LATORSHA BURNETT
Ridgeland
Summary
Detail-oriented professional with focus on deadlines and skilled in handling medical billing without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information.
Overview
12
12
years of professional experience
Work History
Office Medical Biller
Baptist Medical Group
04.2023 - Current
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
- Collected payments and applied to patient accounts.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Posted payments and collections on regular basis.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Handled account payments and provided information regarding outstanding balances.
- Generated monthly billing and posting reports for management review.
- Encoded and canceled checks using bank machines.
SPECIALIST-ACCOUNTS RECEIVABLE FOLLOW UP
Baptist Medical Group
01.2021 - 04.2023
- Handles telephone communication insurance companies and other BMG clinic or BMG Foundation personnel
- Bills, collects and submits all insurance and TPA claims according to payer guidelines, and established procedures and workflows
- Reviews and/or processes all credit balances from supplied reports
- Works all insurance denials, via paper and/or electronic in work queues
- Monitors and processes all assigned electronic and/or paper claim status
- Claim edit and no response work queues
- Completes assigned goals.
BILLING SPECIALIST II
University of Mississippi Medical Center
09.2018 - 12.2020
- Very proficient using EPIC database system
- Establish a process by which credit balances are reviewed and appropriately refunded to patients and insurance companies
- Review all credit balances daily to determine if an over-payment exist and if refund is owed
- Verify and post contractual adjustments from third- party payers
- Transfers account balance to patient or secondary insurance responsibility
- Posts electronic remittance advice
- Posts explanation of benefits (EOB) manually
- Prints bank deposits daily and distribute within department, separating deposit information into sections, such as patient money, insurance, credit cards, etc.
ELIGIBILITY /POLICY ISSUE SPECIALIST
Morgan White Group
02.2015 - 09.2018
- Prepare Policies and Certificate of Coverage for active groups
- Prepare Policies and Certificate of Coverage for active groups
- Prepare renewals documents for established business
- Reinstate groups for continuance of coverage
- Update Enrollment Information
PROVIDER REPRESENTATIVE
United Health Group
04.2013 - 03.2015
- Provide the very best customer service to internal/external customers
- (Approximately 50-60 calls per day)
- Processes claims according to specified procedures and standards, meeting all position production and quality standards
- Recognizes when to refer complicated claim situations to the various areas, outside firms and organizations
- Submits and monitors claims referred to internal support units
- Determines if third party recovery or reimbursable compensation potential exists.
IP TECH SUPPORT REPRESENTATIVE
Comcast
07.2011 - 02.2015
- Effectively and professionally communicate with different behavior types on the phone
- Provide a full range of customer service for Comcast high speed internet product in a prompt and professional manner
- Advance troubleshooting for PC, browser, email, personal web page, connectivity firewall, router, and provides customer education to same.
Education
Completed coursework towards Pre Nursing -
HOLMES COMMUNITY COLLEGE
Ridgeland, MS05.2012
Cosmetology Business -
MAGNOLIA COLLEGE OF COSMETOLOGY
Jackson, MS11.2011
High School Diploma -
TERRY HIGH SCHOOL
Terry, MS05.2006
Skills
- Healthcare Terminology
- Time Management
- Revenue Operations
- Legal Standards
- Data Entry
- Claim Submission
- Medicare and Medicaid Processes
- Claims Review
- Eligibility Checks
Timeline
Office Medical Biller
Baptist Medical Group
04.2023 - Current
SPECIALIST-ACCOUNTS RECEIVABLE FOLLOW UP
Baptist Medical Group
01.2021 - 04.2023
BILLING SPECIALIST II
University of Mississippi Medical Center
09.2018 - 12.2020
ELIGIBILITY /POLICY ISSUE SPECIALIST
Morgan White Group
02.2015 - 09.2018
PROVIDER REPRESENTATIVE
United Health Group
04.2013 - 03.2015
IP TECH SUPPORT REPRESENTATIVE
Comcast
07.2011 - 02.2015
Completed coursework towards Pre Nursing -
HOLMES COMMUNITY COLLEGE
Cosmetology Business -
MAGNOLIA COLLEGE OF COSMETOLOGY
High School Diploma -
TERRY HIGH SCHOOL
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