Heather Anderson
Dundalk
Summary
Billing professional with extensive experience in managing and optimizing billing cycles. Proven ability to enhance billing accuracy and streamline processes, resulting in improved financial operations. Valued team player known for adaptability and focus on delivering results.
Overview
15
15
years of professional experience
Work History
Medical Billing Technician
Stella Maris-Timonium
Timonium, MD
04.2024 - Current
- Prepare monthly bills for all Medicare Part A and B as well as all Commercial Insurance patients.
- Searching each financial statement for any payment inconsistencies or errors
- Collaborating with patients or customers, third party institutions and other team members to resolve billing inconsistencies and errors
- Creating invoices and billing materials to be sent directly to a customer or patient
- Inputting payment history, upcoming payment information or other financial data into an individual account
- Finding financial solutions for patients or customers who may need payment assistance
- Informing patients or customers of any missed or upcoming payment deadlines
- Calculating and tracking various company financial statements
- Translating medical code if working in a medical setting
- EPIC Certified
EMS Billing Specialist
iCare Medical Transportation Services
Essex, MD
07.2023 - 04.2024
- Receive and review patient care reports and associated documents for completeness, accuracy and signature requirements
- Research and correct problems with incomplete documentation on ambulance records; contact responsible individuals for corrections; maintain files that contain confidential medical information in a manner that is auditable as required by Federal law; compile and maintain confidential patient care information documented by ambulance personnel
- Assist telephone callers, visitors and e-contacts with billing/subscription club information
- Reply to vendors and others requesting information pertaining to district areas of ambulance company for disbursement of subscription/donation funds
- Responsible for tracking non-signature or incomplete Electronic Patient Care Reports (ePCR)
- Research and track current information and changes in Medicare and/or other insurance carriers with regard to ambulance insurance billing
- Maintain the strictest confidentiality and adhere to all HIPAA guidelines and regulations.
- As needed, contact hospitals and medical facilities to obtain necessary patient insurance information
- In the absence of the Billing Coordinator, assume duties of that position as needed
- Perform data entry work to maintain insurance billing files, Patient Care reports, medical quality assurance returns, etc.
- Perform office support duties (e.g. photocopy, file, order supplies, daily mail, etc.)
- Update subscription/donation database with address changes and ambulance district areas to assure correct distribution of funds
- Access protected health information and other patient information only to the extent that is necessary to complete job duties
- Scan and maintain medical records, patient insurance information, refusal forms, consent forms, etc.; keep an up-to-date organized system of filing records
- Create, update and maintain manual and computerized files and filing systems
- Perform other related duties as required
RCM System Analyst - CPTM
ADAPT HEALTH
Remote
05.2022 - 07.2023
- Review EHR encounters, medical records, case management and utilization review notes and various other health information documents to ensure proper coding and billing guidelines are applied.
- Review and make appropriate corrections to assigned CPT/HCPCS on hospital billing accounts to help ensure the integrity of gross revenue reported on facility claims.
- Collaborate with CBO, clinical, coding/HIM and other departments as necessary on identified missing codes and missing charges.
- Perform charge capture audits, identify trends and implement revenue capture measures through system build, clinical education, and/or revenue cycle process improvement methods.
- Monitor charge reconciliation reports to identify trends, including compliance issues, missing charges and areas of vulnerability.
- Evaluate current charging and coding structures and processes in clinical departments to ensure appropriate capture and reporting of revenue and compliance with government and third-party payer requirements.
- Effectively and efficiently work Cerner-assigned (or other EHR once implemented) work queues with focus on avoiding repetitive errors.
- Work with HIT to recommend and design Cerner edits to promote accurate, efficient, compliant billing practices.
- Provide coding and charge capture education to clinical departments, as needed.
- Collaborate with coding/HIM, billing and collections to detect revenue opportunities and/or reimbursement issues stemming from denials and underpayments.
- Conduct virtual meetings with clinical department or operational departments, if needed/requested, to discuss revenue integrity issues and results
- Assist with related special projects as assigned by supervisor.
CPAP Coordinator/PAP Specialist
Americas healthcare at home / ADAPT HEALTH
Remote
02.2020 - 03.2023
- Providing consistent, superior customer service to patients.
