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Medical Billing SpecialistPrichard, AL Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLEProfessional SummaryHard working professional with 12+years of experience in the Insurancel field and management. Experience includes knowledge of data collections, analysis, customer service, and electronic claims processing. Medical terminology knowledge, friendly personality in person and via phone to answer multiple systems. Familiar with medical records, invoices, balance sheets, and other documents.Authorized to work in the US for any employerBenefits SpecialistOption Care - Mobile, ALFebruary 2020 to PresentPerform insurance verification of benefit coverage Obtain and document information related to copays, coinsurance, deductibles, and authorization requirements. Create documentation required to service the patient per policy guidelines Determine estimated financial patient responsibilities Obtain initial authorization prior to admitting patient for services Review orders from pharmacy to determine if authorization is required for additional therapy. Insurance ClerkAlta Pointe Health Systems - Mobile, ALSeptember 2019 to February 2020Review and process Medicaid denials claims for rebilling. Verify eligibility and benefits.Desk AdjustorOne Call Claims - Mobile, ALJune 2017 to July 2019Performed a host of administrative task, answering the phone, typing, making, copies, and Maintaining records.Prepared letters, correspondence, reports, and marketing collateral. Team Lead ManagerRite Aid - Saraland, ALApril 2016 to December 2017Assisted with employee training, hiring, and scheduling. Provided customer service, assist with daily stocking of store merchandise, track store inventory. Daily bank deposits and complete end of day financial closing. REGISTRATION CLERKWORK EXPERIENCESpringhill Hospital - Mobile, ALMarch 2007 to January 2016Handled patient scheduling.Obtained referrals and authorization needed for visits. Greeted patients entering establishment, determined nature and purpose of visits, directed or escorted patients to specific destination.Transmuted information or documents to physicians office, using computer, mail, or fax machine. Listened to and resolved complaints from patients. Performed administrative support tasks such as proofreading, transcribing handwritten information. Knowledgeable with records, invoices, balance sheets, and collections. Filed and maintained records.Received payment and record receipts for services. Bachelor's in Business Administration ManagementFAULKNER UNIVERSITY Montgomery - Montgomery, ALNovember 2011 to March 2015SkillsBillingCollectionsHurricane ClaimsMicrosoft OfficeMicrosoft ExcelInsurance Policy knowledgeMedical TerminologyData EntryCommunicationProperty Content ClaimsMedical RecordsSchedulingTime ManagementTranscriptionMedical BillingMedical Office ExperienceProofreadingInsurance VerificationICD-10HIPAACertificatesAdjustor License ResidentTX #2751105 |