| 20,000+ Fresh Resumes Monthly | |
|
|
| | Click here or scroll down to respond to this candidateCandidate's Name
PHONE NUMBER AVAILABLEEMAIL AVAILABLEObjective: Looking to obtain a remote position, with an outstanding company, where I can showcase my skills and 10+ years' experience in the medical billing, prior authorizations, claims, administrative and accounts receivable fields. Seeking a position, where I can utilize my work-related experience in claims, healthcare, and provider service-related positions.Education:High School DiplomaEast Wake High School of Arts & Global Studies. 6-2009. Raleigh NC.Various Certifications in Health Care systems, EMR/EHR, and Office Administration.Skills: Communication. Accounts Receivable. Insurance verification. Claims denials. Claims processing. Payment posting. Medical billing. Expert in typing. MS Office. Data entry. Prior authorizations.Employment History:Reimbursement Specialist (remote)Mckesson Biologics. 11-2023 to 02-2024. Cary NCPerforms healthcare information & medical claims processing, healthcare billing & collection services, & provides financial guidance regarding hospital, HMO, clinical services to patients, their families & third-party representatives.Contact insurance companies to verify eligibility coverage for drug benefits.Function as a liaison between special drug program patients & their insurance companies. Performs healthcare information & medical claims processing, healthcare billing & collection services, & provides financial guidance regarding hospital, HMO, clinical services to patients, their families & third-party representatives.Claims & Benefits Chat Advisor (remote)Amazon. 01-2020 to 03-2023. Raleigh NC.Research late paymentsSubmit invoices for processing, updating client/patient demographic information.Answered multi-line phone system, scheduling new patient appointments.Post credit card and ACH payments to late accountsResearching denied claims, updating billing and insurance information.Communicate with patients/clients, via email and phone, adhering to all HIPAA privacy laws.Attend all required trainings, continuing to update my skills and knowledge of all claims.Utilizing online portals to access commercial and government claims.Intake Coordinator/ Prior Authorization Specialist (remote)Health Claims Processing, LLC (insurance & healthcare). 05-2013 to 01-2020. Angier NCPerformed insurance verification, pre-certification, and pre-authorizations.Payment postingVerified patients insurance benefits via online portals and outgoing calls to insurance companies.Examine patients encounter forms to verify diagnosis codes and reconcile codes against services rendered.Entered procedure and diagnosis codes, into billing software to produce invoicing and account management; added modifiers and verified diagnosis codes.Collected, posted, and managed patient account payments, and prepared and submitted claim forms to insurance and third-party payers.References: Available upon request. |