Marie S. Watkins wishes to associate with a progressive organization, which utilizes energetic, responsible, quality oriented-individuals with a proven history of achievement and excellence.
Manual and automated payment entry of insurance and patient payments
Report generation and interpretation
Provided outsourced billing services to practices ranging from one-provider offices to larger multi-physician, multi-location practices for a variety of specialties, including charge entry, manual and automated payment entry of insurance and patient payments, claims follow-up, and report generation and interpretation
Functioned as part of an off-site billing team responsible for all business office functions
Performed insurance follow-up for physician and surgery center claims.
Assisted other team members with resolving problems with practice management system and electronic billing; assisted with surgery center and physician charge entry as needed; posted all patient and insurance payments received through the mail.
Assisted with document scanning as needed. Evaluated reports and took appropriate actions to maximize insurance reimbursement for claims.
Reviewed coding guidelines when necessary to correct any coding issues that affected payment of claims and to update coding in practice management system; Ensured that all aspects of business office complied with HIPAA regulations; Attended team meetings as needed to make certain that unique requirements of running a “virtual business office” were met and that operations ran smoothly
Involved in all aspects of insurance, patient and self-pay collections for large practice with over 15 locations, 17 physicians, and two ambulatory surgery centers
Assisted staff with questions and problems related to coding, charge entry, electronic claims processing and submission, insurance follow-up, and self-pay follow-up for all physician and surgery center billing; responsible for setting up and maintaining practice management system for all aspects of billing; responsible for setting up new practices and surgery centers in the system; monitored accounts receivable reports to ensure that billing and follow-up was being performed in a timely and HIPAA-compliant manner; assisted with payment and charge entry when necessary
Assisted in supervision of all patient billing and self-pay collections
Duties include answering staff and patient questions related to office financial, billing, and HIPAA policies; maintaining practice management software (Compudata) and training personnel in software usage; insurance billing and coding for three office locations (6 physicians), two ambulatory surgical centers, a physical therapy unit, and anesthesia personell, including claims resolution, submitting electronic and paper claims on HCFA-1500 and UB92 forms as appropriate; assisted in maintaining compliance plan for offices and surgical centers, including quarterly analysis of documentation compliance; identifying and solving claims denials, including written, telephone, and electronic appeals; daily, weekly, and monthly production and interpretation of practice analysis reports; dealt with all aspects of Medicare, Medicaid, commercial insurance, and managed care contracting, billing, and carrier-specific requirements for documentation
Was responsible for outstanding patient accounts filed to several insurance companies. Duties include following up to insurance companies by phone, correspondence and fax to assure proper compliance to contractual payments due on outstanding accounts. Billing patients for co-pays and making sure payments are received in a timely manner. Calling patients on old accounts to make sure we receive payments or sending them to collections if payments are not received in a timely manner. Working reports for special projects.
Billed and followed up with several insurance companies for payments on services rendered to patients in a timely manner. Post monies received from patients and insurance companies. Work special reports in a timely manner. Helped walk-in patients on outstanding balance on their accounts. Relieve front end secretary on breaks and lunches.
Was responsible for outstanding patients accounts filed to Pacificare HMO/PPO for a group of Columbia/HealthOne Hospitals. Duties included following up by phone, correspondence and fax to assure proper compliance to contractual payments due on outstanding accounts. Reviewed reports for special projects of older unpaid or incorrectly paid accounts.
Claims Processor : Process and pay an average of 80 to 100 medical and vision claims. Knowledge of ICD-9 and CPT codes. Assist members and providers by telephone with questions and/or problems on their policies. Communicated with Pacificare Behavioral Health on getting pre-certification of all inpatient claims dealing with mental health. Post refund checks, send overpayment letters to members and providers, and send them to collections if necessary.
Clerk II : Screened and input medical, dental, and vision claims in a timely manner for proper routing. Batched and logged claims for inventory purposes. Researched claims with insufficient information in order to process them for proper routing.