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Click here or scroll down to respond to this candidateCandidate's Name
Highly motivated Medical Biller exceptionally skilled in Physician Billing with strong knowledge of Hospital BillingAshland City, TN Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLEHighly motivated skilled team player with strong background in the Medical Billing environment strongly concentrated in Physician Billing with knowledge of Hospital Billing. Works well independently to handle assignments and always ready to go beyond basic assignments. Quick learner with good computer abilities and strong attention to details. Willing to relocate: AnywhereAuthorized to work in the US for any employerWork ExperienceVirtual Office AssistantIndependent Self Employment - Ashland City, TNAugust 2021 to Present Office Administrator Financial Services Accounts Payable Accounts Receivables Prepare financial statements. Collect payments for services rendered. Audit records for accounting. Prepare Tax Returns Perform routine support activities for day to day operations. Prepare documents and similar clerical services. Perform bookkeeping and billing services, Provide information for clients. Audit accounting records Data EntrySelf Employedself-employed - Ashland City, TNMay 2021 to PresentDue to Covid-19 there was a downsize in the department I worked in resulting in me getting laid off. After careful consideration I took some much needed and well deserved time off to relax and travel a little. However I dearly miss working in the Physician Billing environment. I am definitely more than ready to get back into the grind of Medical Billing and offer all my knowledge and expertise to all aspects of Physician Billing and will absolutely appreciate the opportunity to share my knowledge with you and your organization.Account Reimbursement Specialist/Claims Management (Remote) Vanderbilt University Medical Center - Nashville-Davidson, TN August 2002 to May 2021 Billed both electronically and manually as needed,, and used all technology available to produce clean claims. Analyzed claims edit work queues, corrected all claims and submitted clean claims to the clearing house for reimbursement. Reviewed patient insurance, made verification through various online systems that claims were being submitted to proper insurance carrier, updated insurance information as needed. Reviewed worker compensation claims for procedure(s) performed, reviewed EPIC EHR for corresponding documentation, printed and attached corresponding documentation to claim(s) and mailed to payers for processing and reimbursement. Made changes to demographic information as necessary in order to produce clean claims and submitted clean claims to payers for processing and payment. Reviewed charge documentation for accuracy. Entered charges into practice management system. Completed account follow-up, maintaining established goals and notifying supervisor of issues preventing resolution. Processed insurance claims, administrative appeals, reinstatements and rejections. Managed correspondence, reviewing denials, underpayments, or other activity to appropriately resolve. Initiated billing follow-up or collections steps by calling patients, insurers, or employers. Entered data, answered telephone, and completed various other office tasks related to billing and reimbursements. Worked with insurance payors to facilitate proper reimbursement on patient accounts to expedite resolution. Made patient eligibility determinations, assessed coverage and reviewed claim status using various online systems. Analyzed existing account documentation and determined appropriate actions to resolve billing issues. Resolved questions related to charges. Monitored payments. Verified and input billing charges into applicable systems. Took on tasks and special projects assigned by management and worked to completion. EducationHigh school or equivalent in GEDCohn Adult High School - Nashville-Davidson, TNMarch 1989 to January 1990Certified Accountant in Accounting/bookkeepingTennessee School of Applied Science and Technology - Nashville-Davidson, TN Skills Medical Billing (10+ years) CRM software (10+ years) EPIC e-STAR (EHR) (10+ years) Microsoft Dynamics 365 (10+ years) Onbase (EMR) (10+ years) Remote/WFH (10+ years) Time management (10+ years) Explanation of Benefits (EOB) Knowledge (10+ years) Medical Terminology (10+ years) Data entry (10+ years) Medical Office Experience (10+ years) Customer Service (10+ years) Communication Skills (10+ years) ACCOUNTS RECEIVABLE (10+ years) ACCOUNTS PAYABLE (10+ years) Charge entry (10+ years) Microsoft Powerpoint (10+ years) Clerical Experience (10+ years) Data analysis skills (10+ years) Collaborative Problem Solving (10+ years) Availity (10+ years) Research (10+ years) Organizational skills (10+ years) EDI (10+ years) Insurance Verification (10+ years) ICD-9 (10+ years) ICD-10 (10+ years) EMR Systems (10+ years) Medical Records (10+ years) Microsoft Outlook (10+ years) CPT Coding (10+ years) Order Entry (10+ years) Medicare Experience (10+ years) Bluecross/ Blueshield Experience (10+ years) HMO/PPO PAYERS (10+ years) Commercial Payers (10+ years) Analysis skills (10+ years) HCPCS (10+ years) Documentation review (10+ years) ICD Coding (10+ years) Microsoft Office (10+ years) Microsoft Word (10+ years) Writing skills (10+ years) Medicare (10+ years) Computer literacy (10+ years) Computer skills (10+ years) Medical Coding (10+ years) Accounting (10+ years) Workers' Compensation (10+ years) Microsoft Excel (10+ years) Word processing (10+ years) Medical collection (10+ years) Epic (10+ years) Filing (10+ years) Windows (10+ years) Anatomy Knowledge (10+ years) HIPPA Guidelines (10+ years) Payment posting (insurance & patient) (10+ years) Typing (10+ years) Phone etiquette (10+ years) Office experience Navient (10+ years)Languages English - FluentLinkshttp://LINKEDIN LINK AVAILABLE AssessmentsProtecting patient privacy Highly ProficientMarch 2022Understanding privacy rules and regulations associated with patient records Full results: Highly ProficientMedical billing Highly ProficientFebruary 2022Understanding the procedures and forms used for medical billing Full results: Highly ProficientProtecting patient privacy Highly ProficientJune 2022Understanding privacy rules and regulations associated with patient records Full results: Highly ProficientMedical billing Highly ProficientOctober 2022Understanding the procedures and forms used for medical billing Full results: Highly ProficientIndeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field. |
