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Click here or scroll down to respond to this candidateCandidate's Name
Street Address mobile: PHONE NUMBER AVAILABLE EMAIL AVAILABLE Medical Billing SpecialistMedical Billing and Coding / Process Improvement / Customer Service / MS Office / Outlook / Team Player / Computer SkillsMotivated Corporate Professional with the drive to excel and grow within a company. Dedicated and knowledgeable medical billing specialist with excellent working knowledge of electronic health record and ICD coding systems. Versatile team member with superior organizational and problem solving skills. Highly regarded for attention to detail and vast ability to adapt to changes while providing high quality output.Professional ExperienceChristus Santa Rosa, San Antonio, TX October 2010 May 2020 Reimbursement Validator Responsible for all phases of insurance payment processes: payments, denials and appeals, processing, tracking and reconciling reimbursement Prepares, researches and collects from various contracted health insurance payers Researches remits and Explanation of Benefits (EOBs) for complete accurate payments or denials Provides customer service to various healthcare contract customers Manage all aspects of day-to-day operations in completing errors of processing claims Proficient with Meditech and Connance EHR systems Stratton Rehabilitation, San Antonio, TX January 2009 October 2010 Billing Specialist Maintained records in an organized manner, corrected and re-billed denied claims when necessary, and performed secondary billing. Contacted insurance companies to check eligibility and confirm claim status to ensure timely payment Answered inbound calls from customers to answer questions regarding problems with their account Initiated outbound calls to negotiate and follow-up on payment arrangements Kinetic Concepts, Inc. (KCI), San Antonio, TX March 2003 January 2009 Claims Specialist II Translated and interpreted medical billing codes with strong accuracy to resolve claim issues Completed appropriate claims paperwork, documentation and system entry Located errors and promptly refiled rejected claims. Warm Springs Hospital, San Antonio, TX July 2001 September 2002 Admitting Clerk Prepared admission registration and transfer paperwork as required Disseminated information to ancillary departments as needed prior to patient admission Obtained referrals and authorization for incoming patients based on benefits, requirements, contractual obligations |
