| | | 20,000+ Fresh Resumes Monthly | |
|
|
| |
Click here or scroll down to respond to this candidateCandidate's Name
Cell. PHONE NUMBER AVAILABLEProfessional Summary Medical field for over 20 years. Experience in billing Medicaid, Medicare, Commercial Insurance, Customer Service and Medical Collections. Strong attention to detail, excellent multi-tasking and team player with a positive attitude. Efficient courteous service, answering inbound/outbound calls, answering general correspondence about patients billing and E.O.B's. Provide account research for patients, setting up a payment plans, discussing patient balance on their account and doing follow-up with them and the insurance company. Updating patients accounts with insurance information/addresses and all vital information, while following HIPAA laws and guidelines. Reconciliation of account analysis, credit balances while explaining to patients about their insurance deductibles and co-insurance. Maintains strict confidentiality. Knowledge of HMOs, Medicare Medicaid. Electronic Medical Record (EMR) software. Medical billing software. Patient-focused care. Team player with positive attitude. Deadline-driven. Good written communication.Education High School Diploma Richwood High School - Peoria, ILL, U.S.A Kaiser Permanente8/2019 - 2/22Call Center Rep Customer Service Handled approximately 60 - 70 inbound calls a day. Schedule pt appointments and answer their questions. Setting up appointments for the Covid testing and for the Covid Vaccine. Taking verbal orders from the provider line for the Dr.s Scheduling for other departments. Taking patients request to change to a different Dr. or Clinics Answering questions about the Covid Vaccine.Experience10/2018 - 06/2019US OncologyMedical Records/Insurance Specialist Customer Service. HIPPA laws. Handled approximately 50 60 inbound and outbound calls per day. A/R Report. Pulling Medical Records. Sending thru web portal or certified mail. Appeals and reconsideration. Follow up with Insurance on claims. Electronic Billing.Eating Recovery Center4/2016 - 8/2018Claims Specialist Made approximately 50 - 60 outbound calls to payers to follow up on submitted claims. Prepares claims for re-bill by pulling up accounts from the system. Calling insurance company about claims and taking payments from patients. Follows up claims through resolution /collection. Post EOBs, payments, A/R follow-up, patient eligibility, authorizations, and resubmitted appealed/denied claims. Pulls up EOBs /ERAs to research reasons for denials. Verifies eligibilities through web portals or through phone calls to insurance companies. Appeals and researches denied claims. Used Microsoft Excel daily for reports. Adjustments on patients accounts. Explaining to patient their out of pocket network their deductible and co-insurance. 06/2011 - 11/2015Revenue EnterprisesCustomer Service / Collections Handled approximately 50 60 inbound/outbound calls daily, arranging payment plans on accounts into centricity the software system used. Analyze and research patient accounts, problem solve discrepancies within patients accounts, detail oriented and meet deadlines. Confidentiality regarding patient information, release of information followed by federal/state regulations and guidelines. Resolving billing and reimbursement issues while enter up-date changes into billing software. 02/2009 - 05/2011Favorite Staffing Services University HospitalMedical Billing / Customer Service Handled between 40 and 50 calls per day. Doctors office meeting and greeting patients. Carefully reviewed medical record for accuracy and completion as required by insurance companies. Recorded and filed patient data and medical records. Wrote clear and detailed clinical phone messages for physicians. Acquired insurance authorizations for procedures and tests ordered by the attending physician. Scheduled patient appointments. Completed registration quickly and cordially for all new patients. Confirm patient information collected co-pays and verified insurance billing claims. 08/2003 - 11/2008Senior Care of ColoradoMedical Billing Medical billing, 50 60 inbound/outbound calls per day, carefully reviewed medical records accuracy and completion as required by insurance companies. Coded outpatient encounters, accurately entered procedure codes, diagnosis codes and patient information into billing software. Appropriately and correctly identified error and re-filed denials /rejected claim as they were received from the patient account representative. |
