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Title Billing Specialist Medical
Target Location US-PA-Camp Hill
Email Available with paid plan
Phone Available with paid plan
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Candidate's Name
Laurel, De Street Address
PHONE NUMBER AVAILABLE EMAIL AVAILABLESUMMARYBilling Specialist adapt at collecting, posting, and managing account payments. Independently handles client requests, billing needs and administrative functions.SKILLSExperienced and skilled in office practice andWork CoordinationproceduresData EntryDependable and reliableDiscrepancy ResolutionWorks well independently and /or teamMedical Billing and CollectionsHard workerAccount Postingmulti-taskerVerbal and Written CommunicationStrong Customer SkillsItemized StatementsFast LearnerCustomer ContactStarted as phone operator at Orthopaedics AssociatesBilling Dispute ResolutionOf Southern DE and became a medical receptionist which turned into a Medical Assistant for Multiple physicians and physician assistants in the office Decision MakingFee and Charge ComputationEXPERIENCEAtlantic General Hospital (AGHS)Medical Billing Specialist 7/12/2022- CurrentResponsible for efficient billing procedures to be performed for authorized physicians not employed with Atlantic General Hospital.Review medical records, which facilitate appropriate reimbursement for services rendered.Electronically transmits medical billing data via Sun Financial Management System .Generates and prints reports applicable to the accounts receivable .Compiles descriptive statistics ; generates assigned reports.Assist reviews to ensure compliance.Responsible for AGHS /AGH payer specific accountsFIRST STATE ORTHOPAEDICSBilling Specialist 02/2005 to 7/09/2022Customer service, computer knowledge, collections, billing and insurance, medical billing and coding, medical claims,posting and reconciling money, closing, and balancing daily batches Collecting payments, computer knowledge, answer multiple phone lines, knowledge of speaking with Attorney offices, Workers compensation, and Auto insurance Companies.Contacted insurance providers to verify insurance information and obtain billing authorization.Established, enforced, and optimized billing procedures to streamline operations and minimize aging balances.Answered customer invoice questions and resolved issues discovered during invoicing and collection process. Posted surgical charges for providers across facilities.Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.Answered customer questions to maintain high satisfaction levels.Collected, posted and managed patient account payments.Checked claims coding for accuracy with ICD-IO standards. Reconciled financial accounts using NexGen software.DR REDDYMedical Receptionist 11/2004 to 10/2005Carried out daily tasks by professionally communicating with physicians, nursing staff, technicians and medical assistants.Straightened up waiting room to maintain neat and organized space.Called patients to confirm scheduled appointments and obtain additional details.Answered multi-line phone system and directed callers to requested personnel and departments.Photocopied insurance cards, documented details and verified patient coverage for upcoming procedures or appointments.Scheduled and followed up on patient appointments, collected and processed patient payments and maintained patient files.Took messages from patients and promptly relayed them to appropriate staff. Greeted each patient pleasantly and offered a desk sheet for easy sign-in.Checked patients in and out for appointments and collected co-payments.Managed office phone lines by checking voicemail, returning calls and directing messages to team members.FIRST STATE ORTHOPAEDICSMedical Administrative AssistantContacted pharmacies to submit and refill patients' prescriptions.Interviewed and engaged patients to obtain medical history, chief complaints, and vital signs.Conducted insurance verification and pre-certification and pre-authorization functions.Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate treatment.Organized charts, documents and supplies to maintain team productivity.Cleaned and maintained medical equipment following procedures and standards.Documented notes during patient visits.Scheduled appointments for patients via phone and in person.EDUCATION AND TRAININGMEDICAL ARTS CERTIFICATESussex Technical Adult Division03/2005HIGH SCHOOL DIPLOMASussex Technical High School06/2001SOME COLLEGE (NO DEGREE)Delaware Technical and Community College - Owens, Georgetown, DESOME COLLEGE (NO DEGREE)Wilmington University, New Castle, DE

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