medical billing

••••• D. •••••
Objective A position with a progressive, well-established company which values experienced, versatile, self directed individuals.
Professional experience (••••• to July •••••) Podiatry of Hamilton, Inc. Cincinnati, Ohio
Billing Manager
&#•••••; Responsible for all aspects of the billing department for multiple physicians and multiple locations. Duties included, but not limited to, training of new employees, keeping physicians and staff updated to new codes, procedures and insurance companies current guidelines. Maintaining all internet access to accounts for each insurance company. Billing and accounts receivable for one of the six physicians working for the practice .Responsible for updating all insurance fee schedules annually and the recredentialing of physicians as needed. Daily duties also include sending of electronic claims, posting of EFT payments and verification of lockbox deposits along with any software issues which come up on a daily, weekly or monthly basis.


(••••• to •••••PT) Childrens Eye Physicians Blue Ash, Ohio
(••••• to •••••FT)
Patient Accounts Manager
&#•••••; Responsible for all patient registration and updates. Maintain all internet access information with insurance companies. Entering surgery and office visit charges into system. Submitting claims electronically and by paper to insurance companies for processing. Responsible for all month-end closing, which includes, reports, system back up and balancing. Enter all payments and verify they were paid at our negotiated rate with the insurance companies. Answer phones and schedule patient appointments. Also handle all patients and insurance follow-up including refunds, appeals and possible collection agency accounts. Responsible for sending statements to those patients which have self pay balances.

(•••••) University of Cincinnati Surgeons Cincinnati, Ohio
Accounts Receivable/Payment Posting/Collector
&#•••••; Responsible for correct insurance payment verification and posting to patient accounts. Maintain and balance spreadsheets daily. Reconcile monthly bank statements to spreadsheets. Sorting and balancing of daily deposits. Developed financial plans for patients. Verified and approved adjustments and refund requests. Customer service skills along with reviewing problem claims and billing with proper ICD••••• and CPT codes.

(•••••) Cincinnati Medical Billing Cincinnati, Ohio
Claims Review Analyst
&#•••••; Responsible for correct insurance payment verification. Auditing patients account for correct ICD••••• and CPT coding. Customer service skills. Updates of insurance company payment procedures and guidelines. Billing of secondary insurance for patients with correct primary insurance vouchers. Edited current payment reports. Posted payment vouchers for all carriers. Handled follow-up for all third party payers, Medicare-Medicaid and Workers Compensation.


(••••• to •••••) Anthem Blue Cross Cincinnati, Ohio
Claims Processor
&#•••••; Handled payment of claims for all Armco employees. Entered insurance claim forms into system. Audited and coded all incoming claims with correct ICD••••• and CPT coding. Entered nursing home claims for Medicare patients into system. Authorized payment of nursing home claims. Sent requested information to the Medical Review department.