Nancy Hill
Pekin
Summary
Successful Biller with a positive personality and the desire to effectively complete tasks. Offering over 25 years of expertise for organizations in the medical field.
Overview
27
27
years of professional experience
Work History
Third Party Billing & Follow up Rep II
UnityPoint Health-System Services
Peoria
11.2011 - Current
- CRCS credentialed for physician billing
- Currently able maneuver through EPIC program
- Specializing in Medicaid claims for Iowa and Illinois
- Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
- Posted charges, payments and adjustments.
- Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
- Completed appeals and filed and submitted claims.
- Posted and adjusted payments from insurance companies.
- Reviewed and verified benefits and eligibility with speed and precision.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Prepared and attached referrals, treatment plans or other required correspondence to reduce incidence of denials.
- Submitted refund requests for claims paid in error.
- Remained up-to-date details of patient financial responsibilities, fee-for-service and managed care plans by participating in training programs.
- Maintained timely and accurate charge submission through electronic charge capture, including billing and account receivables system and clearing house.
Reimbursement Specialist
Pekin Pro Health DME
Pekin
04.2009 - 11.2011
- Billing and follow up for durable medical equipment
- Specialized in Medicare and Medicare replacements
- Verified technical reimbursement questions for providers, billing and coding staff.
- Worked with billing department to reduce contract implementation errors.
- Collected coinsurance and deductibles from patients for rendered services.
- Managed all payments processing, invoicing and collections tasks.
- Researched rejections, investigating problems to appeal claims.
- Maintained confidentiality and integrity of patient data.
- Determined medical necessity, using individual insurance carrier regulations.
- Posted charges and payments
Chiropractic Office Manager-Biller
Central Illinois Chiropractic
Pekin
05.2003 - 03.2009
- Maintained accounts receivable and payable
- Payroll
- Billing and follow up all insurance carriers including workman's compensation
- Recruited and trained new employees to meet job requirements.
- Identified business issues, creating customized solutions for individual problems
Chiropractic Assistant
Southern Illinois Chiropractic
Murphysboro
02.2006 - 02.2008
- Performed electric muscle stimulation, massage and mechanical traction therapies on patients under doctor supervision.
- Scheduled appointments for patients via phone and in person.
- Led patients to exam rooms, answered general questions and prepared patients for physician by explaining process.
- Prepared treatment rooms for patients by cleaning surfaces and restocking supplies.
- Educated patients about medications, procedures and physician's instructions.
- Inputted patient data
- Determined patients' insurance coverage by notifying carriers and submitted invoices after services had been performed.
- Recorded vital signs and medical history
Medicare Billing Specialist
First Priority Medical
Murphysboro
09.1998 - 04.2003
- Entered charges and posted insurance payments
- Applied HIPAA privacy and security regulations while handling patient information.
- Completed and submitted appeals for denied claims.
- Reviewed claims for coding accuracy.
- Coordinated communications between patients, billing personnel and insurance carriers.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Submitted and accurately processed insurance claims with related medical code verifications and assessments.
Education
Associate of Applied Science -
John A Logan College
Carterville, ILSkills
- Claims Processing
- Audit Procedures
- Billing Dispute Resolution
- Medical Billing and Collections
- Accounts Receivable Expertise
- Billing and Invoicing
- Account Posting
- Billing Data Verification
- Verbal and Written Communication
- Patient Information Management
- Insurance Billing Procedures
Timeline
Third Party Billing & Follow up Rep II
UnityPoint Health-System Services
11.2011 - Current
Reimbursement Specialist
Pekin Pro Health DME
04.2009 - 11.2011
Chiropractic Assistant
Southern Illinois Chiropractic
02.2006 - 02.2008
Chiropractic Office Manager-Biller
Central Illinois Chiropractic
05.2003 - 03.2009
Medicare Billing Specialist
First Priority Medical
09.1998 - 04.2003
Associate of Applied Science -
John A Logan College