Sharmayne Cartwright
Philadelphia, PA 19154
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