DaVina Brown

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

Oakland, CA ***03

Ph: 404-***-****

@: acoq5o@r.postjobfree.com

Summary

Experienced medical biller with over 10 years of experience. Also several years of data entry experience, typing @ 50 wpm & alpha-numeric data entry @ over 10,000 kph. I am knowledgeable of various databases including EPIC (EMR), Health Connect, MediSoft, OfficeWorks & ePremis. I am proficient with Medical Terminology and I am HIPAA Certified. Looking for a position in medical billing/administrative in a healthcare setting.

SKILLS

Microsoft Outlook

Intermediate

Benefits Verification (Availity, Navinet, United Healthcare, BlueCross/BlueShield,

Alameda Alliance, MediCal, Aetna, Medicare, & others)

Expert

Database Management

Intermediate

Data Entry

Expert

Customer Service

Expert

Medical Terminology

Intermediate

UB92 & CMS1500 claim forms

Expert

Understanding of CPT, ICD9, and HCPCS codes

Intermediate

Knowledge of Worker's Compensation, HMO, PPOs, IPAs, Medicare, Medi-Cal, and Collections

Intermediate

WORK EXPERIENCE

Insight Global San Francisco, California Jan 2015 - March 2015

Reimbursement Counselor

Ÿ Contacted various (private/commercial/government) insurance companies to verify patients coverage and benefits for specialty medication

Ÿ Use set guidelines to determine if patient qualified for the Patient Assistance Program

Ÿ Update/enter new benefits info in database

Ÿ Supported PAP counselor in Eligibility Review and/or Reassessment of the Patient Assistance Program

Ÿ

Josephine's Professional Staffing Santa Clara, California . Aug 2014-Present

Medical Biller

Ÿ Posted charges and payments into Medisoft

Ÿ Transmitted claims to clearinghouse

Ÿ Prepared month and year end closing reports

Dr. Suresh K. Sachdeva - Pediatrics San Ramon, California April 2014 - July 2014

Medical Biller/Receptionist/Data Entry

Ÿ Performed filing and documentation for medical records, lab reports, patient requested medical charts

Ÿ Scanned patient requested medical reports

Ÿ Filed bills and files including pharmacy requests and other information. Utilized both scanner and physical filing for information tracking.

Answering phones, scheduling appointments, collecting copays/coinsurances and form fees, verifying eligibility/benefits with a variety of insurance companies

Collecting new patient information, preparing patient charts, processing medical records for transfer, processing HEDIS requests

Posting payments/copays, sorting/processing incoming mail, scanning super bills, submitting claims for payment to various insurance companies

Insight Global, LLC Concord, California November 2013 - January 2014

Desktop Technician

Troubleshooting & Mapping

Building PC's & Performing TDR(Technical Dress Rehearsal)

Validation testing

Technology testing

Staffmark Employment Services Union City, California March 2013 - October 2013 Data Entry

Processed payments for approximately 60,000 checks paid to the IRS

Document and enter data into database

Kaiser Permanente Oakland, California December 2005 - December 2012

Claims Editor

Ÿ Audited, analyzed, and corrected medical claims for approximately 300 Worker's Comp, Commercial, and Government claims

Ÿ Abstracted and entered data in Epic (EMR), Health Connect, and ePremis EMRs

Ÿ Located pertinent information needed to submit clean claims using Health Connect, Bedrock, and Mainframe

Communicated best practices to local business/medical office trainers and managers for submitting clean claims to payors

Ÿ Assisted in various OT projects

Bayside Medical Group Dublin, California March 2005 - November 2005

Coding & Charges Rep

Ÿ Entered and batched payments for medical claims from EOB's

Ÿ Logged charges into system

Ÿ Verified insurance coverage

Ÿ Prepared claims for submission to insurance companies

Ÿ Reviewed EOB's for any follow-ups and/or appeals for denied/rejected claims

Externship-Bright! Now Dental Oakland, California October 2004 - December 2004

Medical Insurance Billing & Coding - Externship

Pulled, filed, and sorted charts numerically

Answered phones to schedule, cancel, and confirm appointments

Berkeley YMCA Head Start Berkeley, California September 2003 - March 2004

Data Entry Clerk

Ÿ Prepared reports, data entry, and reduced three months of backlogged data entry in three weeks

Ÿ Managed company database and files

Ÿ Conducted family orientations

Brick Housing Management, LLC Concord, CAOctober 2001 - April 2003

Human Resources Specialist

Ÿ Benefits administration, training and development; process new hire and termination paperwork;

Ÿ processed injury claims; coordinated/scheduled meetings, travel arrangements, and office relocations, documented and update policy manuals;

organized and maintained employee' personnel and time reporting records; ordered, distributed, and managed office supplies; prepared payroll reports and 18-21 pg. rental publication weekly, and other administrative tasks.

Brick Housing Management, LLC Concord, CA May 2001 - October 2001

Administrative Assistant

Greeted customers/applicants; prepared application/staffing packets and weekly payroll reports; completed employee reference checks

Ÿ Collected and monitored employee timesheets

Ÿ Issued paychecks

Ÿ Typed correspondence; distributed both inter-office and regular mail.

Metro One Telecommunications Alameda, California May 2000 - November 2000

Customer Service Representative

Ÿ Answer up to 400 incoming calls per day via headset and computer in an in-bound call center

Provide phone numbers, connecting as requested, providing driving directions using a computer mapping system, and assisting other CSR's in locating information as needed.

EDUCATION

Vocational, Medical Insurance Billing & Coding, Certificate May 2004 - December 2004

Bryman College Hayward, California

Castlemont High School Oakland, California June 1993

General Education

Contact this candidate