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Click here or scroll down to respond to this candidateCandidate's Name , CACStreet Address
PHONE NUMBER AVAILABLEEMAIL AVAILABLEObjectiveSeeking challenges in an environment where relevant education, experience and organizational skills will be utilized and advanced.Summary of QualificationsMicrosoft: Word, Excel, Access, and PowerPoint.EPIC; RescueNet; Artiva; Centricity; Ecare; e-ClinicalWorks (ECW); CareLogic; OneSource/Passport; DentaQuest; ClaimRemedi; ESO; McKesson/Horizon; SSI Billing Portal; MedHost, Medisoft.Medical Terminology. Medical ICD-9; ICD-10 Coding. Commercial, Medicaid and Medicare Medical Billing. Reimbursements.Ambulance Service Coding and Cash Posting.Typing 60+wpm/10-Key 13,260ksphAble negotiator/liaison, dealing with professionals, clients and staff.Accurate, organized, aware of importance of deadlines and maintaining goals.Progressive, professional experience.ExperienceNovember 2021 November 2022Eden Transport for FedEx, Naperville, ILDriver/Customer ServiceDuties Included:Route DeliveriesIn person communication with customers and businessesProblem solving issues customers haveResponding to customer inquiriesJuly 2020 June 2021Lasalle Staffing Agency/Pillars Community Health, LaGrange, ILMedical Billing and Coding SpecialistDuties Included in the ECW and CareLogic systems:Physician BillingBehavioral Health BillingDental BillingReviewed and Resolved Insurance rejections/payer returns/denialsEdited and corrected HCFA (1500) ClaimsDetermined and billed out Daily Late Charges, Replacement Claims (removed charges)Claim EditsPosted PaymentsPayer Returns (denials)Updated Insurances and demographic informationClaim Review (claim status)Late Charges/Claim CorrectionRefunds (which included adjustments and write-offs)June 2018 May 2019Canna Care Docs, Crestwood, ILRegional Manager of IllinoisDuties Included:Managed a team of eight people which allowed me to guide and motivate them to their full potential.Managed daily office operations ensuring the needs of patients and staff were met.Provided Patient Care and Education.Performed Vitals Blood Pressure, Temperature and Oxygen LevelsResolved Patient Inquiries.Recruited and trained staff members and created work schedules.Created and maintained patient files.Requested and obtained patient medical records in a timely manner.Made bank cash deposits.September 2005 - December 2017University of Chicago Medical Center (UChicago), Chicago, IL (Burr Ridge, IL)Lead Medical Insurance Biller (Non-Gov Billing Department)Duties Included in the EPIC system:Commercial Payer Insurance BillingEdited and Corrected UB04 and HCFA (1500) ClaimsMerged (combined) Account Charges necessary for avoiding missed claims, incorrect claims, and late charges.Interim Billing.Determined and billed out Daily Late Charges, Corrected Claims (removed charges) & Unbilled Accounts.Handled Multiple Billing requests from the Collections Department.Researched and mailed out Medicare and Non-Gov. Insurance Explanation of Benefits (EOBs) to SecondaryInsurance.Data Entry.Posted Payments from Blue Cross and United Health Care Insurance EOBs.Completed daily tasks of multiple reports (Duplicate Diagnosis, Blue Cross Secondary, Black Hole Accounts,Daily Claim Audit Summary, Deletion Review, Claim Holds, and Medicare Part B Claims).Added and billed Insurance.Verified and updated Patient DemographicsReceivables Clerk II (Refunds Department)Duties Included in the EPIC system:Reviewed written correspondence from Insurance companies to determine if a refund request is a denial or an issuance.Processed refunds to patients and insurance companies.Retrieved refunds that were processed to insurance companies and/or patients in error.Consistent phone contacts to provide information and calculations requested by insurance companies.Consistent phone contacts with patients and insurance companies to obtain other insurance and patient information.Handled insurance projects (Blue Cross, Humana, UCHP, and Psych) in a timely manner.Performed Adjustments, Transfers and Write-offs of monies on Patient Accounts.Maintained and organized files.Receivables Clerk I (Office Services Department)Duties Included:Organized, data entry and distribution of correspondence.Researched and mailed out Medicare Explanation of Benefits (EOBs) and UB92 requests to insurance companies, general office duties, and telephone operations.EDUCATIONNational Academy of Ambulance Compliance (NAAC)Certified Ambulance Coder (CAC)Olympia College, Chicago, ILMedical Administrative AssistantPC Career Training Institute, Chicago, ILMedical Billing & CodingRoald Amundsen High School, Chicago, ILGeneral Studies |
