Post Job Free

Resume

Sign in

Customer Service Medical

Location:
Georgia
Posted:
December 01, 2015

Contact this candidate

Resume:

Charlotte Jackson

**** ********* **

Loganville, GA 30052

678-***-****

acsnhg@r.postjobfree.com

QUALIFICATIONS

Dedicated Medical Biller/Coder with more than 15+ years of physician and hospital billing, coding, collection, customer service experience and over 3 years front office receptionist experience. Very detailed-oriented, flexible, quick leaner that adapts easily to new situations and enjoys a challenge. Self-motivated professional with a commitment to providing quality billing services. Strong organizational and communications skills and able to multi-task.

Skills SOFTWARE

• Customer Service GA Work Ready Certified

• CPAR Certified STARR/HBOC/EPIC

• Medical Terminology NueMD

• HIPPA Training SSI/Epremis/Emdeon

• CPT/ICD9 Medical Manger/MediTech

• UB 04/1500 claim form EFR/All Scripts/Health logic

• Window Vista/XP/Intranet/Internet RWS/CCSM

• MS WordExcel 2000 FSS/HPF/I suite/VRS

WORK HISTORY

08/14 – Present Medicare Biller

Wellstar Health System

Medicare Biller

Medicare Auditor

Appeals

Follow up

Redetermination

Denial

Coder (as needed)

(Wellstar) Promotion to Senior Billing REP 02/15

04/12 - 08/14 Medicare Billing I Clerk

Northside Hospital, Atlanta, GA 30304

Medicare Billing

Medicare Auditor

Coder (part-time)

Collections/Follow up & Resolution

Appeals

Denial

Reimbursement/Remits

Redeterminations

11/08 – 04/12 Medicare Team Leader, Hospital/Physician Medicare Biller

Phoebe Putney Memorial Hospital, Albany, GA 31701

Medicare Billing

Medicare Auditor

Medicare Credit Balance Report

Collection/Follow up & Resolution

Appeals

Denial

Reimbursement/Remits

Redeterminations

09/05 – 05/08 Team Leader, Medicare Biller/Collector

Conyers Family Practice, Conyers, Ga 30013

Oversee department of 10 medical billers

Develop employees and provided effective performance management including corrective action plan.

Assist with recruiting, selecting and orienting new employees.

Medicare Billing/Collection

Medicare Auditor

Stayed abreast of current regulatory requirements.

Identified training needs and assist in conducting training for new staff as well as ongoing/updated training for current staff.

Reviewed all appeals, denial and rejects from Medicare. Effectively made corrections as needed.

01/00 – 09/05 Team Leader, Medicare/Medicaid Billing Specialist

InHealth Billing Services, Atlanta, GA 30374

Oversee department of 15 medical billers

Develop employees and provided effective performance management including corrective action plan.

Assist with recruiting, selecting and orienting new employees

Medicare Billing/Collection

Stayed abreast of current regulatory requirements.

Identified training needs and assist in conducting training for new staff as well as ongoing/updated training for current staff.

Reviewed all appeals, denial and rejects from Medicare. Effectively made corrections as needed.

10/98 – 01/00 Customer Verification Representative

Apria Healthcare, Norcross, GA 30071

QAC (Medicare Biller)

Obtained and verify insurance eligibility for services provided

Perform prior authorizations as require by payor

Collected clinical information such as lab values, diagnosis codes, etc.

Determined patient’s financial responsibilities.

Configured coordination of benefits information on every referral.

Ensure assignment of benefits is obtained and on file for Medicare claims.

Handle inbound calls from patients, physician offices, hospitals, and/or insurance companies

Resolve claim rejections for eligibility, coverage and other issues.

10/92 - 07/98 Examiner/Quality Assurances

Ithaca of Camilla, Camilla, GA 31730

Examine ladies under garments for retailers

Leads and participates n various task forces as requested

EDUCATION/ PROFESSIONAL DEVELOPMENT

Small Business Admin, Associate. ITT of Tampa. Florida

Medical Assistant, Certification. Georgia Medical Institute

Medical Claims Processing, Certification. Absolute Bill Consult, La Habra, Ca

Health Info Management – Bachelor – Ashford University

REFERENCES AVAILABLE UPON REQUEST



Contact this candidate