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Click here or scroll down to respond to this candidateCandidate's Name
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Cell Phone: PHONE NUMBER AVAILABLEEMAIL AVAILABLESUMMARY OF QUALIFICATIONSA highly accurate, detail oriented professional with strong medical billing and communication skills. I have proven success in learning new things quickly. I have the ability to train and encourage co-workers. Demonstrates patience and completes projects on time. Computer proficient. Takes on new challenges with proven ability to meet deadlines. PROFESSIONAL EXPERIENCEHealthcare Financial SystemCollection specialist current 2018Responsibility Contact payers by phone regarding payment status worked claim in SSI daily hospital claims Medicaid /Medicare follow up on denials Process refunds request daily Worked WDS Make sure we file claims timelyBilling analyst MD live 2017-2018Responsibility Review practicum parsed files daily to insure all imported consult billing files were accepted without error . Manuel charge capture credit card payments Process refund request Payment posting in Athena Athena Monitoring missing subscribers id number Monitoring Athena claims dashboardSheridan Healthcorp, plantation Florida 2016-2017Collection specialistResponsibilityContacts payors by telephone regarding payee billing address in a professional manner while keeping and improving customer relations Provide information so the check goes to the proper billing address and follow up to assure billing address is updated Confirms and review all provider demographic online to make sure the billing address is correct Faxes documents to accounts and follow up Collect customer payments in accordance with payment due datesBroadspire a Crawford Company, Sunrise, Florida 2007-2015 Claim Intake Rep I (Medical Services)Responsible for FCM work comp cases, billing and reports/letters/invoices Bill Field Care Management (FCM) daily activity expenses Provides customer service by answering Case Managers and Claims Adjuster questions regarding patient information in an appropriate, accurate and timely manner. Set up new claims files from various client referrals. Obtain and input information to insure all reviewed cases & reports/letters contain required information. Review and process billing for each clientBroadspire, Plantation, Florida 2001-2007Bill Specialist I (Billing Analyst)Responsible for accurately and analytically adjudicating a bill Review and verify ICD-9 and CPT codes, provider and payer information Manually key bills Review and interpret medical information including medical records, and consultation reports to accurately determine adjudication Verify fee schedule and usual and customary rules according to state law guidelines Assign explanation codes, bill notes, bill type, modifiers and units Verify claimants name, CPT codes, and DX codes, service dates, date of initial injury, policy number Verify compensability of injury and the causal relation or authorization needed for the claim being billed Utilized Focus and PDC systems Detection of duplicate billsBill Specialist I (EDI/PROVIDER MAINTENANCE) 2000-2001 Responsible for verifying provider & patient info is correct, resolving bill errors, reviewing physician/hospital bills to detect duplicate and inappropriate charges and medical procedures Verify correct patient, provider service and billing address are correct for the bill Verify & update provider files HCFA-1500 & UB-92 Utilized PowerTrak and Image Viewer Systems Consistently meet production quotas in a fast-paced, high volume productivity based environment Resolving bill errors Workers Compensation/Medical Bill ReviewEDUCATIONHealth Occupations/ High School Diploma, Norland senior High SKILLSPC skill- Typing Speed 40 wpm- Clerical-Internet- Data Entry- Customer Service- Verification 10-Key-CPT Codes- Medical Billing-HCFA-1500/UB 04 Forms- Microsoft Office- /Word- Excel |
