ALANE MOORE
SUMMARY
Clerical Support professional with experience working in fast-paced environments demanding strong organizational,
technical, and interpersonal skills. Trustworthy, ethical, and discreet; committed to superior customer service.
Confident and poised in interactions with individuals at all levels. Looking for a position to utilize my skill sets.
PROFESSIONAL EXPERIENCE
2012-Present Etransmedia Billing Company
Trumbull, CT
Accounts Receivable Follow up
.
Responsible for following up on claim denials running collection and refund reports, following up
report on aging claims from 90-120 days and contact insurance carriers on the status of accounts.
.
Answer patient phone calls regarding billing questions.
.
Updating patient demographics.
.
Assist PI with Wound Care Superbills. Check to make sure coding information is correct.
.
Do billing for 3 offices sleep study, Wound care, Intensivist.
. Contact all insurance carriers as well as use the online websites to check claim status.
.
Attend monthly seminar/webinars for additional training with upcoming healthcare changes.
2007-2010 Eye Health Professional
Wallingford, CT
Front Desk/Medical Billing
.
Schedule patient appointment, pull medical charts for doctor.
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Communicate with patients, by telephone or in person, to obtain information regarding insurance.
.
Call in prescriptions to pharmacy.
.
Check-in/Check-out patient.
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Cash posting, work on collection report for self pay accounts. Balance at end of night.
.
Contact insurances for claim status on 60-90 day claims
2004-2006 PriMed/Med3000
Shelton, CT
A/R Specialist
.
Communicate with insurance companies to check status of claims and to resolve any problems
concerning claims. Refile claims to send to insurance carriers.
.
Investigate rejected claims. And make cash adjustments.
.
Call Offices to verify patient information and to obtain necessary information for claim appeals.
.
Communicate with patients, by telephone or in person, to obtain information regarding insurance.
Provide assistance to patients regarding accounts and billing issues.
.
Monitor payments of claims and determining whether to refund or to appeal payment received.
2000-2003 E.A.F. The Expediter
Atlanta, GA
Dispatcher
.
Scheduled truck runs with other companies and businesses.
.
Handle incoming calls from clients as well as contacting clients to verify account information.
Communicates with driver to verify their status.
33 CAVE ST. NEW HAVEN, CT .06511 203-***-****
ALANE MOORE PAGE 2
1990 – 1999 Yale University School of Medicine New Haven, CT
Account Assistant IV
.
Communicate with third party insurance companies to check status of claims and to resolve any
problems concerning claims. Refile claims to send to insurance carriers.
.
Respond to requests from insurance carriers or patients for additional information to substantiate
specific details of billed services.
.
Investigate rejected claims. Post rejections and make cash adjustments.
.
Work with open claims report, which involves investigating claims.
.
Request additional information such as OP Reports, office notes, order Medical charts and read
charts, and pull EOBs.
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Contact patients to set up payment arrangement for outstanding balances.
.
Contact patients, insurance carriers, health plans, employer and attorney offices, and other
sources to accumulate patients’ demographics and insurance information.
EDUCATION
South Central Community College New Haven, CT
Accounting
.
Majored in Data Processing and Computers. Knowledge of computer terminology.
.
Used IBM and Apple computers, format disks, created DOS diskettes, and wrote programs.
SKILLS
AS 400, APS Bullet, IDX, Medical Manager, Vision, Misys, HealthPac, Microsoft Word, Microsoft Excel, Allscripts, Medical
Terminology
33 CAVE ST. NEW HAVEN, CT.06511 203-***-****