Joy B. Hicks

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