Augusta Hillman

**** *. ****

Chicago Il, *****

312-***-****

acdclq@r.postjobfree.com

CAREER OBJECTIVE

Committed in securing a position where I can utilize my medical billing experience. In addition, guarantee excellent performance skills to enhanced service for customers, management and professionals of the insurance billing industry.

EDUCATION:

Loyola University Chicago G.P.A 3.75 (Aug 2012 - Current)

Major: B.S in Health System Management

EXPERIENCE:

Balancing Point Center of Wellness

Project Manger / Medical Coordinator, January 2014 - Current

- Project Manager of all strategical business objectives aligned with Balancing Point Center for Wellness.

- Ensure quality assurance, while transmitting data between insurance carriers and providers.

- Overseer of all claims submitted to insurance carriers such as Medicare, Medicaid, HMO's, PPO's, Managed Care.

- Pull ERA report, complete all physician NPI enrollments, review budget, productivity, contract negotiation, and collections.

Illinois Collection Service

Medical Management / Claims Processor, March 2003 - June 2012

- Data entry and Claims processor for Advocate Christ Hospital

- Knowledgeable of medical terminology to process UB04, UB92, CMS1500, ICD-9, ICD-10 claims.

- Analyzed and processed electronic remittance forms and insurance vouchers

- Conducted audits to identify erroneous data in patient medical files

- Handled 100 calls daily related to the explanation of medical terminology and data sources to vendors via electronic communications

- Responded to voicemails and emails with exceptional organizational skills to meet deadlines and management priorities

Revenue Production Management:

Medical Management / Provider Telecommunication, September 2000-March 2003

- Data entry and Claims processor for Evanston Northwestern Hospital

- Bookkeeper and pre-collector on all open accounts past 180 days

- Analyzed and processed electronic remittance forms and insurance vouchers

- Handled a high volume of calls to resolve medical bills

- Audited unpaid open claims and checked coding for proper insurance reimbursement

SKILLS/SOFTWARE:

Proficient in Microsoft Office Word, Smart Sheets, Excel, and Power Point. Knowledgeable on EHR, Vista, Clinic Doctors, Nebo, STAR, and Ontario electronic billing systems. Skilled at resolving ICD-9 and ICD-10 billing issues. But most importantly, collected 33 credit hours on FDA Laws, Taxation, EMTALA, HIPPA, HITECH, and Affordable Care Act. In addition, proud member of Loyola's Health System Management Club since 2012.

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