ANNESHA B. CLEWIS

214-***-****

acb504@r.postjobfree.com

OBJECTIVE

To obtain a position in the field of Medical Insurance Billing and Coding

to make significant contributions that will lead to company profitability

and personal career growth.

SKILLS

Medical Terminology / Body Systems

Identify Insurance Plans (Medicare, PPO, HMO)

Patent Scheduling, Referrals and Authorizations

Medisoft

Medical Transcription

CPT Coding E/M ICD-9-CM/HCPCS Coding

Filing CMS 1500 (paper) Claims

Posting Charges /Payments

Medical Law Ethics

Electronic claims

EOB's/ Posting/ Follow up

HIPPA /OSHA Certifications

Seven years of customer service experience

Strong verbal and written communication skills

Enrollment with Health/Benefits experience

Strong customer service /retention skills

Researching/problem solving skills

Certified Medical Insurance Biller and Coder

Receptionist, with multi-line phone use and other general office and

clerical skills

Detail and time oriented, strong leadership and technical skills.

Heavy experience with Microsoft Word, Excel, Power Point, and Outlook

EXPERIENCE

Mercer

09/2013

- 12/2013

HR Participant Service Representative

. Open Enrollment: Assists with developing employee communications

for clients' open enrollment process.

. Gather health benefits information from a variety of sources (such

as hard files, electronic files, the client and carriers),

coordinates responses from the carriers and inputs data and

maintain all appropriate documentation.

. Research client issues by contacting carriers and vendors on behalf

of the client and determine when issues need to be escalated to a

consultant.

. Summary Plan Description (SPD) Reviews: Reviews the SPD from the

carrier and compares it to the client's benefits for accuracy;

follows up with the carriers to make any necessary changes are

made.

. Manage client accounts by researching, analyzing, and evaluating

data from medical, dental, life and disability benefits plans and

programs for employers with 500 - 5,000 employees.

Access Primary Home Healthcare- Dallas, TX

08/2013 - Current

Health Care Assistant

. Provided basic patient care duties helping patient with bath, feeding,

and dressing.

. Managed appointments of patients.

. Provided medications to patient at a scheduled time daily.

Aegis Communications Group- Irving, TX

11/2009 - 07/2011

Customer Service Representative

. Team-lead helping peer employees with new systems and enrollment

process.

. Confer with customers by telephone to provide information about

services and products.

. Train new employees.

. Enrolled customer in different benefits packages

. Review insurance policy terms to determine what was covered by the

customer insurance as far as medications and doctor appointments.

. Resolve customers billing and service complaints.

. Meet quota daily making and receiving one-hundred plus calls.

Trinidad Medical Consultants- Dallas, TX

10/2009 - 11/2009

Biller/Coder

. Posting payment and charges

. Taking incoming calls and filing documents

. Patient scheduling

. Bill insurance companies for medical equipment and services

. Post Claims

. Insurance Verification

Wal-Mart - Dallas, TX

09/2008 - 11/2008

Stock Clerk / Cashier

. Stock shelves, racks, bins, and tables.

. Receive payment by cash, check or credit cards.

. Issues refunds, change, and receipts to customer.

. Maintain clean and orderly check out area.

Luxor Staffing- Dallas, TX

05/2007 - 08/2008

Stocker

. Mark stock items using identification tags, stamps and other labeling

equipment.

. Store items in an orderly and accessible manner in supply rooms or

other areas.

. Examine and inspect stock items for wear or defects, reporting damage

to supervisors.

. Ensure compliance with safety regulations.

EDUCATION

Everest College, Dallas, TX - Medical Insurance Billing and Coding- 11/2009

J. F. Kimball High School - High School Diploma- 06/2007

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