| | | 20,000+ Fresh Resumes Monthly | |
|
|
| |
Click here or scroll down to respond to this candidateCandidate's Name
Experienced Medical BillerSummerville, SCEMAIL AVAILABLEPHONE NUMBER AVAILABLETrained medical billing professional with thorough understanding of various medical insurance regulations and pursuing CPC. An expert at data collection, entry and analytics. Compassionate patient care giver within depth understanding of ICD-10-CM, HCPCS, EMR systems Authorized to work in the US for any employerWork ExperienceReimbursement SpecialistXifin - San Diego, CAJuly 2021 to January 2024My position consisted of working denials from insurance companies, submitting appeals, contacting insurance companies to obtain correct insurance coverage information. I have extensive knowledge of Availity,Navinet,insurance portals, Microsoft office and RPM. I have knowledge of ICD 10 and CPT codes. This information assists in reading and understanding EOBs. Patient Account CoordinatorAmerican Home Patient - Summerville, SCNovember 2018 to October 2019 Handled durable medical equipment billing for commercial insurance company, submitted, processed claims, closures and payments of 50-75 insurance holders in a day. Possess extensive knowledge of ICD-10-CM, HCPCS and CPT Professional codes, Medicare, Medicaid and commercial insurance regulations. Can efficiently read EOB as well as denial codes. Career Note Oct 2017 - Oct 2018 Took a break to take care of sick family member. Residential CaregiverThrive Assisted Living - Murrells Inlet, SCApril 2017 to September 2017 Assisted 45 patients in total at meals, feeding, cleaning, bathing, dressing, activities personal hygiene, ambulance support, toileting. Equipped to provide all ADLs support to a patient. Front Desk AgentHoliday Inn - Myrtle Beach, SCNovember 2016 to January 2017 Made reservations of guests coming to the hotel or over call, Used PBX Systems to ensure smooth reservations ranging up to 100 reservations a day. Did seamless Check in - check out, took care of Customer needs by managing with respective teams at hotel quickly and achieved high customer satisfaction. Claims ProcessorKelly Services Blue Cross Blue Shield - Surfside Beach, SC July 2015 to November 2016 Processed Veteran insurance claims, entered the data of 75 veterans on the insurance portal daily. Followed up on payment and closure requests, coordinated over calls and maintained all the exhaustive data.Collections RepresentativePye Barker Fire & Safety - Charleston, SCSeptember 2020Collection Representative Jan 2019 - Aug 2020 Collected past payment dues, curated the data for A/R department for processing of payments, was recognized as one of the highest debt collecting individuals Compiled pervasive data of customer by calling them and maintained files on customer comments on debt payment. Achieved high customer satisfaction rate of 100% by being compassionate and listen patiently to customers while processing their payments and claims. EducationAssociates in Early Childhood EducationSullivan County Community College - Loch Sheldrake, NY May 2002 to May 2005Diploma in GeneralRoscoe Central School - Roscoe, NYSkills Microsoft Suite EMR Systems ICD & CPT Codes AS400 EPIC ICD-10 Medical Billing Medical Coding Medical Records Insurance Verification ICD-9 Medical Collection Medical Office Experience Anatomy Knowledge HIPAA Physiology Knowledge Data Entry Front desk Customer service Medical records EMR systems Medical coding ICD-10 ICD-9 HIPAA ICD coding Windows EDI Data collection Documentation review Typing Revenue cycle managementCertifications and LicensesMedical Billing, Medical Coding, Medical Records and Collection, Scheduling, Insurance Verification, Claims Handling, Organizational Skills, Analytical, Compassionate, Customer Focused, Documentation, Filing, Handling Mails, Data Entry, Remote Fit CPR/First Aid certification -American Red Cross |
