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Insurance Medical

Location:
Salem, MA
Posted:
May 21, 2014

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Resume:

Objective

Interested in a customer/patient-focused position with a growth-minded

organization where my experience to date can aid in that growth and patient

care.

Work History

GHPMA April 2013 - Present

(Greater Houston Physician Medical Associates)

Imaging Receptionist

. Performed insurance verification

. Data entry

. Continued billing tasks

.

Billing Clerk

. Performed charge entry for MRIs, CT and PET scans.

. Posted high volume insurance and patient payments; approx. $100K daily.

. Handle high volume patient calls.

. Knowledgeable of ICD-9 and CPT Coding.

. Experience with Government Insurance; i.e. Medicare, Medicaid, Tricare,

etc.

IntraCare Hospital North January 2013 - April 2013

Financial Counselor

. Facilitated admission for inpatient hospitalization

. Entered documentation and adjustments through computer systems

. Processed patients' insurance

. Determined liability on patient accounts, and works with patients or

their representatives to provide financial assistance or secure payment.

. Facilitated processing of Medicaid and other financial assistance

application and initiates eligibility determination for Health System's

charity care fund.

G Martin Rossi, MD August 2011 - October 2012

Billing Specialist

. Processed patients' insurance

. Provided coding experience

. Electronic Claim Filing

. Re-Submission of denied claims

. Appeals

. Posting Charges and Payments

. Knowledge of CPT and ICD-9

. Utilized EclinicalWorks

. HIPAA

Woodlands Neurology & Sleep March 2008 - May 2010

Insurance & Medical Records Coordinator

. Extensive experience with EClinicalWorks software.

. Verified patients' insurance and benefits eligibility.

. Experienced utilizing ICD-9 Medical Billing Codes.

. Obtained verbal and written authorization for medical treatment from

appropriate sources.

. Resolve discrepancies in regards to insurance information, etc.

. Obtained clinical information needed for order processing and/or

reimbursement.

. Communicated any financial responsibilities or additional information

necessary for processing the insurance.

. Provided Collections with any necessary information on outstanding

accounts.

. Compiled, verified, typed, and filed patient medical records.

Prepared folders and maintained new patient records.

Education

2005 - 2006 Stephen F Austin State University



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