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Click here or scroll down to respond to this candidateDorothy ELY-Mc BrideJacksonville, FL Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLEAlso can be reach through my email address if unable to reach me by phone Authorized to work in the US for any employerWork ExperienceInsurance Follow-up SpecialistCancer Specialists of North Florida-Jacksonville, FL January 2023 to October 2023Called insurance company on denied claims to see why they did not pay and resubmit corrected claims appeals and reconsiderationInsurance Follow-up RepresentativeSoutheast Orthopedic Specialists-Jacksonville, FLMarch 2022 to October 2022Billing invoices, arranging payment methods, overseeing collections, accounts receivables and proper financial statements, authorizing patients prior to service,determine patient eligibility and benefits, submitting claims, dealing with posted payments and managing denials, reconsiderations and appeals Revenue Cycle SpecialistBaptist Home Health Care-Jacksonville, FLFebruary 2021 to December 2021Billing invoices, arranging payment methods, overseeing collections, accounts receivables and proper financial statements, authorizing patients prior to service,determine patient eligibility and benefits, submitting claims, dealing with posted payments and managing denials, reconsiderations and appeals Medical Billing SpecialistTambolina Services inc-Jacksonville, FLJune 2019 to February 2021Schedule caregivers to clients and did the billing for Humana, Sunshine,United Healthcare,and We'll are InsurancesAccounting ClerkLandstar Logistics-Jacksonville, FLOctober 2018 to January 2021Processed payment request on freight bills, add the freight bills to the claims, filled freight bills until all paper work has been entered into the billing system Premium Billing ConsultantAetna-Jacksonville, FLJanuary 2017 to December 2017Collect and entering claim information.Post insurance and patients and manage accounts.Submit claims and following up with insurance carriers claims.Answer patient inquires on account status and charges.Typically reports to billing supervisor or provider office manager. Customer Service RepresentativeInCommJanuary 2015 to March 2015Responsibilitiestook calls from customers regarding their prepaid gift cards. researched their transactions,activated and deactivated their cards.Customer Service RepYes Energy Management-Jacksonville, FLSeptember 2013 to April 2014Received inbound calls from residents calling on their utility bills Unit ClerkSt Vincent Healthcare-Jacksonville, FLApril 2012 to April 2013Prepares and compiles records in nursing unit of hospital or medical facility: Records name of patient, address, and name of attending physician to prepare medical records on new patients. Copies information, such as patient's from nurses' records onto patient's medical records. Records information, such as physicians' orders and instructions, dietary requirements, and medication information, on patient charts and medical records. Keeps file of medical records on patients in unit. Prepares notice of patient's discharge to inform business office. Requisitions supplies designated by nursing staff. Answers telephone and intercom calls and provides information or relays messages to patients and medical staff.Directs visitors to patients' rooms.Compiles census of patients.May keep record of absences and hours worked by unit personnel. May transport patients in wheelchair or conveyance to locations within facility. May key patient information into computer.Provider AssociateFirst Coast Service OptionsOctober 2010 to February 2012Inbound call from provider's inquiring about claims that have been denied adjustments, over-payments, Accounts Receivable and Account Payable also Provider enrollmentInternshipComcastJanuary 2010 to August 2010Collections RepWachovia JacksonvilleAugust 2009 to December 2009Contact clients on overdue accounts that are over 90-120 days past due also work with them to make payment arrangements, or offer them programs that may help with their payments or interest rates Bankruptcy ProcessorSterling Healthcare-Jacksonville, FLMarch 2009 to May 2009Posted the bankruptcies to the account to stop collection calls, Account Receivables Collections RepCitigroup-Jacksonville, FLApril 2008 to August 2008Contacted clients on late stage Accounts that were overdue to see if a payment could be made on the account or apayment arrangement could be made before account went to collections Health Benefits AdvisorMaximus, Inc-Boston, MAJune 2003 to September 2007Customer Service for the Massachusetts Medicaid Program Assist Providers with Claims that were billed incorrectly Helped resolve billing issues for members, Send out provider enrollment forms, Checked procedures and diagnosis codes verified that the providers were Mass Health Providers Appointment SchedulerMiracle Ear, Inc-Orlando, FLMarch 2001 to June 2002Outreached customers to schedule hearingCustomer Service/CashierMears Transportation-Orlando, FLAugust 1998 to June 2000Inbound and outbound drivers registration, Record drivers shifts data entry of wages and money owed to the company and drivers took in the receipts from the drivers and recorded it into the system Customer Service/Claims RepresentativeJohn Hancock Insurance Co-Boston, MANovember 1985 to January 1995Created policies from insurance applications, was responsible for all applications for the Southern Regions.Outreached clients if additional information was needed for applications approval, also assisted agents in completing the applications the same day EducationHigh school diploma in Medical billing and codingConcorde Career Institute has given me the understanding - Jacksonville, FL September 2008 to June 2009High school diploma in BusinessHyde Park High School - Boston, MASeptember 1978 to June 1981Skills Peoplesoft (9 years) Cerner (10+ years) Teamcenter Epic (5 years) Powerchart Accounts Payable (5 years) Accounting (4 years) CPT Coding Medical Billing Medical Coding Physiology Knowledge ICD-9 Anatomy Knowledge ICD-10 Medical Terminology Medical Scheduling HIPAA Medical records EMR Systems Insurance Verification Clerical Experience Customer service Medicare TypingCertifications and LicensesMedical Coding CertificationAssessmentsCustomer service CompletedOctober 2020Identifying and resolving common customer issuesFull results: CompletedWork motivation ProficientJune 2020Level of motivation and discipline applied toward work Full results: ProficientIndeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.Additional InformationQUALIFICATIONS:Medical Terminology Customer Service CPT CodingAnatomy and Physiology DME and Dental Coding HCPCS Medical Manager Word Processing MS Word 2000First Aid CPR and AED Medical Office ProceduresMedical Ethic and Laws Scheduling OSHA and Infection Control ICD-9(volumes 1, 2, &3) Keyboarding Insurance Billing Medical Records Management Claims Processing Tricare and ChampVa Workmen's Comp Electronic Medical Records SMS software |
