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Click here or scroll down to respond to this candidateCandidate's Name
Forney, TX Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLEExperience in Medical Billing and Law Firm, Mortgage industry. Function in a high-volume environment. Proficiency in conflict resolutionTeam player with excellent communication skillsDeep knowledge of research on various websitesReliable, flexible, and dependable hard-workerExcellent verbal and written communication skillsProfessional appearance, attitude, and demeanorAuthorized to work in the US for any employerWork ExperienceMedical Insurance Verification SpecialistPecan Tree Pediatrics - Rockwall, TXMarch 2022 to Present Handle all functions of the authorization process, including tracking and follow-up for authorization and re-authorization of services Track and communicate benefit maximums for clients services Inputting patient demographics into database Insurance Verification and Authorization Specialist is responsible for the initial verification and re- verification of benefits, authorizations and visit accumulations for the Company's numerous healthcare provider clients,Medical Billing SpecialistSkysource Solutions FreseniusJuly 2020 to April 2021 Primary responsibility to obtain /maintain authorizations and enter them in EMR database. Secondary responsibility is to bill claims for Medicare, Medicaid and commercial insurance payors when needed. Verifies that the insurance payor is active and correct for each patient before starting the authorization process. Requests authorizations from payors sources with accurate documentation required by payer and submits authorizations.Medical Billing SpecialistEmergicon - Forney, TXMay 2015 to March 2020 Entry payment posting and EOB knowledge and insurance verification pre- billing, reviews the patient care report (PCR) Accurately follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory Managed a weekly aging report.- Responsible for achieving high recoveries against a portfolio of claims. Work with document imaging system for archival purposes.- Ensure that payers adhere to laws regarding timely filing of claims.Pursued each outstanding account to reach maximum reimbursement by working with subject matter experts to resolve challenging claims. Developed recovery strategies with each payer.- Non-Essential Responsibilities:- Performs other functions as assigned sorting, filing working under and following HIPAA privacy and Security rules Review daily billing claims processing with ICD-10 and CPT codes Bill and re-bill all insurance claims in accurate and complete manner, verify accounts for late charges or credits prior to billing: totals statements to verify billing amounts: prepare and submit claim forms for appeals, denied. Handle Medicare and Medicaid billing with different ins claims. Document Custody SD ProcessorBNY MELLON - Dallas, TXMay 2015 to September 2015 Responsible to review collateral files and documents, verify mortgage note ownership and title, identify, chain exceptions and facilitate. Update Collateral Tracking System Fulfills internal requests for collateral review and document preparation Performs other task as assigned by management Complete check in and check out task Schedule new and existing patients using EMR system Verify insurance and complete pre-authorizations and/or precertification of procedures Answer back-line telephone calls, re-direct calls as appropriate, and assist callers with questions or concerns and take -messages as needed Sorting of documents received via facsimile and distribution of incoming postal mail-Scanning of all patients' (demographic) paperwork to patient chart and assist with batch scan filing-Establish and maintain effective working relationships with patients, employees, and the public Eviction SpecialistBarrett-Daffin-Frappier-Turner-Engel, LLP - Addison, TX December 2010 to March 2014 Responsible for entering diverse and complex alphanumeric data into a computer system and assuring accuracy of the data, maintain the docket for hearings, scheduling attorneys, obtaining results and forwarding results to clients Assists in preparation of all legal steps in the eviction process (vacate letters, petitions, hearing, writ request) and extensive telephone contact with debtors, clients, attorneys, and courts. Assist with cash for key, hoa fees, post payment to accounts Performs additional duties as requested. Eviction CoordinatorJackson Associates - Irving, TXMarch 2008 to December 2010 Prepares file folders or other identification records for data to be entered, retrieves records, files or documents to be entered, classifies or schedules data for entry process. Conducts communications with attorneys, negotiates fees and works with internal litigation department to assure all legal requirements Coordinated documents necessary for hearings assuring local counsel is provided correct documentation for eviction hearings. Requests any necessary documentation required for the preparation of the data for entry, including telephone contact with Justice of the Peace to verify precinct Produces status reports and presents to clients as needed. Assist with preparation of vacate letters, petitions, writ request (includes stuffing) and generating invoices for eviction files. Responds to incoming calls, emails and correspondence from clients, borrowers EducationHigh school diploma or GED in AcademicCaptain Shreve High School - Shreveport, LAAugust 1978 to June 197912thSkills Epic Medicare Windows Microsoft Word Microsoft Excel eClinicalWorks ICD-10 CPT Coding Medical Billing ICD-9 Documentation review English Customer service Medical terminology Medical Coding EMR Systems Insurance Verification Medical Scheduling Financial services Administrative experience Microsoft Office HIPAA Medical office experience Office experience ICD coding Managed care |
