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Medical Insurance

Location:
Leominster, MA
Posted:
September 27, 2015

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Resume:

Tammy LaBelle

Medical Secretary, Coding, Billing, Accounts Payable and Receivable

** ********* ******, ***. * - Leominster, MA 01453

acrva6@r.postjobfree.com - 978-***-**** or 978-***-****

Work Experience

Customer Service Representative

CorVel

March 2014 to June 2015

Answering phones for questions about Auto and Workmen Comp Claims.

Correcting Coding and Billing issues over the phone.

Working with adjusters for missing information on claims.

Assist providers in reviewing their bills.

Ensure providers billing problems are solved properly.

Re-direct phone calls to appropriate department.

Obey HIPPA laws and regulations.

Medical Claims Specialist

Salisbury Associates-Medical Billing Company

November 2013 to February 2014

Correcting claims on line with various insurance companies.

Call Insurance companies for claim status (payment, denial or appeals)

Doing all appeals and corrected claims.

Posting of adjustments from insurance companies.

Correct any coding or billing issues on the claim forms.

Medical Coding, Billing, Accounts Payable & Receivable

Coordinated Primary Care, Inc. – Health Alliance Hospital, Leominster, MA

October 2008 to December 2011

Manager: Jason Vellen 978-***-****

Supervisor as of February, 2010 of thirteen staff members.

Deposit for ten departments and reconciling all the copayments and insurance checks. Scanning all checks received.

Opening all mail and separating to create batches for payment posters to charge enter insurance payments.

Medical coding, billing, charge entry and follow up for insurance.

Assisting my staff for any questions or problems they may have.

Coding and Insurance follow up.

Accounts Receivable and Collections.

Doing month close for finance by preparing all spreadsheets for money taken in for all departments.

Daily deposits and spreadsheets for money coming in.

Payment posting.

Correcting EOB's for coding or insurance errors.

Patient scheduling of appointments, billing questions, collections and insurance phone calls.

Data Entry, Microsoft Word and Excel Spreadsheets.

Charge Entry, Medical Billing, Coding, Central Registration, Payment posting, Medical Secretary & Medical Record Release

Reliant Medical Group – Leominster and Worcester, MA

a.k.a. Fallon Clinic

December 1999 to September, 2008

Follow up, insurance work ques and charge entry.

Charge Entry Lead with a staff of eight employees October, 2006 to July 2008.

Medical coding using ICD-9 and CPT books for office, hospital and nursing home charges.

Enter charges for office, hospital and nursing homes (about 3,000 to 4,000 transaction a week).

Track daily charge entry backlog.

Distribute workload amongst staff.

Contact providers for missing billing information.

Open and sort mail.

Keeping track of staffs vacation, sick time schedule and payroll.

Reconciling and preparing money deposits from copayments taken in daily.

Registering patients insurance and verifying insurance coverage.

Medical record release for lawyers, insurance companies and patients by reading charts and copying them while following all HIPPA guidelines.

Making sure proper documentation is filled out to release medical records to patients, doctors, lawyers and insurance companies.

Data Entry

Filing

Scheduling Appointments

Education

Certification in Medical Coding, Billing and Terminology

Assumption College - Worcester, MA

2000

Skills

Microsoft Word and Excel. Worked on the following computers Meditech, IDX, Pulse & Epic



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