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Click here or scroll down to respond to this candidateCandidate's Name , United States 78232 PHONE NUMBER AVAILABLE EMAIL AVAILABLEPROFESSIONALSUMMARYSKILLSWORK HISTORYNICOLE MOSSDedicated professional with proven multi-tasking abilities and problem-solving skills. To seek and maintain full-time position that offers professional challenges and that will allow for professional growth. Retail sales professional Conflict Resolution Problem Resolution Problem-solving abilities Medical terminology Data entry proficiency Claims Processing Insurance Verification Medical billing knowledge Insurance Billing Medical Terminology EMR Claim submission Appeals processingSELF-EMPLOYED 03/2022 to CurrentRetail Thrift Sales, Candidate's Name , TX Diagnostic Coding Commercial InsuranceBilling Medicare and MedicaidBilling Workers' CompensationBilling CPT coding knowledge Clinical Documentation Developed new client relationships in order to gain rapport and knowledge of individual styles and needs as well as effective relationships with other vendors. Organized racks and shelves to maintain visual appeal, engage customers, and prepare merchandise for sales by stocking, pricing and tagging. Accurately processed POS transactions, returning coin, currency, payment cards and receipts to customers. Self-motivated, with a strong sense of personal responsibility. CUSTOMER ACCOUNT SPECIALIST 09/2021 to 04/2022Dentaquest/ Randstad, Candidate's Name , TX Temporary remote position for major dental insurance provider handling patient inquiries for fast-paced call center. Assisted in on boarding process for new customers, providing comprehensive support during account setup. Established accounts for new customers and updated existing accounts with current demographic information. Educated patients on their current insurance coverage plan and estimated any future out-of-pocket expenses.EDUCATIONADMINISTRATIVE ASSISTANT 06/2020 to 08/2021A2 Total Telecom, LLC, Candidate's Name , TX Administrative assistant for fiber optic telecommunication company. Responsible for office running smoothly, including keeping employee records current, weekly payroll, ordering office supplies and scheduling meetings with contractors and employees. Daily invoicing of all completed business projects. Accounts payable and receivable, entering all business transactions as well as balancing company bank accounts into Quickbooks.MEDICAL BILLING SPECIALIST 01/2019 to 04/2020Integrity Ancillary Management, Candidate's Name , TX Medical billing and coding of toxicology and blood specimens for laboratory clients. Daily filing of laboratory claims to commercial insurance companies using EMR system. Working knowledge of ICD-1 O and CPT coding procedures and guidelines according to specific insurance payers. Ensured accuracy of all patient demographics into new billing system and all required documentation for billing is complete prior to claim submission. Communicated with insurance providers to resolve denied claims as necessary. MEDICAL CODING AND BILLING SPECIALIST 12/2014 to 11/2018 Billing Partners, LLC, Candidate's Name , TX Responsible for all maintenance of patient accounts and collaborating with medical providers to verify patient information is accurate and report any billing issues. Claim denial resolution including status and resubmission of claims, researching insurance contracts and submitting appeals along with complete supporting documentation. Processed insurance company denials by auditing patient fi les, researching procedures and diagnostic codes to determine proper reimbursement. Developed comprehensive understanding of ICD-9 and ICD-10, CPT and HCPCS codes to ensure proper use of medical code assignments. Provided exceptional customer service to patients, addressing their concerns with empathy and professionalism.Candidate's Name , TXSome College (No Degree), Medical AssistingDouglas MacArthur High School, Candidate's Name , TXHigh School Diploma, 05/1996 |
