates bills to patients for services not covered by insurance
- Investigates duplicate payments and takes appropriate action to resolve.
- Initiates refund requests, where necessary, in accordance with departmental procedures
- Perform follow-up on all outstanding accounts assigned in accordance with established standards and procedures
- Follows up on payer payment variances
- Reports trends of payer behavior
- Determines reason for denial and appeals accounts as necessary
- Responds to all requests for information and telephone inquiries from patients, insurance carriers, hospital business office, and outside agencies in a courteous manner
- Establishes and demonstrates competency in accounts receivable systems and associated applications
Billing Customer Service
St. Charles Orthopedics
East Setauket,NY
12.2015 - 12.2018
- Taking credit card payments over the phone for patient accounts
- Deposit by Provider reports
- Prepare daily deposits from incoming mail from Commercial, Workman's Comp, No-Fault and Patient checks
- Speaking with patients regarding their bills, explaining their EOB, taking other insurance information and uploading in the EMR, and resolving any issues involving their insurance denials.
Education
High School Diploma - General Studies
Unatego Jr. Sr. High School
Otego, NYSkills
- Fast Learner
- Computer Skills
- Ability to Work Under Pressure
- Teamwork
- Telephone Skills
- Insurance Claim Processing
- Customer Service
- Time Management
- Communication Skills
- Epic Software
Languages
English
Timeline
Follow-Up Physician Billing
Catholic Health Services
12.2018 - Current
Billing Customer Service
St. Charles Orthopedics
12.2015 - 12.2018
High School Diploma - General Studies
Unatego Jr. Sr. High School