Medical Billing Insurance Verification
Resume:
Linda Smith
Forney, TX *****
ad8lgo@r.postjobfree.com
Experience in Medical Billing and Law Firm, Mortgage industry. Function in a high-volume environment. Proficiency in conflict resolution
Team player with excellent communication skills
Deep knowledge of research on various websites
Reliable, flexible, and dependable hard-worker
Excellent verbal and written communication skills
Professional appearance, attitude, and demeanor
Authorized to work in the US for any employer
Work Experience
Medical Insurance Verification Specialist
Pecan Tree Pediatrics - Rockwall, TX
March 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 Specialist
Skysource Solutions Fresenius
July 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 Specialist
Emergicon - Forney, TX
May 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 Processor
BNY MELLON - Dallas, TX
May 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 Specialist
Barrett-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 Coordinator
Jackson Associates - Irving, TX
March 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 Education
High school diploma or GED in Academic
Captain Shreve High School - Shreveport, LA
August 1978 to June 1979
12th
Skills
• 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
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