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Candidate's Name  PHONE NUMBER AVAILABLE EMAIL AVAILABLEExperienced Medical Biller with advanced proficiency in Cerner, Epic, Meditech, CPSI, Allscripts, and other hospital billing-related programs. Seeking a position with a dynamic organization to use my expertise in Healthcare Billing, Training, and Quality Assurance. Possesses a proven track record in Health Insurance claims, Training/Instruction, Collections, and Customer Service.MVA Claims Mentor Enablecomp, Franklin, TN 9/2020  Present: Responsible for billing, follow-up, and resolution of medical claims, contributing to team revenue goals, averaging 40-50 complex claims daily. Negotiated TPL claims and attorney settlements. Coordinated training for team members, ensuring they meet or exceed performance metrics. Review EOBs to ensure correct posting allowances, adjustments, and payments. Work with Management to find and resolve issues promptly, developing processes and tasks to ensure optimal outcomes.Claims Analyst Knowtion Health, Boca Raton, FL 5/2017 - 9/2020: Advanced knowledge of claims process and billed claims accordingly to Medicare, Medicaid, and third-party providers. Proficient with web portals like Availity, client systems, and databases as necessary to document and resolve medical claims. Accurately process Remittance/Explanation of Benefits to accounts and process secondary billing to correct payers or patient. Gathered pertinent patient information over the phone or in person for high dollar medical claims adjudication. Participate with regional sales leaders in developing business plans and effective value propositions to increase volume and profitability in assigned hospitals.Claims Representative Revecore, Franklin, TN 4/2014 - 4/2017: Triage, investigate and bill medical claims for facilities and physicians. Follow up to verify claim status and resolve submission issues and resubmit or appeal claim for resolution. Built and maintained relationships with clients and leadership regarding target goals for revenue. Met or exceeded monthly metric goals working through work ques or claim ownership.