95b39a04-397f-4e8e-98a7-c99521907736

Andrew Smith

287 Custer Street, Hopewell, PA 00000
[email protected]
(000) 000-0000

Professional Summary

Medical & Insurance Billing, ICD 9 and ICD 10 & CPT Coding
• Collections, Cash Applications, Financial Counselor
• Primary & Secondary Insurance Billing & Reimbursement
• Practice Management Support, Troubleshoot Misys Vision Technical Issues
• New Patient Coordinator / Patient Service Representative / Meditech, Ecare, Healthware, Star,
• Citrix, Epic, Centricity, Oracle, Ucmc/VPN, Intregy, EClinicalWorks

Employment history

Billing coordinator, Grady-Lang. Brandenview, Florida
Jan. 2018 – Nov. 2018
Medical Insurance Verify and Billing
• Verifing Commercial Insurance and government.
• Also authorizing services for patient with insurance company’s
• Reviewed EOB’s for correct payments, adjustments, and appeals.
• Post payments in the system at the end of the month.
• Collecting from patients and insurances.
• Billing secondary insurances, Faxing claims if there any errors with CPT codes or DX codes summit corrected claims to insurances.
• Review 121+ days accounts that are past do and fix them.
• Enter payments with credit cards and in Intergy system.

Pharmacist and other regarding, Walsh-Greenholt. Lockmanchester, Texas
Sep. 2013 – Oct. 2013
• Providing customer service to member plans by analyzing callers and proving timely and accurate response.
• Answer calls from policy holders member agents, providers, hospitals, pharmacist and other regarding benefits of other issues.
• Reviewed EOB’s for correct payments, adjustments, and appeals.
• Checked new patients’ benefits and insurance eligibility.

Medical billing/Insurance Verification, Swift Inc. West Geraldo, South Dakota
Jul. 2012 – Oct. 2012
• Reviewed patients’ policy coverage deductibles and remaining balances not covered when applicable to determine proper claim amount.
• Responsible for contacting insurance companies to verify primary and secondary insurance coverage for both in -network and/ or out of network physical therapy benefits coverage.
• Process incoming payments received and collected outstanding debt

New patient coordinator, Cremin-Daniel. Francesbury, Oklahoma
Feb. 2012 – Aug. 2012
Responsible for obtaining new patient appointments, medical history records benefits coverage.
• Obtain the initial prior authorization/ pre-certifications as required by patients’ insurance/plan.
• Providing the highest level of customer service over the phone and in person, performing clerical functions in an accurate and timely manner which contributes to the efficient operation of the office.

PRACTICE MANAGEMENT, Thompson, Kilback and Olson. Lake Galen, Nebraska
Jul. 2009 – Aug. 2010
Assure all calls to the Practice Management Support team are responded to expeditiously, work with HIS operation and clients on troubleshooting issues
• Manage all work request team and respond to HIS staff and / or clients in timely manner
• Work with Misys and third party vendor on Vision interface, create and follow up on all Misys Call ticket.

Education

Jacobs University, Lake Mackchester, West Virginia
MEDICAL INSURANCE BILLING AND CODING, Jul. 2012

The Kansas Academy, Ullrichport, Arizona
High School Diploma, HIGH SCHOOL, Nov. 2000

Skills

BILLINGUAL
Expert

ABILITY TO WORK UNDER PRESSURE
Expert

TIME MANAGEMENT
Expert

TEAM WORK
Expert

SELF MOTIVATION
Expert

DECISION MAKING
Expert

COMMUNICATION
Expert

ADAPTABILITY
Expert

LEADERSHIP
Expert

billing coordinator

  • Reviews and proofreads the work of other Billing team members.
  • Prepares, reviews, and updates the team’s billing guidelines and process manuals.

billing coordinator

  • Retrieve, open, route, and distribute incoming mail or other materials.
  • Update daily deposit logs in Excel – both EFT and paper payments.
  • Post medical insurance billings with high degree of accuracy to patient accounts.
  • Sort and file correspondence, and collaborate with AR team to resolve claim payment issues and refunds.
  • Enter data into NextGen database i.e. hospital admissions, insurance information, medical procedures, etc.

billing coordinator

  • Work from at home office
  • Notify collections agency manager, in order to determine if account should be forwarded to collection agency
  • Maintain and steady line of communications between myself, clinic, collections agency , and CEO
  • Coordinates with the Partners and other legal staff, Practice Assistants, Inventory Managers and Revenue Controllers, Finance Managers, and other employees for whenever special or complex requests are received by the Billing team mailbox. 

billing coordinator

  • Manage the department or supervise clerical workers, directing or controlling activities of personnel in the medical records department. 
  •  Responsible on accounts payable, accounts receivable and medical reimbursement of inpatient and outpatient Meralco employee. 
  •  Preparing billing statements and ensure that they are sent to them in a timely way. 
  •  Responding to the inquiries and resolution problems regarding medical billing activities and other administrative assignment. 

billing coordinator

  • Complete Purchase order correction in ERP and approval requesting from Indus Tower LTD. 
  • Field team project completion of Equipment’s,device’s,related cable uses report generating & work completion approval and submitting document to Indus Tower LTD.  
  • MIS Reporting for team work done in project wise and project related Po’s to ensure the proper data to be mailed respected person in Indus Tower LTD. 
  • Report to management regarding the finances of establishment from the Po’s & Bill processed every week.
  • Daily Progress Report (DPR) to be following project’s keep up the proper data internally to ensure target achieving in field as well as in Po’s/billing.
  • Tracking of Bills process at which stage in ERP finance in projects wise reporting with data analyzing day to day receivable activity.

billing coordinator

  • Ensures client invoicing is completed timely and accurately according  to instructions.
  • Process invoicing using new and renewal client information. This includes balancing and reviewing variances.
  • Responsible for identifying and tracking special handling clients and ensuring the billing is handled as expected. 
  • Assists branches and clients with questions relating to invoices
  • Performs flat rate contract reconcilation using various claim reports and billing software
  • Ensures billing calculations are accurate and complete
  • Performs other duties and participation in special projects as requested.

billing coordinator

  • Tracked accumulated hours and dollar amounts charged to each client job in order to calculate client fees for professional services.
  • Prepared itemized statements, bills, and invoices and recorded amounts due for design services rendered using QuickBooks Online.
  • Kept records of invoices and support documents.
  • Certify Basic Spanish Interpreter.

billing coordinator

  • Collect and Post patient payments
  • Make patient collection calls
  • Collect, count, and disburse money, do detailed collections reports,
  • Hear and resolve complaints from customers or the public. and complete banking transactions.

billing coordinator

  • Work with different computer programs.
  • Charge entry.
  • Insurance Denials. 
  • Referrals and Prior authorization management.
  • Accounts Receivable.
  • Phone customer service.
  • Work with numerous insurance companies.

billing coordinator (seasonal)

  • Seasonal position during peak holiday times.
  • Prepared invoices, reports, memos, letters, financial statements and other documents, using word Microsoft Word, Excel, Sage 300 and presentation software.
  • Used computers for various applications, such as database management and word processing.
  • Performed payroll functions, such as maintaining timekeeping information and processing and submitting payroll.
  • Answered telephones and gave information to callers, took messages, or transferred calls to appropriate individuals.
  • Collected and deposited money into accounts, disbursed funds from cash accounts to pay bills or invoices, kept records of collections and disbursements, and ensured accounts are balanced.