| | | 20,000+ Fresh Resumes Monthly | |
|
|
| |
Candidate's Name
7780 E. 23rd ave unit# 3-203 Denver CO 80238Cell: PHONE NUMBER AVAILABLE Email: EMAIL AVAILABLECareer objectiveLooking for a claims processing, medical billing and coding specialist, Medicaid/ Medicare eligibility position utilizing skills and experience in coding, reconciling insurance and resolving accounts related concerns.MAJOR QUALIFICATIONSOver 5 years of hands on experience working in claims processing with Medicare/ Medicaid eligibilityExtremely familiar with medical terminologyComputer-MS office suite, excel, quick books and moreBilling and codingSPECIAL SKILLSHighly skilled in translating codes into insurance company preferred coding coding systemsAble to perform change review, claims submission, claim follow up, payment posting and patient statementsIn depth knowledge of preparing appropriate medical codes, and checking eligibility of state portal documents.Proficient updating members claims and attestation forms in a timely.KEY ACCOMPLISHMENTSSuccessfully managed billing services, Medicare/ Medicaid services pertaining to 52 patients or more in a single day without errorsObtained honors after on the job training.PROFESSIONAL EXPERIENCEWalgreens-Aurora ColoradoMedical billing and coding specialist Dec 2010-Nov 2011Code records by following prescribed coding standards such as ICD-9 and CPTReview physical notes and obtain necessary classifications when necessaryEnsure signatures on all medical recordsUpdate documents with appropriate name, dates for members.Prepare appropriate claim documentsFollow up with insurance companies and ensure that all claims come to fruition.6 years experience in administration support, Proficiency in Microsoft.Brook Dale Senior Living- DTC ColoradoResident service Nov 2011-Jun 2012Performed day to day functions as a resident assistant with Seniors. Administrating medication, grooming and activities.Review patient medical and medication records for proper documentation.Did every two hour checks to make sure resident was save at all times.Reported any falls, illnesses, and strange bruises on residents body.STAY at home mom- Nov 2012- Oct 2015PETSMART Oct 2015- Dec 2016Unloading and restocking store shelves before store opens.Target Dec 2016-Aug 2017Unloading and restocking shelves before store opens.Anthem BCBS/ Elevance health. Aug 2017-presentStarted as a temp Enrolling members for AEP enrollment, updating enrollment applications.Resubmission- Medicare/Medicaid eligibility through state portals, using Medisys WellPoint/ dashboard systems, Esrd and hospice verification and any updates. I worked in the reconciliation department helping with out of area know as (OOA) verifying out of area addresses based on members state.EDUCATIONConcorde career college of Aurora-Aurora ColoradoMedical coding specialist -Feb 2010-Dec 2010ADDITIONAL CAPABILITIESExcellent written and verbal communication skillsHighly motivated personality with positive approachProven ability to speak in confident and assertive mannerExceptional telephone etiquette |
