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Click here or scroll down to respond to this candidateCandidate's Name
Street Address Harper Ave Apt 202Clinton Township MI Street Address
EMAIL AVAILABLEOBJECTIVETo obtain employment in the medical field of medical billing and customer service EXPERIENCECompany 1 DateBlue Cross Blue Shield of Michigan 8/84-2/16Direct Data entry Key claims form into system for Medicare, professional claims, inpatient and outpatient claims, also responsible for review of Mental health claims and benefits according to guide lines per BCBSM Responsible for seeking approval for prescription for Durable Medical Equipment, assisted in obtaining and reviewing medical records to forward on to RN for medical review.Company 2 DateBlue Cross Blue Shield of Michigan 8/84-2/16 Customer Service Representative in Auto groups, National Groups, Medicare, Certification department and Prior approval. Work in Provider service department on inquires and claim adjustment. And also work in Provider area for pharmacy and updates of information files Customer service in member service all lines of business Hap Mid-West as a temporary in customer service answer calls setting up transportation request and resolving claim issues for member. Company 3R1 hospital Billing Customer Service Representative 1/17-10/18 ResponsibilityWork for Ascension Health handle billing accounts for Providence hospital Update demographics and enter demographicsContact Insurance companies to verify insurance coverage Company 4Dialog DirectResponsibility 03/06/18-currentHandle call center calls for Horizon Blue Cross Blue Shield of New Jersey intake call from customers for billing hospital and professional services. Update Coordination of Benefits for other insurance member may have and adjust claims process incorrectly. Provide members benefits and other insurance companys verification of eligibility. EDUCATIONSchool DateAllied Schools 2/4/16Degree(s) Certification in medical Billing (pending completion) Updated on new Current Procedural Terminology (CPT) Updated on new standard Edition of 2016 ICD-10-CMC Updated on billing changes according to billing of Medicare, Medicaid claims Billing of professional, inpatient and outpatient claims Completed Medical Billing Course August 2017ADDITIONAL INFORMATIONImportant/Significant ActivitiesTaking on line class in medical billing Receipt of Certificate of 30 years of service at BCBSM Certificate of completion of Medical Billing course. Achievements/Awards Retirement certification 2/1/2016Technical/Computer Skills EDI system searching benefits, eligibility updates system, Benefits system for lines of business Claims and billing system, data base on codes and change updates |
