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Biller-accounts Receivable Supervisor Resume

Fairfax, VA

SUMMARY:

  • Accomplished business, medical administrative professional with excellent communication skills demonstrated by 18 years of experience in health care and education background. I am an energetic professional within high - level executive support roles.
  • Organized and professional, as well as an administrative assistant that is focused on driving productivity by leveraging strong front and back office management skills.
  • Dedicated and focused at prioritizing, completing multiple tasks simultaneously and following through to achieve project goals.
  • I am seeking a role of increased responsibility and authority.

SKILL:

  • Advanced MS Office Suite knowledge
  • Excel Spreadsheet development
  • Report analysis
  • Medical billing
  • AR/AP
  • Cash Application
  • Bank Deposit Preparation
  • Schedule management
  • Self-starter
  • Staff motivator
  • Strong Planning skills
  • Technical expertise
  • Deadline-driven
  • Electronic medical records (EMR)
  • Organizational and communication skills
  • Typing speed 85wpm
  • Reimbursement Analyst
  • Microsoft Word, Excel, PowerPoint, Internet Research

EXPERIENCE AND SKILLS:

  • Microsoft Word, Excel, PowerPoint, Visio, Access, Outlook
  • Medical Manager, MicroMd, eClinicalWorks, Suitemed, GE Centricity, Medics Elite, Allscripts, Availity, Athena
  • Claims appeals procedures
  • Strong organizational and administrative skills.
  • Outstanding verbal and written communications skills.
  • Knowledge of ICD-9 Codes and CPT codes
  • Attention to detail, accuracy, time management and organizational skills
  • Knowledge of commonly-used concepts, practices and procedures within the field of healthcare insurance

PROFESSIONAL EXPERIENCE:

Biller-Accounts Receivable Supervisor

Confidential, Fairfax, VA

Responsibilities:

  • Charge and Payment Posting as well as managing account payments
  • Evaluate and resolve billing issues with patients, insurance companies and medical practice
  • Manage inventory levels, clinic cash flow, accounts payable and receivables.
  • Monitor charges that are being rejected by the clearing house to determine and resolve all issues
  • Responsibilities include submitting claims and following up with insurance companies.
  • Interpret Explanation of Benefits and apply correct status/reason codes in PMS.
  • Process appeals and denials and resubmitted claims to proper insurance carrier
  • Properly process accounts that are in bankruptcy or some type of legal process
  • Identify all credit balances by researching account history and correctly applying credits to outstanding balances to ensure balances are appropriate.
  • Work with software vendor to take care of issues to improve the process of clean claims and payment posting
  • Identify and diagnose substantial changes in accounts receivables aging per insurance carriers
  • Call patients in reference to past due balances, worked out payment plans and/or collection status.
  • Post insurance and patient payments to accounts as well as worked on Hospitalist A/R
  • Provide tips and updates to billing staff on updates and new ways to improve patient account balances and maintain a low A/R report.

MEDICAL BILLER-REIMBURSEMENT ANALYST

Confidential, Fairfax, VA

Responsibilities:

  • Balanced all keyed batches daily, comparing PMS ledger to batch control sheet to ensure correct balances
  • Reported discrepancies to ensure maximum reimbursement for services provided and great follow up processing.
  • Interpreted Explanation of Benefits and apply correct status/reason codes in PMS.
  • Handled all Explanation of Benefits (electronic and paper), process appeals and denials and resubmit claims to proper insurance carrier
  • Identified all credit balances by researching account history and correctly applying credits to outstanding balances to ensure balances are appropriate.
  • Maintained and update daily spreadsheets by recording all ERA postings, making sure all electronic payments are correctly recorded in bank account and accounting system.
  • Sorted mail and prepare daily bank deposit.
  • Provided tips and updates to billing staff on updates and new ways to improve patient account balances and maintain a low A/R report.

