VERBETH A. CHINA

VERBETH A. CHINA wants to pursue a challenging and rewarding medical billing career that will utilize her skills and education for the advancement of the company as well as her. She feels that her work experiences combined with her education makes her a more diverse employee. She is convinced that an individual with her talents, combined with her commitment to quality performance and her ‘can do’ attitude, will make a valuable asset to any team.

SKILLS:

• Customer service, management and sales.
• A diligent employee who is able to complete detailed and complicated tasks in a timely and accurate fashion.
• Work effectively with clients, especially in the successful resolution of problems.
• Can do attitude

Experience:

• Work with the nursing home administrators and the office personnel to manage the facility’s insurance patients
• Researched and resolved incorrect payments, EOB rejections, and other issues with outstanding accounts
• Post insurance payments to proper accounts after receipt of insurance EOB’s
• Ensure that claims are submitted in a timely manner and according to company policies and procedures
• Ensure accuracy of insurance billing before preparing for the mail
• Followed up with insurance carriers to expedite the recovery of payment obligations
• Correct, re-bill, and research outstanding primary and secondary claims
• Explain patient bills as necessary to responsible parties
• Keep all insurance billing processes and issues documented and up dated
• Collect co payment or coinsurance and accurately applied payments to patient accounts
• Researched and resolved incorrect payments, EOB rejections, and other issues with outstanding accounts
• Followed up with insurance carriers to expedite the recovery of payment obligations, via website or phone
• Communicate with insurance companies, (GA Medicaid, Medicare, commercial and private insurances) to complete patient certification (authorizations, benefits, eligibility, and payment schedule)
• Submission of claims electronically, using Office Ally and with paper, when needed
• Ensure that all claims and patient information are in compliance with HIPAA regulations
• Responsible for data entry of patient demographics and the summary of treatment related to the patient
• Responsible for credentialing new and existing providers
• Mental Health and Chiropractic billing
• Researched and resolved incorrect payments, EOB rejections, and other issues with outstanding accounts
• Ensure that all claims and patient information are in compliance with HIPAA regulations
• Responsible for data entry of patient demographics and the summary of treatment related to the patient
• Followed up with insurance carriers to expedite the recovery of payment obligations, via website or phone
• Submission of claims electronically, using Office Ally and with paper, when needed
• Communicate with insurance companies, (GA Medicaid, Medicare, commercial and private insurances) to complete patient certification (authorizations, benefits, eligibility, and payment schedule)
• Mental Health and Pediatric (speech occupational and physical therapy) billing
• Responsible for Metro Atlanta during DAAL-ADCAN, and all of Georgia and Jacksonville, FL during the CCM-IL projects
• Conducted group training sessions for new crew leaders using the verbatim guides
• Observed employees in order to evaluate accurateness of completed work
• Monitor production, progress and performance using appropriate supervisory reports provided by upper management
• Ensure that all employees were in compliance with the Federal Government confidentiality standards
• Vault Custodian controlling and supervising large amounts of cash flow, buy/sell transactions and prepare and process incoming and outgoing cash shipments
• Coach teller team to help grow customer relationships by identifying referral opportunities to appropriate salesperson
• Oversee daily staff to minimize customer wait times and enhance service levels
• Manage human Resource issues including hiring, discipline, and termination with appropriate service leaders
• Ensure accurate and timely processing of approximately 625 basic transactions for customers

Education/Certifications:
Medical Billing
OUTSOURCE MEDICAL MANAGEMENT
Externship
Bachelor of Business Administration/Management