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Click here or scroll down to respond to this candidateCandidate's Name
Flexible to work from home or in Office in surrounding office locations. Ability to work on Laptop and have Windows Street Address w/Noise Cancelling Headset and two Monitors. Received formal coding training through AHIMA Coding Advantage Classes and Remington College.Fairlawn, Ohio Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLE or PHONE NUMBER AVAILABLE21 years of experience in Medical billing and Coding Worker's CompensationKnowledge of UB-04 and CMS-1500 claims, Superbills, and call center customer service functionsProcessed Wallcoverings Orders, data entry, promotional sales,Processed Lab Requisitions by making sure ICD-9-CM, ICD-10 and CPT-4 Codes were accurate then prepared them to be scannedFollowed E/M guidelines for proper reimbursement and medical billing position involved processing of UB-04 claimsMore interested in this opportunity as have experience in medical lineAuthorized to work in the US for any employerWilling to relocate: AnywhereWork ExperienceSumma Health Dental Clinic 07/2022 to 08/2022Remote and Contract positionInsurance and Credentialing Representative. Process all Credentialing requests on CAQH system and Predeterminations and Preauthorization Requests, as well Insurance verification duties.NOMS Remote-Healthcare 2020-2022 Contract Coder Position. Coder PositionDentalOnePartners Billing A/R, Claims and Collection Services09/2020-08/2022Coding Position and ReviewerCardinal HealthAugust 2019 to 2020I have 16 years experience in revenue cycle billing. As well as ICD-10 Coding through Coding Advantage formal training while taking coding classes through AHIMA. CPC eligible.WORKED VARIOUS TEMP AND PRN ASSIGNMENTS(worked as needed)Hospice Billing at CaretendersJune 1994 to Present16 yrs mental healthREMOTE Medical Biller and Coder-TEMP POSITIONInsight Global/Henry Ford Hospital - Detroit, MIFebruary 2020 to March 2020Processed UB-04 claims and worked Payors on work Ques on EPIC Hospital remotely while using VMWARE and SKYPE.Healthsmart Medical Customer ServiceKelly ServicesApril 2017 to July 2017Claims Processing both in office and remotely by way of SkypeMedical CoderSumma Urgent Care and Family PracticeFebruary 2016 to August 2016Medical Coder Position coding encounters on EPIC and Denials Mgt.,Speaking to customers and Help Desk DutiesBilling Specialist SupervisorClearinghouse and Third Party Administrator FunctionsDr. Mohan Kareti, Pain Management CentOctober 2015 to February 201610/2015 to 02/2016Medical Claims Processing,Bill Claims to Payer,Appeals/Denials, Prior Authorizations, ICD-10 Coding, CPT codes and charge entry and Medical Collections,Payment ProcessingClearinghouse and Third Party Administrator Functions with Athenanet.Billing SpecialistEdwards Healthcare ServicesMay 2015 to September 2015Diabetic Supply Company Medical Billing,Entered claims on Provider Portals, charge entry, and paid Medicaid claims.Customer Service/Medical Billing SpecialistMcKessonJanuary 2015 to May 2015Worked for a Third Party Administrator and did denials and A/R.Productivity Expectations.Clinical Team Assistant Office ManagerCaretendersJuly 2014 to December 2014Create OASIS, process 485 claims,Order both office/medical supplies,Answer all incoming phone calls, drop claims, charge entry, payroll entry, chart filing,Data enter medications as well as all physician orders and Accounts Payable.Customer Service/Medical Billing SpecialistMutual Health ServicesDecember 2013 to July 2014Customer Service Third Party Billing,Data entry,Patient accounts and member/provider services.Data EntryHealth Design PlusMay 2013 to December 2013Third Party Administrative billing, data entry, claims processing, coding and A/R duties.Accounts ReceivableMedical Billing and Coding SpecialistUnited Healthcare - Cleveland, OHApril 2013 to December 201304/13 to 12/2013Ensures timely receipt of claim payments and minimization of unexpected bad debt by monitoring assigned worklists, working with the appropriate clinical, regional and divisional staff to resolve related issues.Performs Accounts Receivable collection duties as assigned by Billing Group Supervisor, ensuring collection of past due balances to maintain profitability.Sr. Claims Examiner/ Medical Biller/CollectorSumma Urgent Care and Family Practice, Kelly Services, Interim,June 1994 to March 2012Clients: Summa Care, Summa Health, Universal American Credentialing, ODJFS, Cleveland Clinic Foundation CredentialingMarketing Executive Supervisor RemoteIndependent Business Ownership Melaleuca, IncMay 2002 to October 2006Consumer Direct Marketing, Sales and Promotions of Health and Wellness Products on an earned commission basis. Contacted various customers by making outbound calls to inform them of deals, sales, promotions, order entry manually by filling out order forms or customers could place their own orders via internet or catalogue. Processed and closed all sales with Enrollments, and completed ustomer Agreement forms.HMO Call Center RepUnited Healthcare of OhioFebruary 1998 to August 2000Call Center Customer service position/ (HMO) Plan, answered heavy inbound phones to serve Healthcare Providers, Brokers, Members in their call center and answered all questions pertaining to HMO PLAN, Processed CMS-1500 claims as needed and confirmed HMO plan, and Reprocessed Denials if needed with usage of ICD-9-CM, CPT-4 & HCPCS codes/DME codes necessary to get claims paidDurable Medical Equipment billing included in HCPCS codesAlso reprocessed a variety of DenialsEducationDiploma in Medical BillingRemington CollegeOctober 2007 to July 2008Associate of Arts degree in Applied SciencesCuyahoga Community College Metropolitan Campus |
