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Click here or scroll down to respond to this candidateCandidate's Name
Process-driven, himt specialist with experience in revenue cycle managementsector. Able to take initiative, lead collaborative projects, work seamlessly with colleagues and a passion for formulating process improvement plans in which create results.Reynoldburg, OH 43068PHONE NUMBER AVAILABLEEMAIL AVAILABLEEXPERIENCEViaquest Psychiatric & Behavioral Solution, Dublin, OH(remote) Medical BillerMarch 2024 - present Responsible for all aspects of billing including, but not limited to collecting necessary billing documentation, preparation, posting payments Responsible for collection of all client company accounts, proactive research of troubled client accounts and communication with operations and third-party partners regarding client accounts Responsible for filing paper correspondence Follow up daily on billing practices for assigned payers and assist team members as needed Complete other duties as assigned by management Identify and meet deadlinesHealthcare Medical Billing Consultant, Columbus, OH October 2023 - March 2024 Trained clients how to bill claims; Identified delinquent accounts, patterns and how to collect paymentOhio Gastroenterology Group, Reynoldsburg OH Lead Pro Fee Medical Biller (office visits)January 2023 - October 2023 In charge of 6 offices, I work closely with 38 providers to provide clinical documentation improvement education. I performed daily audits of progress notes and medical claims to target common documentation and coding errors that can affect revenue Created process improvement templates to effectively communicate/educate providers Contributed to generating an estimate revenue of $836,888 monthly, under 6 months of employment by billing 2677 office/televisit medical claims Cleared 7 months of backlog within a week Set personal daily goal of maintaining claims deficiencies rate at 0% Created no show rescheduling fee claims and communicate daily with the scheduling departmentSKILLSMedical Billing, Coding,Accounts Receivable,Insurance Verification,Insurance Follow up, AppealsSOFTWARESOPTUM ICD 10 CM, CPT,HCPCSEPIC utilized for coding, Re-billing, verifying insuranceeligibility and reviewingclaims remittanceECW used to create, code,query, verifying insuranceeligibility, payment postingand billing medical claimsMicrosoft Excel Spreadsheetutilized to track productivityand document paymentAdvance Track validate/QAmedical recordsOnBase validate/QA medicalrecordsLANGUAGESEnglish Delegated patient eligibility check and Insurance calls(coordination of benefits) as needed to speed up the billing process, providing a team work atmosphere and a chance to educate if neededCoventbridge Group, Grove City Fraud & Waste Medical Records TechnicianJanuary 2022 - January 2023 Developed an electronic QA process improvement plan which accelerated team productivity Completed two cases a day through QA & Validating over 5,000 pages of medical records a day. Collaborated with PI and Medical Review team to resolve case issuesTransworld Systems, Columbus OH Medical DebtCollectorMarch 2021 - January 2022 Met monthly assigned collection goals and auditors satisfaction ratings Formulated affordable payment plans with 85% of patients, leading into full account payments on high dollar accounts Enforced HIPAA rules and regulations to protect patients confidential informationMedassist A Firstsource Company, Columbus OH Account Resolution SpecialistJuly 2019 - February 2021 As a coordination of benefits specialist, I billed hospital facility claims for Trihealth and Premier on the coordination of benefits teams Provided daily communication with insurance companies to obtain claim status, payments and contacting patients to either update their COB, obtain insurance info or update their demographics Verified patients insurance eligibility in Epic or insurance web portalsThe Ohio State University Wexner Medical Center,Columbus OH Medical Information Management Student InternJune 2016 - July 2019 Utilized ICD-10 CM, ICD-10 PCS and HCPCS Level l & ll to engage with and assist both inpatient and outpatient specialists at OSUWMC Coded high volume monthly bill drops Scanned and validated medical records for epic Created training SOP for scanning and validating records in OnbaseEDUCATIONColumbus State Community College, Columbus OH
Associate of ScienceJanuary 2016 - May 2019Health Information Management TechnologyColumbus College of Art and Design, Columbus OH BFA August 2004 - May 2008Fashion DesignEastmoor Academy, Columbus OH High School Diploma August 2000 - May 2004High School StudiesCERTIFICATIONS/CREDENTIALSColumbus State Community College, Columbus OH
HIMT CertificateJanuary 2016 - December 2016 RHIT (in process) |
