MARCIA BOYD
Atlanta abl1ze@r.postjobfree.com 404-***-****
Georgia www.linkedin.com/in/boydmarcia
SUMMARY OF QUALIFICATIONS
Extensive experience in customer service, billing, collection, and support. Recognized
strengths in account maintenance, detail oriented, analytical, and trouble-shooting. Adept in
planning/implementing proactive procedures and systems to avoid initial problems.
SOFTWARE APPLICATIONS AND BUSINESS PRACTICES
• Medicaid Management Information CPT Coding
•
system - MMIS ICD 9
•
HEREA Billing Application Microsoft Office Suite
• •
EPIC Billing Application Microsoft Excel
• •
PCS Billing Application Microsoft Access
• •
HDX Billing Application Internet Explorer
• •
FACETS & NASCO claims Microsoft Outlook
• •
Applications
PROFESSIONAL EXPERIENCE
HP Enterprise Services (GA Medicaid), Tucker, GA 2012 – 2014
Insurance/Healthcare Representative III
• Verified the receipt and payment or denial of claims
• Respond to 120 calls per day regarding member and provider eligibility, claim submission
procedures, and claims processing
• Consistently received compliments on being helpful and friendly by members and
providers
• Help train thirty new employees with the claims process and taking calls
Healthscope Benefits Columbus, Ohio 2010- 2011
Customer Service Representative
• Reviewed 300 claims a week checking for errors and correcting the claims with the errors
• Made up to 50 outbound calls per day to providers for additional medical information
• Took 75 inbound calls from employees concerning medical benefit questions
OSU Internal Medicine, Columbus, Ohio 2006- 2010
Patient Account Representative
• Was recognized as one of the go to individuals with Strong third party payer knowledge of
claims which include but not limited to Medicare, Medicaid, Blue Cross, Worker's
Compensation, and Managed Care
• Assisted other employees in the Revenue Cycle with insurance follow-up, insurance
verification, charge entry, credit balance.
• Ensure compliance on all fronts including billing is in accordance with governmental and
insurance contract terms daily
2
• Reviewed all billing for accuracy and coordinated up to 50 correspondence between
provider and patient payments per day.
Bioscrip, Columbus, Ohio 2005- 2006
Customer Service Insurance Representative
• Supported three sales representative in opening new accounts and upgrading existing
services which included follow up with potential clients, set new clients up in the system,
and update any changes in the system.
• Successfully resolved customer challenges with a lean and agile approach
• Created, Analyzed, synthesized, and aggregated financial reports quarterly for upper
management.
• Researched 50 rejected claims filed by insurance agencies per day
• Maintained 50 accounts for quality control and satisfaction
Cigna Healthcare, Atlanta, Georgia 1999- 2005
Benefit Analyst
• Reviewed and process 125 medical claims for physicians to determine accuracy per day
• Effectively communicated with 50 employees and benefit vendors on pertinent benefit
matters per day
• Successfully reviewed and prepared approximately 20 claim summary reports each
quarter for various insured and self-insured plans
• Assisted in the design and delivery of benefit-related programs at the end of the year that
was cost-effective, affordable and met the needs of the business and team members.
Received kudos on a job well done by upper management
EDUCATION
Advanced Career Training (ACT), Certificate of Network Technology
Atlanta, Georgia
Whitney Vocational Tech, Diploma
Toledo, Ohio