Angela Keyser
Cumming,GA
Summary
Interested in assisting practices in managing the rapid changes that occur in the medical billing industry. Determined to strive for strengthened relations between medical providers, software providers and insurance companies. To utilize all resources available to make each provider a success by achieving top collection goals. Managing and improving processes to ensure accuracy from registering patients, data entry and verifying benefits, to pursuing precise and rapid maximum reimbursement.
Overview
28
28
years of professional experience
Work History
Billing Practice Management
MRBS
07.2018 - Current
- Organize and Implement all medical billing responsibilities for multiple practices in multiple states
- Administer all correspondence between practice and insurance companies
- Review and Transmission of All Claims (Telehealth, Paper, Electronic, Corrected and Replacement claims)
- Verify eligibility coverage and benefits
- Work all denials to resolution
- Actively resolve any billing rejections from software and clearing house
- Posting of all patient and insurance payments, paper and electronic
- Complete Monthly Statements and Patient Adjustments
- Train and assist office staff when needed
- Multiple EHR’s used: NueMD, AdvancedMD, Practice Fusion and Valant software
Remote Billing Account Manager
NUESOFT BILLING SERVICES
03.2015 - 11.2018
- Manage a team of up to 10 employees and oversee three teams from India
- Duties consist of denial management, claims filing, data entry, payment posting, EFT, ERA and EDI set up
- Manage provider relations as sole contact for up to 23 clients in multiple states
- Send out monthly reports/invoices and review them with the providers
- Maintain billing processes from beginning to end for up to 23 clients in multiple states
- Supervision of Electronic submission of claims on cloud based software
- Train staff on how to complete corrections on any errors or rejections to ensure claim receipt from payer
- Notifying office staff of any entry errors of patient information causing denials
- Review all data entry processes and make changes accordingly
- Verify accuracy of follow up completed by denial management team
- Ensuring fast and complete processing for maximum reimbursement
- Electronic posting of ERA payments
- Manual Entry of paper EOB’s
- Assist with set up to receive EFT’s and ERA’s, as well as EDI enrollment.
- Host basic training sessions for providers on how to use NueMD software
- Specialties include but are not limited to: Psychiatry, Podiatry and Home Health / Hospice
Office Manager
Cumming Foot and Leg / AFC
11.2013 - 03.2015
- Responsible for day-to-day management for three offices with two physicians and a staff of four
- All three-location managed remotely from one off-site location
- Hire, train and supervise office personnel, coordinate staff work
- Entry of all charges and submission of electronic and paper claims
- Posting payments and adjustments accordingly and also reviewing the electronic postings for accuracy, including correspondence for overpayment such as refunds and recoupments to determine correct account balances
- Maintain licenses, insurance and privileges for providers
- Manage the cleanup of previous outstanding claims
Claims and Customer Service Manager
Covenant Administrator
05.1998 - 01.2002
- Supervise medical claims examiners and customer service department, a staff of 26. Delegate workload and monitor progress.
- Oversee Customer service, claims Auditing and Reinsurance departments.
- Serve as a member of the “New Contract Review Committee.”
- Monitor and interview on PPO Provider problems. Render all “Second Level” appeals decisions.
Education
Medical Billing Certificate - Medical Billing
DCBRS
On Line CourseSkills
- Experienced in working with many kinds of computer software
- Knowledgeable in medical billing practices, including Enrollment
- Familiar with Insurance guidelines for Commercial, Tricare, Medicare, Medicaid, Workers Comp and DME
- Excellent Communication skills, both written and verbal
- Disciplined with time management, organizational skills, and task management
- Specialties include but are not limited to: Psychiatry, Podiatry, Home Health, and Hospice
Languages
English
Full Professional
Timeline
Billing Practice Management
MRBS
07.2018 - Current
Remote Billing Account Manager
NUESOFT BILLING SERVICES
03.2015 - 11.2018
Office Manager
Cumming Foot and Leg / AFC
11.2013 - 03.2015
Claims and Customer Service Manager
Covenant Administrator
05.1998 - 01.2002
Medical Billing Certificate - Medical Billing
DCBRS