FRONT DESK SUPERVISOR-BILLER

Confidential, Fayetteville, NC

Responsibilities:

  • Responsible for supervision of patient scheduling, medical records, registration, billing, collections and cash posting
  • Supervised and managed front desk, medical assistants and other staff
  • Coordinated all physician schedules and paperwork
  • Arranged office meetings and prepared agendas
  • Reconstructed old patient forms and office forms into a new updated and more informative formats
  • Resolved patient questions and/or complaints.
  • Created, maintained and implemented office procedures and policies
  • Assisted with interviews for new hires
  • Entered office charges and checked all daily to ensure clean claims would be submitted.
  • Received and posted patient payments post-service. Collected and posted delinquent payments to patient accounts.
  • Balanced daily batches and adjusted payments as necessary.
  • Responsible for all insurance verifications and checking eligibility daily.
  • Created and coordinated office activities, charts, slides, tables and spreadsheets and set up presentations for physicians and staff, as well as scanned documents into patient accounts.
  • Conducted staff meetings, always aiming at keeping a productive medical team.
  • Interviewed and assisted in hiring new staff as well as training newcomers.
  • Troubleshoot computer problems in medical software for staff ensuring fully operable systems and equipment.
  • Created new charge and payment codes resulting in consistent billing processes and procedures.
  • Provided leadership to both front and back office employees.
  • Maintained office equipment and ordering of office supplies.

Confidential

Owner, Dumfries, VA

Responsibilities:

  • Provided (before and after care as well as all day service) care for children from infant thru four years old.
  • Other responsibilities include development of recreational and educational activities
  • Planned, prepared and executed daily lesson plans to develop social, cognitive and physical skills.

MEDICAL BILLER - REIMBURSEMENT ANALYST

Confidential, Lanham, MD

Responsibilities:

  • Responsible for electronic data acquisition and data entry in MicroMd system.
  • Posted insurance payments from Medicare, Medicaid and commercial explanation of benefits.
  • Oversaw accounts receivables by processing timely charge entries, resolving patient and biller issues, and collecting and posting delinquent account payments expeditiously.
  • Processed daily billing claims to insurance carriers ensuring contractual compliance requirements.
  • Electronic claims submission and remittance activities included cleaning failed claims percentages and number of re-bills.
  • Coordinated transition of extremely delinquent accounts to external collections agency and monitored progress to track return on investment.
  • Researched insurance denials, submitted appeals, and maintained electronic and paper billing system.
  • Conducted interviews with Billing Manager and trained new billing clerks.
  • Troubleshoot computer problems in medical software for staff ensuring fully operable systems and equipment.
  • Reconciled monthly payment entry receipts and performed month-end close of the billing system.
  • Created new charge and payment codes resulting in consistent billing processes and procedures.
  • Established refund protocol and ensured refunds were handled per office standards.

BILLING COORDINATOR

Confidential, Alexandria, VA

Responsibilities:

  • Accurately applied payments and charges to patient accounts in Medical Manager System.
  • Researched and resolved erroneous payments and voided items, Explanation of Benefits rejections and other issues with outstanding accounts.
  • Reviewed billing edits and provided insurance providers with correct information resulting in effective resolution.
  • Corrected and adjusted account requests from patients and determined corrective action.
  • Prepared computer input sheets for corrections and reviewed suspected closing charges and patient payment reports to determine if further action was necessary resulting in appropriate closing procedures.

SECRETARY II-REGISTRAR

Confidential, Woodbridge, VA

Responsibilities:

  • Exhibited efficient time and calendar management skills by effectively managing Principal’s schedule.
  • Provided administrative support, processed paperwork for fifth graders going to sixth grade, faxed and assisted with all records needs
  • Ran checks to make sure all teachers had student grades prepared, ready and submitted for report cards
  • Developed and produced presentations, handouts and other written materials for internal and external use.
  • Composed correspondence and sorted and directed incoming mail for Principal, teachers and school staff.
  • Established and maintained various electronic and paper files, records and charts.
  • Operated, controlled and verified student information through various computer information systems.

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