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Medical Insurance

Location:
Dallas, TX
Salary:
Open
Posted:
March 03, 2015

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Resume:

Evile Ann Finley

*** ******* **** **.

Hutchins, TX 75141

972-***-**** (home)

214-***-**** (cell)

OBJECTIVE

To obtain a position within a progressive medical company where my twenty one years of

medical billing, payment posting and EOB’s knowledge and experience will be utilized.

TECHNICAL SKILLS

Medic System Kinetra IMS System

Procedure Coding Medical Terminology ICD-9

Medical Manager System EOB'S

WORK EXPERIENCE

February, 2000 – Present

RHEUMATOLOGY ASSOCIATES

Medical Biller and Medical Payment Poster

• Post all insurance plans EOB' S Medical payment checks and adjustments received

from HMO, PPO, Medicare, Medicaid, Workers Comp & Patients Checks for (14)

Doctors and (4) Nurse Practitioners.

• Print daily reports to balance checks and process daily close for checks.

• Bill Secondary and Third Party Insurance Plans - EOB'S.

• Process and mail all HMO, PPO, Medicare and Medicaid Claims.

• Open and distribute all incoming mail to the assigned collectors.

• Distribute all denied EOB’S Claims to assigned collectors.

Download electronic EOB’and EFT’s and save on spreadsheet.

Post all online credit card payments, recoupments.

September, 1999 – February, 2000

HEALTHCARE CLINIC

Medical Biller - Charge Poster

• Coded all ICD-9 codes for all claims

• Input all insurance plans HMO, PPO, Medicaid, Medicare, Workers Comp.

charges in system.

• Prepare charges to bill electronically to all insurance plans.

• Correct and re-bill any rejections on reports.

• Input referrals and verified insurance.

January, 1999 – July, 1999

HEALTHCOR HOME HEALTH CARE

Intake Coordinator

• Coordinating patients for home medical equipment, nursing and pharmacy via

telephone and fax.

• Verify insurance benefit for patients at insurance companies and Medicare and

Medicaid.

• Obtain reauthorization of benefits.

June, 1998 – December, 1998

BAYLOR PEDIATRIC CENTER

Physician Office Representative - Asst. Referral Coordinator

• Checked patients in and out; answered all incoming calls.

• Schedule appointments on Medics system.

• Enter patient's demographic information.

• Process all out patient's referrals on Kinetra IMS System.

• Code diagnosis and procedure codes

• Verify accurate insurance information.

• Daily cash balancing.

HERITAGE SOUTHWEST MEDICAL GROUP July, 1995 - June, 1998

Referral Processor

• Process all inpatient and outpatient referrals and open cases to verify accurate

information for pre-certification.

• Code diagnosis and procedure codes.

PROVIDENT AMERICAN INSURANCE October, 1993 - June, 1995

Data Entry Clerk

• Process all health claims, coded ICD-9 and procedure codes.

• Receptionist Relief

AMERICAN EAGLE INSURANCE January, 1990 - September, 1993

General Clerk II

• Process general information on policies.

• Typed and mailed notices of cancellation and re-instatements.

• General office duties as needed.

RESERVE LIFE INSURANCE COMPANY October, 1987 - September, 1989

Data Entry Clerk

• Process and finalize information for all claims to be added to microfiche.

• Typed insurance policies.

EDUCATION

Business Management Center

Dallas, Texas

High School Diploma

References available upon request



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