Mary Millings is a licensed Medical Coder/Biller. She has worked in the medical billing and collection field for 10 years. Working for a wide variety of medical specialties including: E/M, Mental Health, Residential, PHP, IOP and Outpatient substance abuse treatment. I have worked in both a provider’s office and hospital medical billing. She became a licensed Medical Coder/Biller in 2007.
Ms. Milling’s prior experience includes serving as a Collection Analyst for an internationally recognized, academic health system comprised of six hospitals, Jackson Memorial Hospital, Holtz Children’s Hospital, Jackson North Medical Center, Jackson South Community Hospital, Jackson Rehabilitation Hospital and Jackson Mental Health Hospital. Which is home to the Ryder Trauma Center, Miami-Dade County’s only Level 1 adult and pediatric trauma center; and the UM/JM Burn Center, one of the leading burn treatment centers in the nation and the only one in South Florida. Where she was the lead in resolving high dollar claims, including billing submissions, all insurance follow-up functions and claims audits.
Her daily duties included oversight of the staff in the identification, collection and assessment of facility claims or encounter information as it pertains to efficient billing and collecting per CMS guidelines. She also verified and ensured that accurate and maximum reimbursement was received from both contracted and non-contracted entities.
As a claims auditor she will verify:
- Appropriate procedural codes were applied.
- Appropriate ICD-9 codes were applied.
- Appropriate usage of any modifiers.
- Appropriate linkage of diagnosis to procedure.
In addition to auditing claims she can provide an audit of your paid claims to verify full reimbursement, by comparing your explanation of benefits (EOB’s) against your paid claims to verify that you have been fully reimbursed for your services.
Mary understands that each provider and/or practice is unique in their particular needs and expectations from a claims audit, and has such devised a system that allows her to apply her extensive knowledge and attention to detail, to fit the needs of any provider, large or small. Allowing her to assist you in decreasing denials, and ensure timely reimbursement.