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| | Click here or scroll down to respond to this candidateCandidate's Name
Street Address Hickory Street Phone: PHONE NUMBER AVAILABLEKearny, NJ Street Address Email: EMAIL AVAILABLEPROFESSIONAL SUMMARY:I am a highly dedicated and proactive professional with over twenty years of extensive experience in Medical Insurance Billing and assisting companies in the Healthcare industry. My work ethics and history demonstrate my ability to give or take directives and complete tasks in an efficient and expedient manner. EMPLOYMENT:April 2018 PresentCustomer Service Representative (INDECS Corporation Lyndhurst, NJ) Receives incoming calls from members and medical providers Liaison between the provider and adjuster for claims requiring benefit coordination Assist members with completing questionnaires and Injury Detail forms needed for insurance payments Maintain current working knowledge of systems supported February 2017 May 2017Account Representative (K-Force Parsippany, NJ) Contracted to handle various duties relating to billing and collection Customer Service liaison for processing insurance claims Verified insurance eligibility Re-Processed all denials and appeals Requested delivery of medical records to insurance companies for payments March 2008 September 2016Account Representative (Valley Homecare Paramus, NJ) Performed billing and collection functions for Third Party clients Managed patient accounts and generated accounts receivable and aging reports Followed up on delinquent accounts to maximize return on collection Responsible for maintaining the Agencys account receivable at acceptable level Served as Customer Service liaison and fielded all collection appeals Managed patient accounts by verifying benefits, electronically processing claims, submitting paper claims, and posting cash payments Completed multiple special projects while still meeting other deadlines Handled Medicare 2ndBilling, MVA, and Workers Comp Reliability and trustworthy required in handling of customer transactions and dealing with sensitive informationFebruary 2005 February 2008Cranial Tech, EBI, LP / Medical Insurance Billing (Comforce Staffing Svcs. Paramus, NJ) Contracted as a customer service liaison for various healthcare companies Compiled patient information for individual consultations Contacted insurance companies regarding claim information Handled appeal letters relating to insurance claims Exceptional phone mannerism required daily The ability to work both independently or in a group frequently demonstrated Candidate's Name
January 2003 December 2004Medical Insurance Biller / Receptionist (Advanced Medical Images Emerson, NJ) Heavy interaction with patients via phone and in person Verified insurance eligibility, collected co-pay, and issued receipts to patients Posted all payments received from insurance carriers and printed patient statements Effectively communicated with other healthcare personnel to obtain additional patient and medical information Set up patient information in database using Medinformatix Assigned appropriate diagnoses codes to insure expedient reimbursement Greeted patients, answered phones, and performed various administrative duties as neededFebruary 1999 January 2003Medical Insurance Biller/Coder (Medical Resources Hackensack, NJ) Efficiently processed claims and other patient related forms to insurance companies and government agencies Billed third-party payers and patients Obtained insurance referrals, processed electronic billing, and verified patient eligibility Managed patient accounts and generated account receivable and aging reports Answered the phones and performed administrative duties as needed January 1997- February 1999Medical Insurance Biller/Coder (Uniforce Temp Agency Paramus, NJ) Contracted for long-term assignments at Holy Name Hospital and Hackensack University Medical Center Scheduled patient appointments Processed prescription requests Created and maintained patient files Handled insurance claims and medical forms Assigned appropriate medical and diagnoses codes into patient files Performed various office clerical duties when required EDUCATION:MTI Business School - New York, NY (1982 - 1985)OFFICE SKILLS:Home Care Home Base (HCHB), Maxwell, Medinformatix, Office Logic, Microsoft Word, Multi-Line Phone Systems, Fax Machines, Scanners, Copiers/Printers. Excellent interpersonal skills. Quick learner. Works well independently or in a group setting. REFERENCES: Available Upon Request |