Dynamic and results-oriented professional with 3 years experience in Electronic billing processing and investigative research, honed at Shook Hardy & Bacon. Proven multitasking and organizational skills complement a track record of reducing unpaid accounts, with a keen focus on achieving and surpassing employer-desired outcomes.
Overview
14
14
years of professional experience
Work History
Electronic Billing Specialist
Shook Hardy & Bacon
Kansas City, MO
01.2022 - Current
Investigate past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
Submit invoices through the Ebilling Hub for review by the client.
Submit appeals for reduced invoices on the client’s electronic billing website.
Contact client, attorneys, and legal staff to obtain legal information
Maintain up-to-date records of all billing activities in Arcs including charges, adjustments, and rejections.
Analyze client accounts for billing errors or discrepancies in order to resolve issues quickly.
Submit accrual information in client’s electronic billing website or by email as requested.
Work closely with the Billing and Collections Team to provide support as needed.
Billing Coordinator
Midwest Ear Nose and Throat
Olathe, KS
11.2020 - 01.2022
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
Communicated with healthcare personnel, including practitioners to promote accuracy.
Actively maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third party requirements regarding billing.
Interpreted medical reports to apply appropriate ICD-10, CPT-4 and HCPCS codes.
Reviewed account information to confirm patient and insurance information is accurate and complete.
Interpreted medical terminology and pharmacological information to translate information into coding system.
Accounts Receivable Specialist
Morgan Hunter Corporation
Overland Park, KS
08.2020 - 09.2020
Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
Posted charges, payments and adjustments.
Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
Completed appeals and filed and submitted claims.
Posted and adjusted payments from insurance companies.
Reviewed and verified benefits and eligibility with speed and precision.
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Applied payments, adjustments and denials into medical manager system.
Prepared billing statements for patients, ensuring correct diagnostic coding.
Prepared and attached referrals, treatment plans or other required correspondence to reduce incidence of denials.
Technical Support Representative
MSTS
Overland Park, KS
05.2019 - 07.2020
Assessed customer bug reports and enhancement requests and prioritized development to streamline response.
Diligently followed up with customers about existing orders, informing on status and responding to questions.
Maintained composure and patience in face of difficult customer situations, applying de-escalation techniques and positive customer support.
Built and maintained successful relationships with service providers, vendors, dealers and consumers.
Explained technology-related details in easy-to-understand terms to individuals from all walks of life and in various job positions.
Mentored other technical engineers and support professionals to provide professional development and skill enhancement.
Observed system functioning and entered commands to test different areas of operations.
Set up new desktop systems and configured laptops for incoming employees, loading required software and server permissions.
Responded to assistance requests from users and directed individuals through basic troubleshooting tasks.
Delivered local and remote Tier 1 IT support for hardware and software to company personnel.
Referral Specialist
Centene Corp.
Lenexa, KS
09.2016 - 04.2019
Managed and obtained insurance authorizations for patient referrals from physicians.
Assisted patients by answering questions and providing information regarding referrals.
Tracked referral request progress and resolved issues to maintain smooth processing.
Collected required signatures to initiate referral process.
Gathered and verified insurance requirements to meet payer requirements.
Entered confidential patient information and updated electronic records in database.
Developed productive working relationships with numerous insurance company representatives.
Selected by supervisor to train new hires on departmental processes and software.
Commended for timeliness and accuracy in all documentation, from initial contact to account closeout.
Scheduled patients according to availability, urgency and insurance authorization guidelines.
Verified documents and associated records to catch and resolve discrepancies.
Answered 25 average daily phone calls to schedule appointments and address patient inquiries.
Addressed, documented and responded to incoming correspondences to address client queries.
Veteran Services Program Support Specialist
Centrinex
Lenexa, KS
05.2015 - 12.2015
Produced and updated organizational records and reports, including organizing budgets and documentation.
Coordinated referrals to community services by advocating for individual needs and addressing roadblocks.
Consulted with local government representatives to understand community needs and strategize response plans.
Advocated for placement of patients into community-based treatment settings
Organized volunteer schedules and assignments to maximize efficiency and program effectiveness.
Collaborated with team members to identify and accomplish agency objectives.
Worked closely with team members to deliver project requirements, develop solutions and meet deadlines.
Created agendas and communication materials for team meetings.
Performed site evaluations, customer surveys and team audits.
Referred patients to appropriate healthcare services or resources
Explained policies, procedures, and services to patients using medical or administrative policies
Suspended Billing Representative
Apria Healthcare Group Inc.
Overland Park, KS
11.2013 - 03.2015
Oversaw daily collections and accounts receivable activities, developing robust strategies to maximize collections and reduce aged accounts.
Protected medical office operations and integrity by keeping patient information confidential.
Took billing calls, questions and concerns from patients and third party carriers.
Attended provider meetings and workshops when appropriate.
Processed refund requests and reconciled deposit and patient collections.
Sent incomplete or incorrect claims to supervisors for proper adjudication.
Identified discrepancies and carrier issues regarding billing and reimbursements.
Processed claims and forwarded information to Medicare, Medicaid and commercial insurance companies.
Entered patient charges and payments into electronic health records.
Corrected, completed and processed claims for payer codes.
Answered phone calls, responding to basic questions regarding appointments and clinic operations and directing calls within clinic as appropriate.
Healthcare Application Analyst
UnitedHealth Group
Overland Park, KS
09.2010 - 08.2013
Utilized active listening and communication skills to address customer inquiries and escalate issues to supervisor.
Managed customer inquiries through telephone, email and social media interfaces.
Capitalized on opportunities to enhance customer experiences and bring in repeat business.
Fielded customer complaints and queries, fast-tracking them for problem resolution.
Prevented key account losses by researching discrepancies for corrective action.
Escalated customer concerns, store issues and inventory requirements to supervisors.
Created and implemented process improvements to reduce workloads and bolster callback efficiency.
Provided advice and front-line expertise to internal committees in order to improve team, service and procedural standards.