Andrea Craig
Arvada,CO
Summary
Experienced Billing Manager focused on team efficiency and producing high-quality work. Excellent collaborator and relationship-builder familiar with compliance and documentation requirements. Enthusiastic about taking billing operations to the next level through proactive leadership and skilled problem solving.
Overview
27
27
years of professional experience
Work History
Patient Account Representative
Intermountain Health
08.2021 - Current
- Identified trends in unpaid accounts, followed up with payers to resolve missing or denied claims and processed appeals for incorrectly denied claims.
- Verified coverage details to minimize claim denials and delays in payment.
- Demonstrated adaptability in navigating complex Workers Compensation payer guidelines to maximize reimbursement.
- Assisted caregivers during peak periods or absences, showcasing teamwork skills while maintaining personal workload demands efficiently.
Billing Manager
EMMI Physician Services, Inc
04.2013 - 08.2021
- Managed revenue cycle functions including claims processing, denials, customer service, collections, coding and compliance for over 100 anesthesiologists and interventional pain management providers.
- Reviewed billing problems, researched issues and resolved concerns.
- Conducted performance reviews and implemented improvement plans.
- Trained and mentored staff on procedures, compliance requirements and collections techniques.
- Communicated with physicians and provided detailed analysis of production and goals.
- Works closely with multiple EHR's and managed daily demographic and charge data transfer to in-house billing system.
- Monitored and maintained HIPAA compliance within office.
- Knowledge of Medicare, Medicaid as well as Commercial payers and their billing guidelines.
- Prepared and processed provider enrollment applications for government and commercial payors. Utilized payor portals including PECOS, Colorado Medicaid, Optum and Availity.
Billing Account Representative
EMMI Physician Services
04.1997 - 04.2013
- Processed incoming charges and demographics.
- Billed insurances both paper and electronic as applicable.
- Worked appeals and utilized payer portals.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Accepted payments for medical services and discussed remaining balances with customers to take accounts to zero.
- Posted insurance payments and adjustments ensuring correct payment according to payer contracts
- Reconciled past due accounts achieving high collections percentage on monthly Accounts Receivable.
Education
Associate of Science - Credit And Financial Management
Spokane Falls Community College
Spokane, WA05.1993
Skills
- Credentialing
- Provider Enrollment
- Team Collaboration
- Payment Processing
- Medical Billing
- Billing Systems
- Spreadsheets
- Customer service
- Account Reconciliation
Timeline
Patient Account Representative
Intermountain Health
08.2021 - Current
Billing Manager
EMMI Physician Services, Inc
04.2013 - 08.2021
Billing Account Representative
EMMI Physician Services
04.1997 - 04.2013
Associate of Science - Credit And Financial Management
Spokane Falls Community College
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