Experienced Medical Biller

Highly efficient Medical Biller with experience in home infusion, DME, and physician billing. Excellent multi-tasker and demonstrated team player with a positive attitude. Seeking a position where my education, skills, and professionalism will be utilized and enhanced to their fullest.

E-mail
Estrausser@outlook.com
Phone Number
4127274044

Education

Medical Billing and Coding @ Duffs Business Istitute
Jan 2005 — Jun 2005

Experience

DME Billing Manager @ NCME
May 2011 — Sep 2012

Accurately entered procedure codes, diagnosis codes and patient information into billing system.
Appropriately and correctly identified errors and re-filed denied/rejected claims.
Posted charges, payments, and adjustments.
Applied payments, adjustments and denials into medical manager system.
Carefully prepared, reviewed, and submitted patient statements.
Meticulously tracked and resolved underpayments.
Prepared and attached all required claims documentation including referrals, treatment plans, or other required correspondence to reduce incident of denials.
Efficiently performed insurance verification and pre-certification and pre-authorization functions.
Paper and electronic billing of out of network DME claims and appeal processing.
Set-up billing system for paper and electronic billing to various insurance companies.
Set-up provider portals for online access to eligibility and claim status.
Reviewed clearinghouse reports to ensure proper billing of electronic claims.

Reimbursement Specialist @ Accredo Health Group
Jun 2005 — Feb 2010

Worked from 200-2007, then returned as a temp from 2009-2010

Appropriately and correctly identified errors and re-filed denied/rejected claims.
Added modifiers as appropriate, coded narrative diagnoses, and verified diagnoses.
Posted charges, payments, and adjustments.
Applied payments, adjustments and denials into medical manager system.
Carefully prepared, reviewed, and submitted patient statements.
Meticulously tracked and resolved underpayments.
Prepared and attached all required claims documentation including referrals, treatment plans, or other required correspondence to reduce incident of denials.
Efficiently performed insurance verification and pre-certification and pre-authorization functions.
Paper and electronic billing of out of network DME claims and appeal processing.
Set-up billing system for paper and electronic billing to various insurance companies.
Set-up provider portals for online access to eligibility and claim status.
Reviewed clearinghouse reports to ensure proper billing of electronic claims.

Contact Candidate

Contact Candidate
Contact