Cassandra L. Miller

PO Box **** Lakeland, FL ****2-1254

Home 863-***-**** Cell 972-***-****

acqywt@r.postjobfree.com

Profile

Responsible, dependable team player with leadership qualities, ability to learn quickly and retain knowledge, excellent organizational and problem solving skills, ability to meet deadlines, creative handling of details with attention to accuracy, highly effective communication skills and telephone etiquette, proven ability to maintain confidentially, consistently professional and confident disposition.

Skills

Ability to perform a wide variety of confidential executive, secretarial and administrative duties

Profound knowledge of full range of administrative and clerical support services

Strong organizational and time management skills

Ability to handle phone calls, email and fax

Ability to prioritize multiple assignments

Ability to adapt quickly to diverse situations

Proficient in MS Office (Word, Excel, Microsoft Power Point, Microsoft Access)

Uncommon ability to function in fast-paced environment

Manage busy calendar, schedule meetings and calls.

Organize paper files, electronic files, and information.

Manage time and projects while maintaining proper sense of priority without supervision.

Education

07/2010 Fortis Institute (Florida Career Inst.) Mulberry, FL

Medical Insurance Coding Specialist

Director’s List (4.0 GPA) – all semesters

09/2010 Lakeland, FL

AAPC Certified Professional Coder

Work Experience

02/2014 – Present EGS Financial Services Lakeland, FL

Medical Biller

Bill claims to third parties accurately and expeditiously via electronic transmission billing systems where

applicable

Review and correct edited claims according to all applicable standards and compliance guidelines.

Ensure that claims capable of electronic submission are submitted electronically.

Review new client claims to determine recurring billing errors and report to management.

Conduct periodic review of payments to verify receipt of claims submitted electronically.

Identify claims that are missing information and place them on hold.

Document and route claims placed on hold to the appropriate follow-up queue.

Provide thorough, efficient, and accurate documentation and updates in all required systems for each

work event

Responsible for meeting goals and quality standards through efficient and accurate work processes.

Knowledge, understanding, and compliance with all applicable Federal, State, and Local laws and

regulations relating to job duties.

08/2012 – 01/2014 Dr. Perwaiz Rahim, MD Lakeland, FL Billing Manager

Reviews data received from provider for accuracy and completeness

Enters demographics and insurance information for patients to produce accounts for billing

Inputs billing information into Personal Computer (PC) attached to eClinical Works software for

processing of payment

Creates and reviews claims for errors/accuracy

Posts paper and electronic payments from insurance companies and patients

Maintain A/R for payment processing

Responds to requests for information and billing inquiries from patients and insurance

companies

Handle inquiries/complaints via telephone/correspondence/face to face from patients, insurance

companies and other providers regarding status of accounts, appointments and authorizations

Answers incoming calls from patients for appointments, billing issues and general information

10/2010 – 08/2012 Polk County Health Plan Bartow, FL

Claims Specialist

Reviews, research and analyze complex medical claims (invoices) received from providers for accuracy and completeness

Research services for duplication and/or authorization

Inputs billing information into Personal Computer (PC) attached to Local Area Network (LAN) for processing of payment/denial

Creates, prints and reviews claim batches for error/accuracy

Submit for approval and make corrections/adjustments if necessary, forwards for signature

Copy and forward to the appropriate personnel for payment process

Assemble and maintain patient and provider records/files

Handle inquiries/complaints via telephone/correspondence/face to face from patients, providers, other staff members regarding status of accounts

Reviews patient account files for accuracy and completeness

Determines appropriate billing distributions

Follows up with appropriate personnel when additional information is needed

07/2010 – 10/2010 Family Care ENT Lakeland, FL

Physician’s Front Office Assistant - Externship

Scheduled appointments for new and existing patients from referrals, verified insurance

coverage with insurance carriers

Obtained pre-certifications and pre-authorizations from insurance carriers as needed

Entered demographics and insurance information from patient registrations into IMS

computer system

Resolved claim denials with Medicare, Medicaid and Commercial Insurance Carriers

Answered incoming calls, scanned reports and documents onto patient files

Made collection calls, prepared statements and handled accounting issues

Contact this candidate