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Jennifer W

Billing/Coding Specialist - 20 Years of Experience - Near 85924

Occupation:

Billing/Coding Specialist

Education Level:

Associate

Will Relocate:

YES

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Medical Billing Services/Mangement Legal Assistant Criss Candelaria Law P.C. July 2017 - Present * * Currently serving as a legal assistant in a law firm specializing in criminal * and family law. Direclty responsible for the day to day operation of the practice. This includes scheduling clients and court dates, answereing phones, processing correspondence received electronically or by mail. Transcription and preparation of motions, pleadings, lodgings, subpoenas, letters and any other documents required by the firm. Disemination of documents to the proper courts, attornies and parties. Entering and tracking the firms time spent on each case using Quick Books. Creation of any necessary Excel or Access spreadsheets for use by the firm for contact and conflict checks. Perform Notory duties as needed. * Senior Claims/Billing Manager Billing Manager for Rheumatology Practice November 2015 - Present BlueSpace LLC Currently serving as senior medical claims biller for a Rheumatology and Infusion practice. My duties included insurance/medical billing (both electronic and paper claims) using Advanced MD practice management and billing systems. Directly responsible for managing all practice receivables. QA tracking of procedures performed and billed for cross verification of maximum reimbursement. Monthly, quarterly, and annual production of financial reports for review. Training staff on AMD system. Assist with development of practice forms and protocol. Manage and track reimbursement of infusion drugs used in the practices. Insurance initial credentialing as well as re-credentialing with use of CAQH. Directly responsible for fee reimbursement negotiation with Insurance carriers, as necessary. Responsible for CAQH reporting to CMS. Additional consulting and duties as required. Senior Claims/Billing Manager * Billing Manager for Rheumatology Practice * Aug 2017 - Present MedSure Billing, Inc. * MPM Resources, LLC * Currently serving as a billing and coding consultant and perform monthly * and speciality reporting for a Rheumatology and Infusion practice. Additionally, when needed I perform billing and consultation services for other MedSure clients. * * Senior Claims/Billing Manager Billing Manager for Rheumatology Practice February 2009 - Aug 2017 MedSure Billing, Inc. MPM Resources, LLC Currently serving as senior medical claims biller for a Rheumatology and Infusion practice. My duties included insurance/medical billing (both electronic and paper claims) using Advanced MD practice management and billing systems. Directly responsible for managing all practice receivables. QA tracking of procedures performed and billed for cross verification of maximum reimbursement. Training staff on AMD system and setup of new clients on AMD. Assist with development of practice forms and protocol. Manage Excel tracking program for reimbursement of infusion drugs used in the practices. Insurance initial credentialing as well as re-credentialing with use of CAQH. Directly responsible for fee reimbursement negotiation with Insurance carriers. Senior Claims/Billing Manager * February 2006 - July 2011 Robert M. Ricketts, MD, PA Performed duties as a senior medical claims biller of a multi-million dollar cardiology practice. My duties include insurance/medical billing (both electronic and paper claims) using McKesson HBO, Medical Mastermind, and Portal systems. Directly responsible for managing all practice receivables. QA tracking of procedures performed and billed for cross verification. Insurance initial credentialing as well as re-credentialing with use of CAQH. Credentialing for individual physician with hospitals. This position was phased out as Dr. Ricketts has sold his practice to a Hospital based cardiology practice and they will be handling all billing procedures for him after 2011. My duties in 2012 were limited to collecting remaining outstanding AR for 2011 and prior. February 2007 - July 2012 Robert M. Ricketts, MD, PA Currently obtain demographics on hospital EKG patients and enter charges for EKGs that physician has over read (not originally included in the agreement for billing with this physician). This position was phased out as Dr. Ricketts has sold his practice to a Hospital based cardiology practice and they will be handling all billing procedures for him after 2011. My duties in 2012 were limited to collecting remaining outstanding AR for 2011 and prior. * Senior Claims/Billing Manager July 2006 - February 2009 Robert A. Shaw, MD, PA * Served as senior medical claims biller for a multi-million dollar Rheumatology and infusion practice. My duties included insurance/medical billing (both electronic and paper claims) using Misys McKesson HBO and Portal, and Payerpath systems. Directly responsible for managing all practice receivables. QA tracking of procedures performed and billed for cross verification of maximum reimbursement. Light IT work with Windows based server and PCs. Assisted with development of practice forms. Assisted with development of website for the practice. Created Excel tracking programs for use in the practice. Insurance initial credentialing as well as re-credentialing with use of CAQH. Wasdirectly responsible for fee reimbursement negotiation with Insurance carriers. * * Emergency Room Registrar/Biller * February 2006 - July 2006 Carroll Hospital Center * * Performed the duties of an Emergency Room Registrar collecting, * verifying, and entering patient and insurance demographics. Billing out * Emergency room visit charges using McKesson HBO/Star system. * * Medical Office Manager, Senior Claims/Billing Manager January 1999 - February 2006 Robert M. Ricketts, MD, PA * * Served as office manager of a multi-million dollar cardiology practice. As well as insurance/medical billing (both electronic and paper claims) using McKesson HBO, Medical Mastermind, and Portal systems. Was directly responsible for managing all practice receivables and occasional office payables. Was responsible for overseeing Microsoft based corporate computer systems. * * Medical Technologist, Pathology Transcriptionist July 1993 - April 1999 Carroll County General Hospital Westminster, MD * * Dual responsibilities as a medical technologist for the Cardiovascular Lab and Pathology transcriptionist for the Pathology Department. Billing/claim responsibility for Cardiovascular Lab. General front office and back office responsibilities. * * * * * * * * * Medical Technologist, Claims/Billing Technician April 1984 - Dec. 1995 William J. Supik, MD H. Charles Kim, MD W. Peter Geis, MD Towson, Maryland * Functioned as a medical technologist for a high volume Colon Rectal Surgical group. Additionally performed duties of claims/billing technician including all practice receivables. * * Autopsy Technician * June 1983 - Aug 1983 Johns Hopkins Hospital, * Baltimore, MD * * Performed duties as Autopsy Technician for hospital based cases as well as overflow from ME office of Baltimore. This was a three month position for training. * * * * *

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