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Click here or scroll down to respond to this candidateCandidate's Name
Street Address
PHONE NUMBER AVAILABLEEMAIL AVAILABLEOBJECTIVE:To obtain a challenging position that will provide me with the opportunity for advancement and professional growth.SPECIAL SKILLS & QUALIFICATIONS:Bilingual (English/Russian)Microsoft Word, Excel, Power Point, Outlook, and Access, Zirmed, Availity, Kareo, MrBill, IDX, eClover, Provider Flow, and Centricity (12)Type 40-45 wpm & data entryExcellent written and verbal communication skills, organizational skills, time management skills, problem solving skills, ability to multi-task, team player, and work well under pressureKnowledge of medical terminology, CPT codes, ICD-9 codes, ICD-10 codes, Medicare, Medicaid, HMOs, PPOs, Commercial, & Workers Compensation InsurancesCharge entry, payment posting, accounts receivables, collections, claims processing, and resolving billing issuesEDUCATION:Atlantic Coast Institute, Ft. Lauderdale, FL 2003Insurance Billing and Coding SpecialistWORK EXPERIENCE:Family Urgent Care, Monroe, NC March 2023-PresentMedical Billing/Collection SpecialistDaily billing medical claimsFollow-up including denials, rejections, and remittancePayment postingAnswering phones and help out patients with statementsFixing corrected claim: electrically, paper or by faxReviewing/preparing for secondary billingStarmount Healthcare, Charlotte, NC September 2022 March 2023Medical Billing SpecialistSpearhead quality control of EMR systems holding patient registration, diagnoses, and insurance card information.Reviewed thousands of patient records to identify potential errors and report findings to senior team members.Collaborated with senior management to determine billing and documentation policies and ensure compliance.Complete Therapy USA, Aventura, FL May 2021 October 2022Billing Manager/Medical Billing/Collection SpecialistBilling physical and occupational therapy on a daily basis, and sending claims out electronically, fixing denials, posting ERA's and calling on claim status negotiation with insurance companies contracts, and helping with phones and making appointments. Supervise office staff.Therapies 4 Kids, Inc,. Ft. Lauderdale, FL October 2020 March 2021Account Receivable SpecialistBilling for mental health providers on a daily basis and correcting denials and resubmitting them electronically and helping out with posting ERA's.B.R. Valentine Billing Services, Hallandale, FL September 2019 - March 2020Medical Billing and Collection SpecialistThree facilities responsible daily claim status and denials for all insurance companiesResubmitted corrected claims on paper printed CMS-1500, electronicallyCorrected claims were email out or faxed to proper insurance company.Checked for patient eligibility through Availity, Epiclink, and Medicaid web portalPath Medical, Ft. Lauderdale, FL April 2018 - March 2019Medical Billing SpecialistDaily billing for multi clinics in FloridaSubmit claims on daily basis for PIP and motor vehicle claimsResearch for billing errors.Advance Care Solutions, Coral Springs, FL August 2017 - April 2018Medical Collection SpecialistsDaily confirming sales ordersBilling for Humana and Simply/Better Healthcare on AvailityNPV Medical Billing Solutions, Hallandale, FL June 2015 - May 2017Medical Billing and Collection SpecialistDaily entry of charges from all locations, account receivablesReviewing/preparing secondary billingCollected and entered insurance and demographic information.Qualified all accounts for billing investigated and resolved all billing issues with unpaidAccountsPediatrix Medical Group, Ft. Lauderdale, FL November 2014 - June 2015Medical Collection SpecialistResponsible for claim status and denials for Managed Care claims.Communicated with insurance companies and noted in patient accounts for reprocessing orfor follow-up status.Corrected claims were faxed and mailed out to proper insurance companies.Checked for patient eligibility through Availity, Navinet and Emdeon.Responsible for balancing accounts.Hyperion Billing Solutions, Boca Raton, FL July 2014 - November 2014Medical Collection SpecialistResponsible for claim status and denials for substance abuse facilities submitted andresubmitted claims on daily basis.Apollo Health Street, Sunrise, FL July 2011 - June 2014Medical Biller SpecialistResponsible for checking eligibility Medicare patients if they have: part B, HMO, workingaging insurance, system Connex, Availity, and Epaces.Updated demographics and insurance information, primary or secondary for billing.Responsible for fixing denials from Medicare and Commercial insurances.Marina Diagnostic Lab, Brooklyn, FL March 2003 June 2010Payment Poster/ Medical Collection/Biller SpecialistResponsible for payment posting, coding, billing, claim status tracking, denial reconciliations,maintaining super-bills for each provider.Responsible for educating providers on new codes to be used for this multi-provider practice.Electronic billing for Medicare for three providers.Additional responsibilities include ordering office supplies, filing, answering the phone,scheduling patient appointments, generating account receivable reports for each provider.Education:Newfield High School, Selden, NYHigh School Diploma, Graduation Date: June 1988REFERENCES:I will provide upon request. |
