Thalaya Mathis

**** ***** ****. ******* **., ****9 321-***-**** abn8ni@r.postjobfree.com

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 account disputes. Dedicated to maintaining strict patient

confidentiality.

SKILLS

ICD-9, CPT-10, Medical Terminology, Medical Insurance, Excellent Interpersonal Skills,

Excellent Phone Skills, Claim Entry & Payment Posting, Records Organization &

Management, Insurance & Patient Aging, and HIPAA Compliance.

PROFESSIONAL EXPERIENCE

Medical Claims Reviewer, Exceptional Staffing, Orlando, Fl.

8/2012-present

Responsibilities:

Research outstanding medical claims. Data Entry and Customer service

Early Intervention Assistant, Community Coordinated Care for Children, Orlando, Fl.

10/2007 – 6/2010

Responsibilities:

Customer service. Work with day care providers and parents on processing early

development forms. Major clerical duties. Work close with supervisor.

Medical Payment Poster, Health Care Support, Orlando Fl.

9/2006/10/2007

Responsibilities: Posted medical charges for services rendered, Register and verify

patients’ information and enter data into system, Calculate and balance receipts and total

charges for each patient, Closed medical journals monthly to acquire revenues received

Accurately apply payments to patient accounts. Research and resolve incorrect payment.

Medicare, Medicaid, self payments and private insurance.

Medical Billing Reviewer, United Self Insured Services, Orlando, Fl.

2/2004 – 9/2006

Responsibilities:

Ensure claims are entered and submitted with 48 hours of receipt. Accurately apply

payments to patient accounts. Post and reconcile insurance and patient payments. Research

and resolve incorrect payments, EOB rejections, and other issues with outstanding accounts.

Insure accuracy of insurance claims. Verify correct ICD-9, CPT and DME codes for a variety

of specialties. Set up new patient accounts. Assign ICD-9 to physicians diagnosis and insure

correct level of service and various other CPT codes. Set-up practice management software

for submission of electronic claims to clearinghouse. Send secondary claims upon

processing of primary insurance. Monthly processing of Patient statements. Answer and

resolve patient billing inquires. Follow up on Insurance and patient aging. Re-submit

insurance claims as necessary. Knowledgeable in timely filing restrictions. Insure office

practices are in compliance with HIPAA regulations

TECHNOLOGY SUMMARY

MS Office (Word, Excel, Outlook) QuickBooks, MediSys, MediNotes

EDUCATION & CERTIFICATION

Valencia Community College, Orlando, Fl., 3/2011 present

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