Cheryl Smith
17 Jon St.
Metropolis, IL 62960
Phone# 847-997-3691
Email Address: cheryls0011@gmail.com
Objective: A positionwith challenge andresponsibilitythat utilizesmyexperience, knowledge and skills in
the medical business office field. I have beenin the medical business office for over
twentyyears for multiple physicianspecialties. I have a strong backgroundinbilling, collections
and patient communicationandassistance inregards to insurance andbudget agreements.
My knowledge andskills include but not limitedto several phasesof the medical business office
such as billing Medicare, Medicare Advantage, PPO, HMO and commercial plans, followup,
patient billing, collections andposting payments. I amfamiliar with ICD-10, CPT, HCPCS codes,
modifiers, Wordand Excel. I am Attentive to detail, self-starter withstrong workethics.
Experience: Northwest HealthCare Associates: November 2003-July 2016
Medical Billing Specialist/Patient Accounts Representative
Northwest HealthCare Associates is a multi-specialtygroup ofthirtyphysicians specializing in
InternalMedicine, FamilyMedicine, Cardiology, Gastroenterology, Orthopedic andUrology. My
duties included but was not limitedto insurance billing andfollowup withmanytypes of
insurance companies suchas Medicare, Medicare Advantage, Medicaid, HMO, PPO andsecondary
plans. I mainlyfocusedonMedicare andMedicare Advantage plans.
Posted insurance and self-paypayments, verifyinginsurance eligibility, worked correspondence
and denials for proper submission or appeals ifnecessaryfor maximum payment, workedaging
accounts, analyzedcredit balance accounts andpreparedfor refunds. Assist patient via phone or
Portal inregards to questions to account. Workedcloselywithsupervisor and coding department
for anyupdatesand trends that myimpact proper and maximumpayments.
Internal Medicine Group/Jackson Purchase Medical: July 2002-October 2003
Patient Accounts Representative/Insurance Billing Clerk
InternalMedical Groupconsistedof elevenInternal Medicine physicians andthree Nephrologists.
My duties includedalsonot limitedto claimfiling andfollow upwith Medicare Medicaid and
secondaryclaims. Analyze accounts for proper billingandcollections, worked denials and
correspondence for proper billing andmaximum reimbursement for claims, submittedappealsif
necessary. Assistedpatients withanyquestioninregards to their account. Although I workedwith
InternalMedicine Groupfor a sort time myefforts to strive to domybest didnot falter
Paducah Diagnostic Center/Surgi-Care: January 1996-July 2002
Patient Accounts Representative/Insurance Billing
Paducah Diagnostic Center andSurgi-Care Center is a diagnostic testing facilityand ambulatory
surgical center that performs manydiagnostic procedures suchas mammograms, chest x-rays, CT
scans, vascular studies, Colonoscopies inanoutpatient setting.
My responsibilities includedclaim filing, follow up, working denials with Medicare, Medicaid,
BCBS, HMO, PPO and Workers Compensationclaims. Workedself-payaccounts and collections.
Assistedpatients withquestions inregards to their accounts and setting uppayment plans.
Analyzing credit balances to prepare refunds to proper payer. Worked closelywiththe coding
department for anychanges andtrends that myimpact billing andreimbursement.
Education: Cerro Coso Community College, Ridgecrest, CA
Skagit Valley Community College, Oak Harbor, WA
Office Skills, Medical Terminology, HealthEducation, CNA
Attendedseminars andwebinars as needed
References: upon request

Resume

  • 1.
    Cheryl Smith 17 JonSt. Metropolis, IL 62960 Phone# 847-997-3691 Email Address: cheryls0011@gmail.com Objective: A positionwith challenge andresponsibilitythat utilizesmyexperience, knowledge and skills in the medical business office field. I have beenin the medical business office for over twentyyears for multiple physicianspecialties. I have a strong backgroundinbilling, collections and patient communicationandassistance inregards to insurance andbudget agreements. My knowledge andskills include but not limitedto several phasesof the medical business office such as billing Medicare, Medicare Advantage, PPO, HMO and commercial plans, followup, patient billing, collections andposting payments. I amfamiliar with ICD-10, CPT, HCPCS codes, modifiers, Wordand Excel. I am Attentive to detail, self-starter withstrong workethics. Experience: Northwest HealthCare Associates: November 2003-July 2016 Medical Billing Specialist/Patient Accounts Representative Northwest HealthCare Associates is a multi-specialtygroup ofthirtyphysicians specializing in InternalMedicine, FamilyMedicine, Cardiology, Gastroenterology, Orthopedic andUrology. My duties included but was not limitedto insurance billing andfollowup withmanytypes of insurance companies suchas Medicare, Medicare Advantage, Medicaid, HMO, PPO andsecondary plans. I mainlyfocusedonMedicare andMedicare Advantage plans. Posted insurance and self-paypayments, verifyinginsurance eligibility, worked correspondence and denials for proper submission or appeals ifnecessaryfor maximum payment, workedaging accounts, analyzedcredit balance accounts andpreparedfor refunds. Assist patient via phone or Portal inregards to questions to account. Workedcloselywithsupervisor and coding department for anyupdatesand trends that myimpact proper and maximumpayments. Internal Medicine Group/Jackson Purchase Medical: July 2002-October 2003 Patient Accounts Representative/Insurance Billing Clerk InternalMedical Groupconsistedof elevenInternal Medicine physicians andthree Nephrologists. My duties includedalsonot limitedto claimfiling andfollow upwith Medicare Medicaid and secondaryclaims. Analyze accounts for proper billingandcollections, worked denials and correspondence for proper billing andmaximum reimbursement for claims, submittedappealsif necessary. Assistedpatients withanyquestioninregards to their account. Although I workedwith InternalMedicine Groupfor a sort time myefforts to strive to domybest didnot falter
  • 2.
    Paducah Diagnostic Center/Surgi-Care:January 1996-July 2002 Patient Accounts Representative/Insurance Billing Paducah Diagnostic Center andSurgi-Care Center is a diagnostic testing facilityand ambulatory surgical center that performs manydiagnostic procedures suchas mammograms, chest x-rays, CT scans, vascular studies, Colonoscopies inanoutpatient setting. My responsibilities includedclaim filing, follow up, working denials with Medicare, Medicaid, BCBS, HMO, PPO and Workers Compensationclaims. Workedself-payaccounts and collections. Assistedpatients withquestions inregards to their accounts and setting uppayment plans. Analyzing credit balances to prepare refunds to proper payer. Worked closelywiththe coding department for anychanges andtrends that myimpact billing andreimbursement. Education: Cerro Coso Community College, Ridgecrest, CA Skagit Valley Community College, Oak Harbor, WA Office Skills, Medical Terminology, HealthEducation, CNA Attendedseminars andwebinars as needed References: upon request