Erica Maxwell
Georgetown
Summary
Dynamic Billing Manager with 6 years expertise in insurance verification and claims resolution. Proven track record in enhancing reimbursement rates through effective coordination with insurance providers. Proficient in ABA-specific coding and adept at maintaining compliance, while demonstrating strong communication skills and attention to detail.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Billing Manager
ShineThru ABA Therapy, LLC
Alexandria, LA
04.2020 - Current
- Oversee insurance claim submissions for ABA therapy services, ensuring accuracy and compliance with payer guidelines.
- Managed benefits verification and authorization processes, including initial assessments and ongoing treatment approvals.
- Coordinating with insurance providers to resolve claim denials, underpayments, and eligibility issues, improving reimbursement rates.
- Collaborated with insurance carriers during external audits, providing documentation and resolving discrepancies to maintain reimbursement integrity.
- Maintaining up-to-date knowledge of Medicaid, commercial payer policies, and ABA-specific billing regulations.
- Manage provider credentialing and re-credentialing processes for BCBAs across multiple payer networks.
Front Desk Clerk
Lasalle Immigration Court
Jena, LA
09.2019 - 04.2020
- Answered telephone calls, took messages and transferred calls to appropriate colleagues.
- Responded to in-person and telephone requests for information from general public, attorneys and other involved parties.
- Provided clerical support to company employees by copying, faxing, and filing documents.
- Maintained confidentiality of information regarding clients and company.
Family Leave
Georgetown
09.2018 - 09.2019
- Took time away from working due to being in and out of the hospital during my pregnancy. After having my baby I decided to stay home for a while.
Bookkeeper
Honeycutt Pharmacy
Jena, LA
08.2017 - 09.2018
- Performed general bookkeeping services.
- Maintained and processed invoices, deposits, and money logs.
- Reviewed and filed financial documents, coded accounting entries for data processing, and posted daily receipts and payments in accordance with all policies.
Education
Certificate of Technical Studies - Medical Coding Specialist
Louisiana Delta Community College
Monroe, LA08-2018
High School Diploma - undefined
Rayville High School
Rayville, LA05-2012
Skills
- Insurance verification and authorization management
- Claims submission and denial resolution
- Credentialing/Re-credentialing
- ABA-specific CPT code proficiency
- ICD-10-CM coding proficiency
- CPT coding proficiency
- HCPCS Level II coding proficiency
- ABA Therapy billing software expertise
- Microsoft Office (Word, Excel, PowerPoint)
Certification
Certified Professional Biller, AAPC (American Academy of Professional Coders)
Timeline
Billing Manager
ShineThru ABA Therapy, LLC
04.2020 - Current
Front Desk Clerk
Lasalle Immigration Court
09.2019 - 04.2020
Family Leave
09.2018 - 09.2019
Bookkeeper
Honeycutt Pharmacy
08.2017 - 09.2018
High School Diploma - undefined
Rayville High School
Certificate of Technical Studies - Medical Coding Specialist
Louisiana Delta Community College