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| | Click here or scroll down to respond to this candidateCandidate's Name 18313 Biltmore St., Detroit, MI 48235 H: PHONE NUMBER AVAILABLEEMAIL AVAILABLESummaryHigh-energy Medical Biller offering 10 plus years of related experience and strong motivation topositively impact claim operations with good communication, organizational and multitasking abilities.Smoothly coordinate customer and team needs with minimal oversight and sound judgement.Expert with majority billing software.Experience12/19/2022- CurrentIntake Representative Kabafusion Livonia MichiganFirst point of contact when requesting referral for in-home fusion for acute and pediatric Home InfusionServices specializing in IVIG, SCIG & Acute therapies. Verification of insurance coverage and medicationorders. Worked with applications ~ Epic and Ensocare as well ag Allscripts for referrals. Coordinateddischarge plans and delivery of patient's medication along with nursing. Processed referrals via CPR+,with assistance of insurance verification by WayStar and phone calls to insurance for initial start ofservices. First of the year verification of insurance for active acute patients for continued services.Process credit card transactions for co-pays and deductibles, run credit card transaction daily report.Experience10/2019 - 11/2022Current Medical Biller /Follow Rep Trinity Health- Farmington Hills MichiganInitiate billing for Commercial, Government, Labs services. Maintain daily reports of incoming claimsfrom JVHL Labs, provide customer services for in-house customers. Research of States laws andregulations when it comes to laws according to billing government insureds, medical coding. Verificationof health coverage. Claim stat using for payment. Preparations for weekly huddles to discuss data errorsand daily count of released claims for payment. Payment posting write off Contractual balances.Experience09/2009 to 07/2019Web Support Associate BCBSM-C/O W3r Consulting Southfield MichiganResolved conflicts and negotiated agreements between parties in order to reach win-win solutions todisagreements and clarify misunderstandings. Created communication strategies to meet clientobjectives Provided outstanding communications and service to new and long-standing customers byattending closely to concerns and developing solutions. Proactively identified and solved complexproblems impacting operations management and business direction. Supported fellow employees inoperational improvements and resolution of clerical and fraud possibilities to for see future problems todeliver top-notch customer service.EDUCATION AND TRAINING CERTIFICATIONSGED Detroit District of General Education Detroit, MIAbbcott Institute Southfield, MIMedical Asst/Billing &CodingCNA License AHA Healthcare ProviderCPR CertificationMedical Assistant Billing and coding certificationAmerican National UniversityPharmacy Technician 5/2022- Current |