Paula Graham
@paulagraham
Experienced medical biller and coder specializing in claims, posting, and revenue recovery.
United StatesWhat I'm looking for
I am an experienced medical biller and coder with a strong background in claims management, payment posting, refunds, and insurance verification across ambulatory and hospitalist settings.
I have handled end-to-end billing processes including claim submission, rejection resolution, ERA/EOB posting, bank reconciliation, overpayment recovery, and refunds using multiple billing portals and software.
My technical toolkit includes Availity, Waystar, EZ-Claim, Change Health Care, AdvantX, and multiple payer portals; I hold a Certified Professional Coder (CPC-ICD10) credential and certifications in Microsoft Office and QuickBooks.
I deliver accurate posting, timely follow-up on denials, and clear communication with members about balances and payment plans to improve AR performance and ensure compliance.
Experience
Work history, roles, and key accomplishments
Payment Poster / Refund Specialist
HCA Ambulatory CBO
Jul 2024 - Present (1 year 8 months)
Verify insurance eligibility, benefits, authorizations and telephone payments; post EOBs/ERAs and lockbox payments, reconcile daily bank statements, and process member and insurer refunds to reduce posting errors and ensure accurate account balances.
Medical Biller-Coder
Medirna (Insperity) - H2 Hospitalist
Nov 2019 - Apr 2024 (4 years 5 months)
Reviewed and corrected claims using billing platforms, submitted electronic claims, posted ERAs and payments, appealed denials and reduced outstanding AR through timely resubmissions and follow-up.
Entered and submitted electronic claims, reconciled bank and posting totals for monthly close, processed ERAs/EOBs and overpayment recovery, and managed patient chart scanning and uploads to vendor FTP sites.
Education
Degrees, certifications, and relevant coursework
Unique Coding Academy
Certified Professional Coder (CPC-ICD10), Medical Coding
2019 - 2019
Completed the Certified Professional Coder (CPC-ICD10) program.
Sheridan College - Broward
Certificate in Administrative Assistance, Administrative Assistance
2000 - 2000
Activities and societies: Proficient in Microsoft Excel, Word, PowerPoint, Access, Publisher; Outlook certification; QuickBooks certification
Completed an Administrative Assistance program with proficiency in Microsoft Office applications.
Home Health Aid Academy
Certified Nursing Assistant (License), Home Health / Nursing Assistance
1995 - 1995
Completed Home Health Aide training and obtained Certified Nursing Assistant license.
Duffs Business College
Business Administration studies, Business Administration
1985 - 1986
Studied Business Administration and accounting procedures.
Tech stack
Software and tools used professionally
Availability
Location
United StatesAuthorized to work in
Job categories
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