TERESA M SPICER is seeking a challenging and responsible position to utilize her skills and allow her to grow within the medical field.
Medical Billing Associate
Submitted medical claims to insurance carriers via clearinghouse (Availity) as well as hard copy. Worked all denied claims and resubmitted them in accordance with individual insurances timely filing guidelines. Submitted appeals for denied claims that required medical documentation. Working knowledge of CPT, diagnosis codes and modifiers associated with specialty of Cardiology. Contacted various insurances ( i.e. Blue Cross Blue Shield, Medicare and Texas Medicaid) daily in relation to claim status and reason for denials. Able to read and comprehend insurance explanation of benefits. Posted insurance payments in Centrcity.
Data Entry/ Patient Accounts Representative
Registered patient demographics into system. Keyed charge entry billing for three physicians. Confirmed insurance eligibility and financial responsibility for new patients as well as existing. Obtained authorizations for office visits, sleep studies, imaging and surgical procedures from various insurances. Submitted claims to insurances including Medicare and Medicaid and followed up for claim payments. Worked batches- payment entry. Backed up Front desk with receptionist duties: Answering phones and scheduling patient appointments. I have experience with the following medical software: ECW, Collaborate and Sevocity.
Patient Service Specialist
Check in/check out of patients, scheduled appointments, collected payment from patient and posted to their account. Verified patient insurance eligibility and referral requirements. Entered lab and x-ray orders into specialized database. Scheduled future appointments and procedures for the patient.
Answer phones and schedule appointments for a multi-specialty mental health practice; verify insurance and obtain authorizations for patients; prepare and maintain patient files; create patient accounts in specialized program(Synergistic Office Solutions); collect fees from patients and post payments to their account; work closely with therapists with varying specialties and schedules to match patients with appropriate provider.