Expert Details
Medical Billing and Claims
ID: 738074
California, USA
Specialties include:
Medical: chiropractic, acupuncture, physical therapy, orthopedic, psychiatry, psychology, urology, cardiology, cosmetic surgery, pulmonary, podiatry, transgender, and others. Experienced with commercial, Workers Comp, VA claims, liens, and MVA's. Experienced with HCFA 1500s, UB-04s, MS-DRG codes, CPT's, ICD-10's, LOAs, DME, and HCPCS.
Billing/Claims: 20+ years of experience processing claims to primary, secondary, and tertiary providers by paper and electronically, conducting insurance claims follow-up, and guiding collection activities.
Office Management: Experienced in supporting and leading the revenue cycle processes, managing file systems (electronic and physical), and promoting client engagement.
As an Expert Witness, she has analyzed the plaintiff's medical care to establish Usual and Customary fees.
Education
| Year | Degree | Subject | Institution |
|---|---|---|---|
| Year: 1996 | Degree: Passed | Subject: Medical Billing | Institution: College of Marin |
Work History
| Years | Employer | Title | Department |
|---|---|---|---|
| Years: 1996 to Present | Employer: Undisclosed | Title: Owner | Department: Billing |
Responsibilities:Leads claims process from start to finish, ensuring accurate and timely completion of all transactions. Created and managed Accounts Payable, Accounts Receivable, billing statements, and financial reporting for various client offices.● Successful in developing long-term client relationships, with client partnerships lasting 15+ years. ● Documents and claims include Commercial, Workers’ Compensation, liens, motor vehicle accidents (MVA's). Experienced with HFCA 1500's and UB-04 forms, MS-DRG codes, LOA's, CPT's, MS-DRG codes, ICD10's, DME, and HCPCS. |
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| Years | Employer | Title | Department |
| Years: 2015 to 2020 | Employer: Greenbrae Surgery Center | Title: Lead Medical Biller | Department: Billing |
Responsibilities:Billed for all 25 doctors credentialed at this ASC. Led claims process from start to finish, ensuring accurate and timely completion of all transactions. Created and managed accounts payable, accounts receivable, billing statements, and financial reporting for various departments. |
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Career Accomplishments
| Licenses / Certifications |
|---|
| Medi-Soft Billing Software Certification |
Additional Experience
| Expert Witness Experience |
|---|
| Have completed detailed analysis for 25 cases over the last year. Deposition and trial experience. |
| Training / Seminars |
|---|
| EDS Medi-Cal Workshop Training Medical Billing Courses, College of Marin Business Courses, Heald College ICD10 Code, HJ Ross Company |
Fields of Expertise
medical billing, Medical biller, Medical Claims, Healthcare claims, Commercial claims, hospital claims, hospital biller, personal injury claims, workers compensation claim management, Veteran Claims, MVA, motor vehicle accident, Usual and Customary fee analysis, Expert medical billing, Expert witness medical biller