Workman's Compensation Medical Biller

1. SUMMARY
HIGHLIGHTS
EXPERIENCE
CHARLEY ANN NORRIS
2828 N Primrose Cir, Springfield, MO huntcharley@yahoo.com
Medical Billing Specialist for Orthopaedic Surgeon. Auto Injury Paralegal knowledge.Licensed Claims
Adjuster experienced in reviewing Medpay/PIP claims, determining coverage and paying claims.
Active member of the National Society of Professional Insurance Investigators since 2014. Medical
Claims Analysis with 5 years experience providing Benefits Administrator. Advances knowledge of
Private Insurance, Workman's Compensation Insurance and Medicare processes and codes.
TX Claims Adjusters Licences
Insurance policy coverage
knowledge
Administrative background
Policy Investigations
Risk management
Skilled multi-tasker
Highly motivated
Advanced oral and written
communication skills
Organized
Customer service oriented
MS Office
ICD-10 CPT HCPCS
WLT
Fusion
Qiclink
Word
Power Point
Chart Logic
Accurate and detailed
Professional and mature
Articulate and well- spoken
Flexible
Maintains confidentiality
Independent worker
Works well under pressure
Dedicated team player
CMS-1500 billing forms
HCFA
Business correspondence
Workers Compensation
Knowledge
Dental Terminology
Behavioral health billing and
collections
Administrative support specialist
Strong interpersonal skills
MEDISOFT proficient
05/2017 Practice Administrator/ Medical Billing Specialist
Putnam Orthopaedic Center: Putnam John L MD － Springfield, MO
Responsibilities include submitting charges, sending claims out electronically and
paper, reviewing denied claims, correcting and resubmitting, filing
reconsiderations and appeals, coding out surgeries, working A/R, daily close out,
running daily reports, posting insurance payments, patient co pays, balance
billing , negotiating agreements and contracts with carriers.
11/2016 to 05/2017 Auto Injury Paralegal
Aaron Sachs & Associates － Springfield, MO
Client Intake
Sending out correspondence

2. Requesting declaration pages, SPD and Form 5500
Medicare conditional payment ledgers
Medicaid updated itemization
Verifying medical bills and what has been paid by insurance
Liens
07/2014 to 11/2016 Medical Claims Rep Med-pay/PIP
American National － Springfield, MO
Processed Medical Payments for Medpay and PIP claims
Confirm insurance facts and update injury loss information
Advise insured of policy benefits , limits and exclusions
Send required documentation to all parties involved
Request medical bills, records, treatment plans,wage loss information
Review medical bills and records for proper treatment
Request Independent Medical Reviews
Send claims for vendor discounts
Correspond with attorney's and respond to demands in a timely fashion
Sit in on round tables to review suspicious and potentially fraudulentclaims
Review each state's law's and specifics according to policy
Keep claim file well documented
Keep contact with the insured every 30 days
05/2011 to 06/2014 Benefit Administrator Claims Anylaysis
HealthSmart － Springfield, MO
Point of contact for the members. Validate information on all medical
claims
Assist members on understanding their policy and benefits
Coordinate with Hospitals, Clinics and claims teams
Handle all incoming phone calls, emails and correspondence
Follow up with the Medical Review Team for Prior Authorizations
Send out explanation of benefits
Request discounts from vendors
Training new team members, set in on interviews and help auditfiles
03/2011 to 05/2011 Billing Specialist
St Johns Home Health － Springfield, MO
Medicare Billing.
09/2004 to 08/2005 Claims AnalysisClaims Processing
BMI Health Plans － Springfield, MO
Correspondence with providers Point of contact for members.
11/2002 to 01/2004 Office Assistant
St Johns Breast Center － Springfield, MO
Receptionist, scheduling bringing patients back, filing, film hanging Float
for all 3 locations Medical Billing.
Claims Analysis
Claims Processing Correspondence with providers Point of contact for
members.
05/2018 Medical Insurance Biller/ Practice Administrator

3. EDUCATION
SKILLS
Putnam Orthopaedic Center: Putnam John L MD － Springfield, MO
Responsibilities include submitting charges, sending claims electronically and
paper, reviewing denied claims, writing appeal and reconsideration letters,
coding out surgeries, setting up agreements and negotiations with work comp
carries, working A/R, daily close out, running daily reports, posting insurance
payments, copays, balance billing patients, reading EOB's and mailing out
statements.
July 2004 Medical Insurance Billing and Coding
Springfield College － Springfield, MO
May 2002 General Education
Ozarks Technical Community College － Springfield, MO
General Education
Billing, filing, film, Insurance, Medical Billing, Coding, Receptionist, scheduling