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Candidate's Name
Cambridge, MD Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLEWilling to relocate: AnywhereWork ExperienceCaregiverOpenheaven Healthcare LLC - Cambridge, MDFebruary 2023 to PresentI assist elderly clients with personal care lighthouse preparing small meal preps I help clients withscheduling doctor appointment accompany patient to doctor's appointments, pick up medicine from drugstore. I'm certified and first aid in CPRCollection Specialist, Impulse Monitoring AssociateAmerican - Columbia, MDAugust 2011 to July 2018Collect all outstanding insurance balances, process appeals ranging from corrected claims to attachingsupported documents. Research and process refund request, 3 line switch board for billing department,coordinate settlement proposals, correcting billing errors per the American MedicalAssociation billing guidelines. Entry of claim denials and providing medical data within HIPPA rules andregulations, provided account regulations, prepared and processed electronic claims with thr clearinghouses. Navigated multiple payers websites.Billing CoordinatorDeco Recovery Management, LLC - Baltimore, MDNovember 2007 to March 2011Supported various hospitals with clients with Medicaid/Mco, followed up from Medicaid certification toadjudication. I have consistently maintained an average of 78-83% (0-30days)aging from Medicaid approval to starting the billing cycle. I averaged 85% in 0-60 days turnaroundtime from initial bill date through payer reimbursement. I obtained authorization Kepro/Delmarva.Account reconciliation. I verified benefits.Account ManagerDabb's Chiropractic and Rehab - Columbia, MDJuly 2003 to September 2007Account reconciliation, fulled medical record request, claim submission, appointment scheduling,reimbursement and benefits for medical, auto and worker's compensation,Maintained and processed patient financial agreements, provided billing support, organized valuableinformation regarding appeals. Advised patients of insurance limitations, verified health, worker'scompensation and auto insurance benefits. Supplied legal documentation for attornies, performedindividual interviews insurance limitations and treatment plans. Effectively communicated account statuswith patients and physicians. Ensured accuracy of documentation, data entry and forms. I request andreceive authorization from health insurance, worker's compensation, automobile carriers and lawyers.Benefits CoordinatorPhysiotherapy Associates - Columbia, MDJanuary 2002 to July 2003Insurance verification, account reconciliation, provided vital information to insurance companies toprocess claims, flied and maintained medical record request, appointment scheduling, cash posting, dataentry, authorization and appeals.EducationHigh school diplomaSkills Micosoft word application Customer service medical records scheduling collections Appeals verification of insurance authorizations. Account Reconciliation Accounts Receivable Workers' Compensation Bank Reconciliation EMR systems Microsoft Office Microsoft Outlook Analysis skills Communication skills Computer skillsCertifications and LicensesCPR/First Aid certificatedApril 2023 to April 2025