| | | 20,000+ Fresh Resumes Monthly | |
|
|
| |
Click here or scroll down to respond to this candidateCandidate's Name
Billing Coordinator - Help At Home LLCChicago, IL Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLETo secure a position where my 10 years in the field of medical Insurance claim procedures, billing, repricing, investigating and all related duties are needed. Work ExperienceBilling CoordinatorHelp At Home LLC - Chicago, ILMarch 2018 to Present Processing billing according to contract regulations and requirements Complete billing, resubmitting, cash posting support, adjusting payer codes, making payer code changes, processing refunds, auditing documents, researching and resolving problems Meeting all billing deadlines Collect, analyze and summarizing information, producing reports and responding to requests Communicating progress and any issues with supervisor on a regular basis Developing and maintaining working relationships with company personnel in branch offices, as well as with contract-holder representatives Miscellaneous billing duties, tasks and projects assigned Claims SpecialistFamily Health Network - Hillside, ILMarch 2016 to January 2018 Processing ICP/HCFA/HOSPITAL claims via VITA claims systems Approving/Denying claims needing authorization for payment Examines claim form and other records to determine insurance coverage. Analyzes claims to determine eligibility, medical facts, policy coverage and limitations. Approves claims at the appropriately demonstrated assigned authority level. Medical Claims ProcessorChicagoland Medical Servs Organization - Chicago, IL February 2015 to February 2016 Entry of Professional Claims received on a HCFA Entry of Facility Claims received on a UB Verification of accuracy of the claim as inputted in the entry process Determination of the authorization status of each claim. Including assessment of the validity of incoming authorizations/memorandums etc Evaluation of Quick Cap denial/payment accuracy Forwarding claims to BC/BS and Unicare as indicated by status Claims CoordinatorAllied Benefit Systems, Inc - Chicago, ILMay 2003 to September 2014 Re-priced and Investigated HCFA/UB claims discounts from a host of PPO networks Processed 180-250 claims daily Call notes & Referral claims processing - Daily basis within a 24hr turnaround time Processed claims am/pm reports for the day Processed medical claims - surgery, physical therapy, ER, diagnostic tests, etc. Utilized HCPCS level III, ICD-9 and-3 for the coding EDI Team Coordinator (Allied Benefit Systems, Inc. ) Transferred & processed files from Blue Cross Blue Shield to Allied (FTP website) Tracked file downloads via BCBS inbound process count form and also file types via check list sheet Updated patient eligibility (Rims 5 system)EducationDiplomaCregier Vocational High SchoolCertificateAmerican Technical CollegeSkills CLAIMS (10+ years) CODING (10+ years) ICD (10+ years) ICD-9 (10+ years) BILLING (Less than 1 year) Medical Billing Invoicing CPT coding ICD-10 EDI Medical Coding FTP Epic Hospital Experience Medical Records Microsoft Excel Microsoft Office Medical coding ICD-10 ICD-9 EDI Accounting Medical terminology ICD coding Epic DRG Research Medical records Documentation reviewAdditional InformationSKILLSA team player, responsible and self-starter with in-depth knowledge of medical insurance claim procedures. Knowledge of medical billing procedures, insurance claims etc. Excellent communication skills both verbal and written. Computer skills: MS excel, MS word, MS outlook and Word Perfect.Medical TerminologyKeyboarding 50 WPMComputer Medical BillingAccountingICD-9HCPCS CodingCPT Coding |