- Taking and processing patient supply orders via database, phone or email.
- Entering all ongoing care patient supply orders into billing software on a timely basis.
- Managing leads from our manual call list.
- Ensuring that all patients' questions and issues are resolved quickly.
- Directing patients to an RT for an appointment if needed.
- Discussing shipping methods/options with patient and charging patients appropriately.
- Updating demos, and prescription updates to companies billing software.
- Enter new insurance or auths into medical billing software.
- Checking web-tools for patients eligibility of insurance benefits.
- Document management.
Front Office Manager/Assistant General Manager
Hoffman Chiropractic
Parkville, MD
12.2015 - 02.2020
- Handle scheduling patients.
- Collecting Co-Pays.
- Verifying insurances/eligibility and benefits, resubmitting claims, calling out to insurance companies to get unpaid claims paid. Sorting mail
- Transferring patients
- Maintaining an orderly work area
- Laundering towels and gowns used in the office.
- Maintaining other inventories. Handling all cash wraps or petty cash.
- Managing employee schedules and potential conflicts
- Taking inventory of office supplies and order more if needed.
- Helping establish and maintain office procedure.
- Assisting senior management team when needed.
- Dealing with staff recruitment.
- Attending seminars and training.
- Review client bills for accuracy and completeness and proactively obtain any missing payer information for inclusion
- Post adjustments, transfer of responsibility, and refunds, when needed, and update accounting records accordingly
- Prepare invoices, reconcile billing, compile reports and other documents using billing software, and field related questions from internal teams and customers
- Submit insurance claims and follow up on unpaid, rejected, or denied claims to resolve and resubmit when required
- Answer all client questions related to account status, activity, and outstanding charges
- Handle PIP/Workman Comp Claims.
- Working with Auto insurance company to get settlements.
Feeding Assistant
Erikson Living (Oakcrest)
Baltimore, MD
08.2013 - 06.2015
- Feeding the elderly
- Knowing what residents can and can't eat for that week, Regular Diet, Give Beverages, Feed them, help with food choices.
- Help Resident to their room
- Working with elderly with Alzheimer's and Dementia
- Helping with Activities
Support Services Representative
Richcroft
Hunt Valley, MD
01.2014 - 07.2014
- Helping someone who has a Developmental Disability.
- Teaching her new things, how to live a positive life.
Sales Associate
Kid to Kid
08.2011 - 01.2012
- Provide a variety of services, from helping you pick out items to ringing up your purchases.
- Maintain a neat floor, and put new inventory on the sales floor
- Efficiently and accurately completing sales and service transactions at the cash wraps.
- Handle customer issues that may arise on the sales floor.
Education
High school diploma -
Bel Air High School
Bel Air North, MDAssociate - Human Health Services
Iowa Central Community College
Fort Dodge, IA01-2017
Bachelor's - Forensic Psychology
Southern New Hampshire University
Manchester, NH12-2022
Skills
- HCPCS coding
- HIPAA compliance
- Claim submission
- Verbal communication
- Insurance verification
- Payment posting
- Payment transactions
- Invoice processing
- Accuracy and precision
- Collections processing
- A/P and A/R expertise
- Billing software
Timeline
Medical Billing Technician
Stella Maris-Timonium
04.2024 - Current
EMS Billing Specialist
iCare Medical Transportation Services
07.2023 - 04.2024
RCM System Analyst - CPTM
ADAPT HEALTH
05.2022 - 07.2023
CPAP Coordinator/PAP Specialist
Americas healthcare at home / ADAPT HEALTH
02.2020 - 03.2023
Front Office Manager/Assistant General Manager
Hoffman Chiropractic
12.2015 - 02.2020
Support Services Representative
Richcroft
01.2014 - 07.2014
Feeding Assistant
Erikson Living (Oakcrest)
08.2013 - 06.2015
Sales Associate
Kid to Kid
08.2011 - 01.2012
Associate - Human Health Services
Iowa Central Community College
Bachelor's - Forensic Psychology
Southern New Hampshire University
High school diploma -
Bel Air High School