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Joy B. Hicks

Expertise In: Internal Medicine

Name : Joy B. Hicks
Experience : 2
Specialty : Internal Medicine
Location : Durham,NC
Description :

Joy B. Hicks is a proven medical office expert seeking a long-term relationship working as a remote/outsource third party medical biller where her diverse work experience, skill sets, and training will be utilized, for our mutual benefit.

Skills:

  • Billing systems used are IDX, Siemens, Meditech, and SSI
  • Review Medicaid denials correcting any discrepancies and resubmitting for proper reimbursement
  • Backup to Medicare Biller and assist collectors with claim follow-up

Experience:

  • Owner and operator of medical billing service
  • Provide third party medical billing services to all medical specialties
  • Specializes in all insurance payers including worker’s comp and no fault liability
  • Supervises and audits remote biller activities
  • Experienced in remote billing
  • Exceeds daily quotas as required
  • Guarantees 98% or greater clean claim rate
  • Writer and blogger for About.com’s Medical Office site geared towards medical office professionals on all things related to operating a successful medical office
  • Topics include medical office billing, coding, financial management, revenue cycle, compliance, and more.
  • Provides free consulting to Medical Office managers, staff and physicians
  • Billing electronic and paper claims on all insurance payers for Duke University Hospital, Durham Regional Hospital, and Duke Raleigh Hospital
  • Review Claim Check Rejection List daily making necessary corrections
  • Remote biller/work from home
  • Billing systems used are IDX, Siemens, Meditech, and SSI
  • Exceeds daily quotas as required
  • 98% Clean Claim Rate
  • Provide feedback to Director for process improvement
  • Billing Medicaid, BCBS, UHC, Aetna, Cigna and other insurance payer accounts on UB-04 and CMS-1500 forms for the hospital, physicians, and CRNA
  • Review Claim Check Rejection List daily making necessary corrections
  • Review Medicaid denials correcting any discrepancies and resubmitting for proper reimbursement
  • Backup to Medicare Biller and assist collectors with claim follow-up
  • Provide feedback to Director for process improvement
  • Billing systems used are Meditech, SSI and Health port
  • Insurance billing, follow up and collections for multiple insurance payers with an emphasis in Medicaid.
  • Prepare the quarterly Medicaid Credit Balance Report
  • Supervise Patient Scheduling, Insurance Verification Clerk, Financial Counselor 
  • Assist in process improvements and training for Admissions staff including writing and developing training manuals and policy and procedures
  • Responsible for upfront collections performance
  • Performing account audits for accuracy
  • Research and resolve credit balances and submitting refund checks to payers and patients if required
  • Completion of month end reports, and responsible for a variety of functions within the business office
  • Provide financial counseling and customer service on outpatient accounts
  • Coordinate collections for private pay patients for schedule procedures and all discharged inpatients
  • Backup to Cashier for cash posting, deposits and cash reconciliation.
  • Responsible for precertification and insurance verification
  • Prepared patient worksheets for upfront collections by calculating the patient portion and contacting patients prior to appointment
  • Utilize the managed care contracts appropriately as well as building rapport with insurance representatives
  • Backup to Patient Scheduler
  • Responsible for the timely registration for emergency room, outpatient and inpatient admissions   
  • Demonstrated accuracy and proficiency in entering patient demographic information

Certification:

  • BS Health Care Administration
  • Ashford University