Sharmayne Cartwright

**** ********* **, *** ***

Philadelphia, PA 19154

215-***-****

acr6k5@r.postjobfree.com

Professional Summary

Qualified and skilled with an extraordinary eye for detail and strong customer service ethic. Successful track record handling complicated assignments. Highly experienced in reconciling insurance and patient payments and resolving account disputes. Capable to handle extremely high volumes of paperwork quickly and accurately.

Education

ICDC College Medical Office Management 2015 (graduated)

Williams Clemons Davis Bible College Theology 2012 (graduated)

Dejar Career Training Central Service Technician 2011 (graduated)

South Philadelphia High Diploma 1987 (graduated)

Core Qualifications

Extensive experience managing medical payment collection

Thorough knowledge of medical coding, medical billing and health care administration

Skilled in conducting research, analyzing data and solving issues

Comprehensive knowledge of operating basic computer applications, software applications, including medical billing programs

Outstanding organization and prioritization abilities

Ability to communicate effectively

Thorough understanding of contract, Medicaid and Medicare reimbursement terminology along with other insurances

Medical/Administration Skills

Medical Office Procedures Medical Insurance Forms

Insurance Coding (ICD-9 & 10, CPT, HCPCS) Medical Billing Procedures

Anatomy/Medical Terminology Microsoft Windows

Microsoft Word/Excel Computerized Billing

Bookkeeping Applied Accounting

Alpha-Numeric Filing Procedures Charge Slip/Encounter Forms

Work Experience

Careers USA Philadelphia, PA 2014 to Present

Medical Billing/Claims Specialist

Submits electronic and paper claims to third party payers daily

Monitors transmissions, corrects rejections and resubmits claims daily

Performs claims follow-up by working aging and denials

Thorough understanding of insurance contracts and reimbursement for medical procedures

Coordinates resubmission of claims when follow-up indicates such action is necessary

Submits appeals with supporting documentation when warranted

Identify denial trends and works with payers to resolve identified issues

Provides review and remittance advice for payment errors, denials and under payments

Other Jobs

Sarah Care Home Health Agency – Home Health Aide – 2012 to 2014

ACS Inc. – 3rd Party Medical Biller – 2004 to 2012

Western Learning Center – Office Manager – 1988 to 2004

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