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Click here or scroll down to respond to this candidateCandidate's Name
Kissimmee, FL Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLEHighly motivated with over 23 years of extensive customer service, insurance and billing experience. Advanced proficiency bilingual in Spanish/English. Multi-tasking, reliable, responsible, and organized person. I am also a quick learner, fast speed, hands on, leader, logic judgement, hardworking and intelligent person. Specialized in filing accurate claims and additional expertise in billing. Knowledge with ICD 10, DME HCPC, Insurance verification, Authorization processor, HIPPA compliance, CMS-1500 forms and electronic claim filing. Accomplishes leadership skills and looks forward to joining your team in creating a positive work environment.Work ExperienceDME Medical Billing SupervisorDEROSA PHARMACY&HOME HEALTH CARE DMEJuly 2005 to PresentREMOTEBRIGHTREE SYSTEMSCERTIFIED MEDICAL BILLINGCPT AND HCPC CODINGPOSTING AND BALANCING CLAIMSINSURANCE CONTRACTS, APPEALS AND EOBsCONFIDENTIAL RECORDS MAINTENANCECLAIMS RECONCILIATIONSDATA ENTRY AND CLIENT INFORMATION CERTIFIEDVERIFYING INSURANCE COVERAGE AND BENEFITSSCHEDULING APPOINTMENTSKNOWLEDGE OF HMOs, MEDICARE, MEDICAID, AND COMMERCIAL POLICIES RUNNING REPORTS AND REPROCESSING DENIED CLAIMS WITH DISPUTE ENTERING MEDICAL EQUIPMENT ORDERS AND PROCESSING CLAIMS OBTAINING PROPER DOCUMENTATION TO BILL AND DISPENSE EQUIPMENT COMPLETE AND SUBMIT CMS-1500 FORMS AND ELECTRONIC BILLING UPLOADED MEDICAL DOCUMENTATION TO RENDER SERVICESREQUEST AUTHORIZATION FOR MEDICAL EQUIPMENTMAKING CALLS TO REMIND THE PATIENTS WHEN SUPPLIES ARE DUE FOR RENEWAL COMMUNICATING WITH DOCTORS AND SPECIALIST FOR THE PROPER DOCUMENTATION TO BILL Medical Billing (chiropractor & Physical Therapy)HAVERON TOTAL HEALTH - CHIROPRACTORMarch 2004 to June 2005# SCHEDULING APPOINTMENTS# ANSWERING PHONES# TRANSLATING (ENGLISH, SPANISH)# DATA ENTRY# VERIFYING INSURANCES# SCHEDULING TEST (MRIS, CT SCANS, SPECIALIST APPOINTMENTS)# PREPARING PATIENTS CHARTS# ACCOUNTS RECEIVABLE# MEDICAL BILLING# FRONT DESK TASKS# GENERAL OFFICE DUTIES (OPERATING FAXES, SCANNING, EMAILS, CUSTOMER SERVICE)# STARTING PATIENTS ON THEIR THERAPY EQUIPMENTS SESSIONS# FILING AND ORGANIZING CHARTSReceptionist Customer ServiceBLUE CROSS BLUE SHIELD OF NJJanuary 2000 to March 2004# CUSTOMER SERVICE# FILING PAPERWORK# DATA ENTRY# ANSWERING PHONES# GENERAL CLERICAL DUTIES# OPERATE FAX MACHINE, SCANNING AND UPLOADING DOCUMENTS# VERIFYING INSURANCESEducationHIGH SCHOOL DIPLOMABARRINGER HIGH SCHOOL / JEFFERSON HIGH SCHOOLCERTIFICATIONBRIGHTREE UNIVERSITYSkills Medical Coding (10+ years) CPT Coding (10+ years) Medical Billing (10+ years) ICD-10 (8 years) ICD-9 (10+ years) Translation-Fluent Spanish and English EMR Systems (10+ years) Medical Receptionist (10+ years) Medical Records (10+ years) Insurance Verification (10+ years) Medical Scheduling (10+ years) Medical Office Experience (10+ years) Accounts Receivable (10+ years) Data Entry (10+ years) Anatomy Knowledge (10+ years) Triage (10+ years) Medical Terminology (10+ years) HIPAA (10+ years) ICD Coding (10+ years) Phone Etiquette (10+ years) Order Entry (10+ years)Languages English - Fluent Spanish - FluentCertifications and LicensesMedical Billing CertificationBrightree Program |
