Anna Maria Schilling

Insurance Biller (08/12/2010 – Present)

Epic Electronic Health System, Plus registration System, Medical Manager patient information and billing system, Televox phone reminder system, GEDI electronic claim submission, Fast forward patient demographic system.

Last Employer: SSM Medical Group - Gateway Specialists

Contact Person: Stephanie Dillas 314-646-7848 ext 210

Responsibilities: Review charges for compliance issues. Review and update account information for accuracy. Post charges and payments accordingly. Respond to insurance denials and requests. Update Electronic Health Information. Review lab requisitions for accuracy. Process medical records requests. Review and submit claims electronically.

Accomplishments: Review charges for compliance mandates. Review monthly collections recommendations for processing. Review patient requests pertaining to claims processing and balances.

Patient Services Representative  (01/03/2005 – 05/13/2005)

Patient Registration. Insurance and co-payment requirements

Last Employer: Woman's Hospital

Responsibilities: Enter patient demographics and insurance information upon admission to hospital. Admit and discharge patients to/from hospital. Process co-pays and deposits for services rendered. Review and advise patients of insurance restrictions and balance responsibilities.

Printing Services Account Representative (12/30/2002 – 01/03/2005)

Inventory control. Ordering supply and stock. Processing invoices. Collections. Create order quotes. Compile Access spreadsheet for department growth. Compile Excel and Access data for department changes. Administer contract terms with external customers and vendors.

Last Employer: Woman's Hospital Printing Services

Contact Person: Dale Johnson 225-924-8497

Responsibilities: Review and resolve accounts to ensure payment for printing services. Daily contact with customers to ensure projects are completed as requested and that satisfaction is achieved. Apply payments as received. Prepare and process purchase orders for daily maintenance of supplies. Review, monitor, order, and process all inventory for order requirements and supply on-hand. Compile job performance data spreadsheets for department goals. Administer and advise contract terms with suppliers and clients.

Accomplishments: Compiled data spreadsheets for department growth and changes. Compiled inventory control log and spreadsheet for ordering management.

Patient Account Representative (04/01/1997 – 12/29/2002)

Analyze and resolve a variety of complex and sensitive billing issues for high volume of incoming phone calls. Work very closely with patients/guarantors, doctors and their staff, governmental agencies, managed care companies, third party insurance companies and various departments and clinics to resolve billing/reimbursement issues in a professional and efficient manner.

Last Employer: Woman's Hospital

Contact Person: Geralyn Thibodeaux 225-924-8106

Responsibilities: File claims for managed care and other insurance carriers including high dollar claims by certified mail. Responsible for understanding contract terms in order to verify accuracy of system pro-ration and reimbursement. A working knowledge of the Meditech system data flow as relative to bill/claim generation in order to reconcile system adjustments applied to each patient bill, which has a direct impact on hospital revenue. Review and make adjustments to patient accounts according to contact language. Schedule payment plans with appropriate responsible parties. Respond to requests from patient/guarantor for account balance responsibility, advise of contract terms and restrictions. Review and correct claims through our electronic claims submission system to ensure prompt processing and payment.

Accomplishments: Compile spreadsheet of outstanding claims over six months old and resolve account balances. Compile spreadsheet of outstanding credit balances and resolve for accurate balances to be refunded.