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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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