Christiana L. Harris is seeking part-time employment to supplement her income and has over 15 years of experience in professional office positions including medical billing, collections, and customer service roles. She has strong computer skills and experience with various medical billing software programs. Her background includes billing and collections work for anesthesia groups, oral surgeons, home health agencies, dental practices, and clinics.
Common Revenue Cycle Management Challenges and How to Overcome Them
charris2016
1. Christiana L. Harris
206 Farnham Street Lawrence, MA 01843
Phone: 339.293.9313
Email: jazzkittin@gmail.com
OBJECTIVE: To work as part of a team, accomplishing the same goal:
satisfying the customer/client; seeking part-time employment to supplement income.
QUALIFICATIONS
5+ years restaurant/food service experience
15+ years’ experience in Professional Office positions.
13+years’ experience in a Physician/Dental Billing & Medical Insurance Office:
Anesthesia billing and collection services for large anesthesia physician groups and individual practitioners alike;
Payment posting experience, good communication skills, strong PC and data entry skills, with strong attention to detail;
Knowledge of HIPPA compliance and regulations, reimbursement practices, a working knowledge of automated billing
and payment posting systems.
COMPUTER/OFFICE SKILLS
Typing speed: 90+ WPM, 10-key proficient, Microsoft Windows 95/98/2000/XP/Vista/7, Microsoft Access, Microsoft
Word, Microsoft Excel, Microsoft Office, Microsoft Front Page, Microsoft Net-meeting, Microsoft Outlook Express,
Microsoft Works, Open Office, Epic, LMR, IDX, SSI, FACS, Meditech, Citrix, McKesson Star, ePremis, Basic HTML,
Data/File archiving, Document/Image scanning, PC troubleshooting/support, Internet/Email.
EDUCATION
2010-2013 Bachelors of Science; Healthcare Administration/Health Information Systems, University of Phoenix
2008-2010 Associates of Arts in Business, Axia College University of Phoenix
1990-1991 General Education, Miramar Community College
1988-1990 Telecommunications, San Diego City Community College
1984-1988 High School Diploma, Mira Mesa High School
EMPLOYMENT
2014 – 2015 Massachusetts General Hospital Assistant Billing Manager Anesthesia Charlestown, MA
Reporting to the Manager of the Group Practice Management Department, the BM Assistant supports the Billing
Managers the management of the PBO’s client relationship Work with a specific set of clients/practices to provide high
quality client support Provide research support to the Billing Manager related to AR management, patient/customer
service complaints and Third Party Requests for information Run reports from IDX (standard/AES) for the Billing
Manager/Client Assists Billing Manager in completing tasks including, but not limited to: report review and distribution,
billing account inquiries, charge batch research and procedure code dictionary maintenance. Reads and summarizes
incoming information regarding coding and billing requirements. Disseminates information to the appropriate Billing
Manager and maintains reference files. Works with the Billing Manager to analyze information on trends for practice
groups; may involve account research and/or inputting information into spreadsheets. Provides research and follow-up
for inquiries from Customer Service. Assists Billing Manager Team Leader in noting trends in service inquiries.
Provides telephone coverage to answer practice-specific questions. Attends meetings and participates on committees,
provides account follow-up, and handles special projects as needed
2010 – 2014 Massachusetts General Hospital, Billing Representative l & II, Charlestown, MA
Anesthesia and Oral Maxillofacial billing team; Perform a variety of billing functions to minimize accounts receivables;
utilizing electronic billing and medical retrieval systems as well as knowledge of medical billing and insurance rules and
regulations to resolve accounts receivable issues. Navigate patient accounts utilizing the IDX system to effectively
problem solve issues, including but not limited to reviewing relevant dictionaries to assess claim form output. Interpret
issues through effective follow-up within IDX PCS work files and requested queries. Assist in the identification of root
causes. Apply transfers and/or posting of adjustments to invoices as necessary to complete the resolution of each
invoice. Effectively handle telephone inquiries from insurance companies and other departments within the PBO. Gather
and interpret all relevant information to help resolve issues or complaints. Document issues thoroughly. Ensure that all
areas that have a direct relationship to cash flow (ie TES, claim forms, fatal and non-fatal claim edits, insurance claim
scrubber reports, and PCS work files) are worked as assigned by Team Supervisor. Maximize all features of the IDX
PCS work files to ensure thorough follow up and to trouble shoot issues. Identify and recommend adjustments to
workflows within the assigned payer/specialty specific group as it relates to current AR issues. Apply knowledge of
insurance rules and regulations to interpret new insurance/HCFA/HIPAA information and report potential impact. Make
2. recommendations and communicate trends to the Team Supervisor. Meet deadlines and productivity standards for
IDX/PCS work files, including but not limited to:
Insurance verification, Correspondence, Billing/mailing claims, Working claim edits & scrubbers, Third party follow-up
including secondary billing, Special projects.
