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Insurance Manager

Location:
Texas
Posted:
January 21, 2015

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Resume:

D

eborah Kennedy

**** ***** ***** *****, ***********, Texas 77546

832-***-****

abkr9i@r.postjobfree.com

Summary

Medical Billing Specialist

Detail oriented quality focused professional billing specialist. Successful track record handling

complicated assignments. Highly experienced in reconciling insurance and patient payments

and resolving accounts disputes. Proficient in a variety of variety of practice management

software applications. Dedicated to maintaining strict patient confidentiality.

Key Skills

ICD-9, CPT-10, & Medical Terminology

Medical Insurance

Excellent interpersonal Skills

E Clinical, Elligence, Medical Manager, and other various Practice Management

Software

Claim Entry and Payment posting

Records Organization and Managements

Insurance and Patient Aging

HIPPA compliance

Online claim submissions and ERA

Personal Experience

Cardiovascular Associates of Clear Lake/Bay Area Heart, Webster TX, September, 2007 to

present.

Improved revenue for most recent provider over increasing patient load.

Experience billing for Cardiology and Interventional Medicine

Ensure claims are entered and submitted timely.

Accurately apply payments to patient accounts

Post and reconcile insurance and patient payments. Research and resolve

Incorrect payments, EOB rejections, Insurance Contract Issues, and other

Issues with outstanding accounts.

Insure accuracy of Insurance Claims, verify correct ICD 9 and CPT codes

Set up new patient accounts

Precertification all hospital procedures/admissions as well as office procedures, ie.

Nuclear Stress Test, Echocardiograms, CT, Cath procedures, etc.

Setup Practice Management software for submission of electronic claims

To Clearinghouse. Work with Clearinghouse to resolve file compatibility

Issues.

Retrieve Electronic Remittance Advice. (ERA’s)

Send Secondary Claims upon processing primary Insurance

Answer patient billing inquiries.

Follow up on patient and Insurance Aging. Resubmit Insurance claims as

Necessary.

Knowledge of timely filing restrictions.

Insure office practices are incompliance with HIPPA regulations

Technology Summary

Experienced in MS office (Word, Excel) and QuickBooks

References

Sue Palomerie

Office Manager for Dr Bala

Webster, Texas

832-***-****

Familiar with my billing and credentialing experience.

Susan Harabis

Administrative Assistant

ANTHONY CHOY & CO.

Houston, Texas

713-***-****

Familiar with my billing and organizational skills.

Page 2

Cheryl Laboube

Nuclear Technician

Cardiovascular Associates Clear Lake/Bay Area Heart

Webster, Texas

281-***-****

Familiar with my nuclear billing, authorizations and collection skills.

Page 3



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