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Click here or scroll down to respond to this candidateCandidate's Name PHONE NUMBER AVAILABLEStreet Address Dinsmore St EMAIL AVAILABLELowell, MA Street Address
Professional Skills and QualificationsMedical Billing Specialist with 18 years of experience in the Physician Billing, Auditing and the Compliance realm. Specific areas of specialty include Oncology, Radiology, Pathology, Family Practice, Surgery, Urology, and Physical Therapy, Day Professional and Institutional program billing.Proficient in Microsoft applicationsPosted Charges and PaymentsVersed in Medical software such as Allscripts, Meditech, A-LIFE, Cerner, McKesson, Kareo, Therapy Source, Avatar, IServe.Researched Fee SchedulesResolved unpaid claims for workers comp. and Medicare and MedicaidInsurance VerificationsNew Patient Registration and SchedulingRevenue Cycle ReportingReviewed Medical Necessity for DenialsResolved incorrect diagnosis codingPerformed Audits and Compliance ReviewGenerated unpaid claims, A/R aging, daily and month end reportsProfessional ExperienceMedical Healthcare Solutions, Andover, MA Apr.2022-Sept.2023Medical Billing Specialist- Performed audits, reviewed and updated daily charges for Beth Israel hospital Physician billing, resolved denials by calling insurance companies, researched missing insurance checks, processed appeals, worked with patients to resolve billing issues.Sevita Health: Formally called Mentor Network: Remote Oct.2021 to Mar.2022AR/Collection Specialist: Review and work denials in the Indiana Medicaid payer portal and clearinghouse portal. Prioritizing aging denials and updating collection systems.Medical Healthcare Solutions, Andover, MA Nov.2020-October 2021Medical Billing Specialist- Reviewed 3rd party EOBs, EFTs, processed appeals, and adjustments, and worked closely with coding dept at the hospital, as well as working with patients to resolve billing issues and the collections company.Select Physical Therapy, Chelmsford, MA May, 2015 Nov.2020Billing Specialist/ Patient Service Representative - Responsible for managing day to day front end branch operations including greeting patients, conducting patient intake and processing, scheduling, insurance verifications and daily, weekly and monthly branch performance reporting.Shields MRI, Lowell, MA: September 2014 to April 2015Patient Care Representative - Provided Patient Care Services throughout MRI Process and coordinated imaging procedures with technical/radiological staff.Alliance Imaging, Andover, MA 2009- 2014Coding and Compliance Specialist Performed coding audits to assure compliance with billing procedures and assisted collections with claims appeals.Education /CertificationsSeacoast Career School, Manchester, NH Health claims specialist certificate -4.0 GPA Academic Excellence AwardUniversity of MA Lowell, Lowell MA- Bachelor of Arts degree: Psychology, Minor: Sociology |
