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10 years plus medical and billing rep

Location:
Chicago, IL
Posted:
December 29, 2014

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Resume:

Laterra Jones

**** *******

Bellwood, Il *****

Phone 773-***-****

acg6k9@r.postjobfree.com

Dear Hiring Executive:

I am very interested in the new position within the organization. Please find my resume

enclosed; it will furnish you with information relative to my education, experience, and

abilities. Reference and any additional information you require are available at your

request.

As my resume indicates, I have experience Healthcare in the environment. I pride myself

on my ability to work with clients from inception through completion. In addition, I am

thorough and well organized. I would like to apply my talents and skills to a person with

your corporation.

I can offer you the following qualifications:

Excellent communication and interpersonal skills in working with clients and employees,

the ability to recognize potential problems, evaluate alternatives and implement positive

solutions.

Exceptional organizational skills, combined with the ability to adapt to new challenges.

Realizing that this summary cannot fully communicate the benefits I can provide you, I

would appreciate the opportunity to speak with you personally.

I’m available any time in the evening.

I thank you for your consideration and look forward to your reply.

Sincerely,

Laterra Jones

Laterra Jones

1130 Bohalnd

Bellwood, Il 60104

773-***-****

acg6k9@r.postjobfree.com

PROFESSIONAL SKILLS

Very energetic, fast learner, good listener and optimistic. Microsoft

Word, Access, Excel, Word Perfect, IDX, E-Bridge Solutions, Mc

kesson and SMS systems, CPT and ICD Coding, Basic Medical

Terminology, EPIC paperless Medical Records system, Billing

Managed Care, Commercial, Medicare, and Medicaid Insurance.

Read and understand Explanation of Benefits (EOB). Analyze and

resolve problems efficiently. Effective planning and organizational

skills, Excellent verbal and written communication, Work well

with all levels of management, 10-key 12,000 ksph, Typing 50

wpm, Current business equipment

Experience

2010-Current Northwestern Medical Faculty Foundation

Chicago, IL

Physician Billing Representative

* Responsible for appealing and managing large volumes of

insurance claims.

* Identify and resolve that delay claims payment which resulted in

a 35% decrease of denials over a 3 month’s time period.

* Develop strategies that result in increase collections.

* Determine denial trends/issues with payers and resolve quickly

to allow for payment.

* Allocate insurance to patient accounts.

* Resolve credits and refunds for patient’s accounts.

* Maintain a working knowledge of various contracts (ex:

Medicare, Medicaid, and BC/BS).

* Meet production and performance target goals on an ongoing

basis as outlined in the department policies.

*Maintain a working knowledge of various departments (ex:

Anesthesiology, Plastic Surgery, Gastroenterology, and

Hematology Oncology).

*Maintain a working knowledge of various National drug codes.

* Receive and resolve incoming telephone calls, e-mails and

voice-mail inquire/complaints in a professional and courteous

manner.

2010-Current Ob Hospitalist Group

Berwyn,Il

Medical Biller

*Manage collection of billing data from on-site physicians.

*Communicate with billing service to ensure all super bills and

reciprocal bills are correct, complete, and sent.

*Scanned all super bills and reciprocal bills for review.

*Receive and review all release/requests for patient information,

medical records

*Ability to understand and become knowledgeable of release of

information standards, policies & procedure and HIPPA

regulations and to complete work in compliance of these and other

standards.

2010-2014 Advocate Lutheran General Hospital

Park Ridge, IL

Document Imagine Specialist

* Performed image checking and identified and corrected errors.

* Communicated workflow and other service issues to team

members.

* Prepared, scanned and analyzed patient’s medical data and

records timely.

* Ensured proper record maintenance of inpatient, outpatient and

emergency department.

* Notified physicians of incomplete and pending records to be

completed.

* Indexed patient’s medical documents and records carefully in

correct file.

* Used document imaging system to ensure ready availability of

patient’s medical records.

2004-2010 Loyola University Physicians Foundation

Westchester, IL

Denial/Transplant Specialist

*Responsible for appealing and managing large volumes of

transplant claims.

*Develop strategies that result in increase transplant collections.

*Maintain a working knowledge of various transplant contracts

(ex: BQCT, Lifetrac, Coventry)

*Determine denial trends/issues with payers and resolve quickly to

allow for payment.

*Meet production and performance target goals on an ongoing

basis as outlined in the department policies.

*Contact third parties via telephone, correspondence or e-mail, as

needed to initiate payment.

*Allocate transplant payments to patient accounts.

*Resolve credits and refunds for transplants.

*Worked very closely with physicians in the Anesthesiology, and

Ophthalmology departments.

Education

1998-1998 Cosmopolitan Prep School Chicago, IL

High School Diploma

2013-2013 Harry S Truman Community College

Chicago, IL

Medical Billing and Coding Certificate

REFERENCES

Available upon request



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