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Title Customer Service Billing Specialist
Target Location US-TX-Arlington
Email Available with paid plan
Phone Available with paid plan
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Candidate's Name
Street Address  Old Mill Dr Unit 305, Arlington, TX 760PHONE NUMBER AVAILABLE EMAIL AVAILABLESkillsRX Claims CPT/ICD-10 CODING Type 45 wpmData Entry MS Word MS ExcelMS PowerPoint Access SalesforceWork ExperienceOptum/Quest Diagnostics, worked from home 01/23 - 12/23 Lead Medical Billing Specialist/Customer ServiceAssisted with solutionsAddressed supervisor callsAdvised on current third party billing and collection regulatory guidelines and requirements Breg Inc, Southlake, TX 04/22 - 10/22 (Contracted) Medical Billing SpecialistUsing coded data to produce claims to insurance companies. Appealing and reviewing denied and unpaid claims.Verifying patients insurance coverageAnswer patients billing questions and handle collections on unpaid accounts AMN Healthcare, Dallas, TX 08/21 - 12/21 (Covid Related) Credentialing Analyst 1Processed credentialing applications and supporting documentation. Track license and certification expirations to confirm renewals. Maintain accurate information for providers and update their credentials as necessary Brinks Armored Security, Coppell, TX 2019 - 2020Customer Service RepresentativeProvided support to customers, clients and vendors via telephone. Call types included updates on scheduled/dispatched services, delivery/deposits of cash and online assistance.Provided technical support to access locks, revised service requests and answered inquiries for ATMs and safes.Documented information regarding supplies and repairs for safes and ATMs. Optum, Schaumburg, IL 2009 - 2019Manual Claims ProcessorAdjudicated claims appropriately per contract or standard processing guidelines. Met and maintained 95% quality expectations.Assist with the escalated claims by identifying, clarifying and correcting issues regarding claims. Trained and audited other processors while maintaining quality and production metrics. Healthlink, Inc., St. Louis, MO 1999 - 2008Customer Care Associate III/ResearcherReceived 90+ inbound calls; quoted and clarified benefits regarding processed claims. Researched and adjusted claims with eligibility, and benefits issues. Audited an outsourced vendor's routed requests for adjustments. Managed Prescription Services, St. Louis, MO 1994 - 1999 Lead/Client Customer Service RepresentativeSupervised CSR staff of five, monitored attendance, handled performance issues. Regulated workflow and trained new employees.EducationBusiness Administration Courses, University of Missouri-St. Louis, St. Louis, MO Certified Medical Assistant, Bryant Institute, Bridgeton, MO.

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