2009- 2010 The Outsource Group, Claims Representative, Wakefield, MA
Process Motor Vehicle and Worker's Compensation claims to ensure the client (Hospital) recovers monies owed in
the most timely, efficient and confidential manner. Performed expert recovery services on all aspects of
Accident Motor Vehicle Accident and Worker's Compensation claims including: Working with Worker’s
Compensation, Motor Vehicle, and Health Insurance carriers to process for payment all related bills and to
maximize client reimbursements recovering all monies properly owed. Identify viable payer(s) and obtain all
necessary documentation to properly process the claim for payment including, when applicable, IBs, UBs,
Medical Records, POs, and EOBs when necessary. Coordinate benefits with all available payers to appropriately
maximize the client’s recovery while minimizing the patient’s personal responsibility. Review and process for
payment all claims, in which adequate billing information has been obtained, to the appropriate insurance carrier
within 24 hours of receipt of said information. Correspond with patients, employers, insurers, other parties
involved in the accident, and attorneys to obtain additional, relevant information to support the claim for monies
owed. Review status of contested claims (if applicable) and confer with attorneys and insurers regarding case
disposition. Prepare account summaries, offers of compromise, pro ration of funds, and compile other relevant
data. Remain current with all local, state and federal laws, statutes and/or fee schedules, and act within the limits
of the law. Establish and maintain constructive working relationships with insurance carriers, clients, external
business contacts and staff. Converse with insurer(s) and appeal when appropriate to guarantee that all available
benefits are recovered and that claims are reimbursed at the appropriate/maximum level(s).. Maintained the
highest level of confidentiality and comply with all HIPAA regulations.
2007-2008 Community Home Health & Hospice, Medical Billing Clerk, Longview, WA
Provide Medical Billing for the following services: Home Health/Nursing, Home Care/Bath Aide, Inpatient and Outpatient
Hospice and Uncertified Home Health services. Run edit reports for disciplines to bill monthly to Commercial Insurance,
Medicaid and Private Pay patients. Perform collection duties on accounts past due. Manage and follow up on monthly
A/R aging accounts. Perform general office and telephone duties as assigned.
2006-2007 Patient Accounts Representative, Willamette Dental, Hillsboro, OR
Provide customer service to patients by responding to phone inquiries in a professional and courteous manner. Contact
delinquent accounts, by phone or letter, to arrange payment. Follow and maintain company guidelines for ensuring
accuracy in billing for general dental and orthodontic accounts. Review orthodontic accounts with loss of insurance
coverage and prorate if applicable. Review adjustment requests and make appropriate entries on the account. Review
account credit balances and, if appropriate, request credit refund to patients and insurance company. Maintain insurance
credit balance accounts in each company and make adjustments/transfers of funds as needed. Receive and process
bankruptcy notices according to established guidelines. Make telephone calls to insurance companies, medical
providers, employers, and other outside sources to resolve questions as needed.
2005-2006 Medical Billing Specialist, Family Care Medical Clinic, Milwaukie, OR
[Temporary Position, All’s Well Health Care Services, Portland, OR]
Receive, audit, code & post payments to physician accounts; Post adjustment write-offs,
appeal to insurance companies for accurate/additional /timely payment, per written guidelines and HIPPA regulations;
process electronically received payments, prepare HCFA's ; General office/clerical duties as assigned.
2003-2005 Payment Analyst II, Anesthesiologists Associated, Inc. Beaverton, OR
Receive, code & post payments to physician accounts, audit payments for
adherence to contract terms, communicate with payers to resolve issues on problem
accounts, calculate and post adjustment write-offs, identify and bill supplemental
insurances, appeal to insurance companies for accurate / additional /timely payment,
request and issue refund checks on credit balances, per written guidelines and HIPPA
regulations, download and process electronically received payments, conduct follow up
with accounts as needed, other duties as assigned.
REFERENCES
References available upon request