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Title Medical Billing Specialist
Target Location US-FL-Tampa
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QualificationsOver 21 years of experience with various specialties in third party medical billing, Working knowledge of medical accounts, receivable software programs and office skills. Competence in math and knowledge of GAAP accounting principles. CPT and ICD-10 knowledge. Excellent communication and interpersonal skills and ability to use initiative and independent judgement.EducationRhode Island College, Providence, Rhode Island  enrolled for 3 yearsDiversified curriculum majoring in Education minor in Business ManagementDavies Vocational High School, Diploma 1986College preparatory concentration- High Honor & Honor SocietyExperienceCare New England, Providence, RI Professional Biller II 7/11 - presentProvides support to the management of CNE accounts receivable and functions as billing liaison to intermediaries, insurance carriers, patients and guarantors.Responsible for the processing of denials, payments, refunds and secondary claims, filing and balancing monthly spreadsheets and functions as liaison between billing office and the finance department. Responsible for addressing edits and rejections and facilitates all activity in regards to electronic and paper claims submission.CPM, Lincoln, RI Medical Billing Specialist 2/08-7/11Supervised three employees with overall day to day questions and issues that may arise in the office. Maintained and managed the claims edits and scrubber system. Worked closely with the Director and the Finance Department to assure clients accounts was in good standings. Communicated with patients and practice managers with concerns and resolved issues within the office.Automated Medical Systems, Cumberland RI Medical Billing Specialist 1/03-2/04Processed medical claims utilizing ICD9 & CPT4. Implemented Patient data and augmented communication with patients, doctors office and insurance carriers. Facilitated charged entry and processed payments for insurance carriers.Attleboro Radiology, Attleboro, MA Asst. Office Manager/Billing 10/01-12/02Facilitated in the daily operation of a busy office while managing and resolving patientconcerns, supervising employees and processing medical claims. Verifiedweekly time cards, processed daily checks and minor banking functions. Handled special projects to assure office was operating proficiently.SkillsBilling Software- EPIC, IDX, E-Clinical, Medical Manager/ Cache, Window OfficeBilingual  Cape Verdean  Some PortugueseReferences: Furnished upon Request.

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