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Customer Service Insurance

Location:
Houston, TX
Posted:
October 06, 2014

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Resume:

Selina Felicia Adams

**** ****** **** **

Humble, Texas 77338

832-***-****

E-Mail: acgacb@r.postjobfree.com

Objective: To give my knowledge to expand a growing company who has patient satisfaction as a

number one priority.

Experience:

Greater Houston Physician Medical Association

Biller/Collector

2013-2014

Billing and Coding, ICD-9 and CPT coding, insurance refiling and appeals, denials and file rejects,

audit of patient account, establishing credits and balances, processing of refunds to patients and

insurance companies. I handle all customer service calls regarding patient Electronic Medical Records.

Dispute insurance regarding patient accounts, review accounts Constantly checking claim status via the

website and or by telephone, Insurance verification and updating patient demographics to lessen file

rejects, patient counseling regarding outstanding balances and credits. Process HCFA and submit paper

claims and corrected claims, follow up on claims in a timely manner, transfer of credit to patients,

posting of payments, knowledge of EOBS and interpretation. I am also the previous Office Manager

who handled all the doctors credentialing, payments, and office personnel.

Advance Women’s Healthcare

Receptionist/Check Out

2012-2013

Customer Service, Check In/Out, scheduled outpatient and inpatient patient, charge entry and claims

submission, daily check of claim status. Handle all patient phone calls and triaged Nurses calls.

Collected monies regarding balance and office visit. Calculated patient procedures and counseled

patients on their responsibilities.

Medical Clinic of Houston

Self Pay Collector/Refunds Specialists

2011-2012

Check patients in/out in a very busy prestigious clinic, applied patient credit to patient account via the

Electronic Medical Records system. Calculated patient percentages for outpatient and inpatient

procedures. Reviewed patient account and determined if refund was due and processed refund to

patient or insurance company. Reviewed daily report of scheduled patients who had balances and

consulted with the patient.

Her Healthcare

Receptionist/Checkout

2008-2011

Customer Service, Check In/Out, charge entry and claims submission, daily check of claim status.

Handle all patient phone calls and triaged Nurses calls. Collected monies regarding balance and office

visit, calculated patient procedures and counseled patients on their responsibilities.

M D Anderson Cancer Center

Room Service Assistant

2003-2008

Answering 100+ calls daily regarding patient dietary needs, calculated tube feedings for patients, daily

encounter with wait staff regarding patients, assisted patients with dietary needs.

Education

MacAthur High School 1994-1998

Reference available upon request



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