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Click here or scroll down to respond to this candidateCandidate's Name
PHONE NUMBER AVAILABLE EMAIL AVAILABLESUMMARY/OBJECTIVEMotivated medical billing and coding specialist with over 17 years of experience seeking for a full time position in the healthcare system. Trained in ICD-10 coding, medical terminology, data management, data entry, conducting billing practices, and other administrative tasks. Familiar with various computerized coding programs and electronic health records.SKILLSFlorida community health center 08/23/2021 Present TimePSR -CHECK IN PATIENTSInsurance VerificationAnswer and follow up on calls from patients with billing questions.Receive inbound and place outbound calls from and to customers, Medicare, Medicaid and Commercial insurance providers regarding patient accounts.Answer and follow up on calls from patients with billing questions.MEDICAL BILLING REPRESENTATIVE 10/2019 to 03/2020BECTON & DICKINSON Stuart, FLInvestigate the reason of claims denial, and rectify the situation with the payer or patient.Insurance VerificationReferral and authorization verificationReceive inbound and place outbound calls from and to customers, Medicare, Medicaid and Commercial insurance providers regarding patient accounts.Provide written correspondence to audit requests to include investigation and obtaining of appropriate documentation to be attached to response.Document status of billing and payment process in patient account for future follow-up.Answer and follow up on calls from patients with billing questions.Complete all internal system service ticket requests as assigned.Work miscellaneous projects and tasks on an as needed basis.EDI CLAIMS/MEDICAL BILLING AND CODING SPECIALIST 08/2002 to 07/2019 HEALTHCARE DISTRICT AT PBC Riviera Beach, FLOverseen daily Billing Department functions, including medical coding, charge entry, claims, payment posting, an reimbursement managementProvided administrative support to physicians and interpreted medical reports and data to assign ICD-9 and ICD-10 codes; enter diagnosis codes and patient information into billing software (Diamond).Follow up on past due invoices and delinquent accounts to reduce the number of unpaid and outstanding balances.Uphold and reinforce compliance with hospital policies and federal regulations such as HIPAA.Trained and mentored new team members and managers on accounts payable systems and policies to build cohesive groups and promote operational performance.BILLING SPECIALIST 03/2000 to 07/2002MEDICAL BILLING CONCEPT INC. Delray Beach, FLWorked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.Performed targeted collections on past due accounts aged over 30 days.Handled high volume of in-bound calls pertaining to reconciliation of delinquent accounts.Verified vendor accounts by reconciling monthly statements and related transactions.Generated financial statements and reports detailing accounts receivable status.FRONT DESK CLERK 06/1997 to 02/2000MORSE KRAMER AGENCY West Palm Beach, FLPrepared weekly employee work schedules for 10 team members so all shifts received adequate coverage.Maintained files and records by implementing effective filing systems that boosted efficiency and organization.Answered multi-line phone systems, responded to inquiries and transferred calls to correct departments and personnel.Used quick response and dynamic service skills to build relationships with patrons, improving customer retention rate.Resolved service-related problems in a timely manner.EDUCATIONInstitute of Career Education - West Palm Beach, FL 1999-2000Medical Office Specialist And CodingAgency For Health Care Administration - West Palm Beach, FL 1990Nurse Assistant Training School Inc. |
