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Medical Billing Specialist Resume Macon,...
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Title Medical Billing Specialist
Target Location US-GA-Macon
Email Available with paid plan
Phone Available with paid plan
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                               Candidate's Name

Street Address  Ph:PHONE NUMBER AVAILABLE Email:EMAIL AVAILABLE


Objective:  Experienced Billing Account Representative seeking to obtain a challenging position in a career as a Medical Billing Specialist.

Summary of Qualifications: Proficient in Medical Insurance Billing, Medical Terminology, and Medical Coding.
Medical software experience: Nextgen, Navicure, SRS, Saint Joseph hospital, Meditech, CPT-4 coding, ICD-9 coding, 1500 claim forms and UB92 forms.
Hardworking, motivated, energetic, dedicated and professional.

Education:          1995-1996   Indian River Community College         Fort Pierce, Fl
                    Computer Applications, Clerical Secretary, and Spanish Certificate
                    1993-1995   Port Saint Lucie High School          Port St. Lucie, Fl
                    Academic High School Diploma

Experience:     Cardiology of Atlanta              Atlanta, Ga                6/2008 to 3/2011
Billing Department Account Representative

*  Timely submission of clean claims to government and commerical payers
*  Review and work commerical insurance carrier denials, follow up on unpaid claims, and
    resolve the problem with complete accuracy
*  Verification of patient insurance and confirmation of appointments
*  Ensures efficient and courteous collection of patient responsible balances
*  Excellent customer service skills in a diverse environment

Blackstone Resources (Children's Healthcare of Atlanta)  Tucker, Ga           8/2007-1/2008
Medicaid Collector/Patient Financial Services

*  Review and evaluation of insurance and follow up account information of outstanding claims
*  Working knowledge of Medicaid, CMO, and Commerical payers
*  Maintain confidentiality with regards to internal and external information of ghp web portal,
    online e-premis systems including Hughes Spalding, Scottish Rite and Egleston Billing Systems
*  Ability to solve problems with complete accuracy

Martin Memorial Health Systems                   Port St. Lucie, Fl            12/2004-6/2007
Patient Account Representative

*  Medicare, Medicaid, and Commerical insurance claims billing
*  Insurance verification, charge entry, and payment posting
*  Strong understanding and usage of insurance rules, regulation, and customer service


Liberty Medical Supply                     Port St. Lucie, Fl                   1/2003-10/2003
Medical Biller Accounts Receivable

*  Follow up with insurance companies for denial reasons and non payments received
*  Provide patients with information on hospital accounts and collection of outstanding accounts
*  Work independently, communicate effectively, and professionally

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