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Insurance Medical

Location:
Memphis, TN
Posted:
January 31, 2016

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Resume:

Regina Glasper

Billing Specialist / Admin Assist

Memphis, TN

actcd4@r.postjobfree.com - 901-***-****

To utilize & obtain a full time position as a Certified Medical Office Professional/Billing & Coding Where I can continue to develop my skills and become a valuable member of a professional team. Authorized to work in the US for any employer

WORK EXPERIENCE

Care Specialist

UBC Express Scripts - Bartlett, TN - August 2015 to January 2016

•Special Team : Direct Contact for verious HCP Office Preforming Exculated Task for Top Clients, Managing Weekly touch point calls from Client

• Perform full benefit investigations for patients with Commercial or Governmental insurance coverage

•Contact the patient to communicate the outcome of Benefits Investigation research, explain financial responsibility for the therapy, and assess for any applicable assistance programs, such as Independent Non- Profit copay support organizations

•Manage referrals to the PAP program as well as ensure a smooth transition back to commercial coverage should a patient’s insurance status change.

• Manage referrals to the Bridge program for qualified patients, Collaborate with the copay vendor to coordinate and administer a copay card for qualified individuals Billing Specialist

Telerhythmics Cardiac Monitoring - March 2015 to August 2015 Monthly A/R reporting

• Creating various Invoices

•Patient Enrollment/Data Entry

•Appealing Denied claims

•Working Collection accounts (outside collection agency)

•Payment posting per Carrier EOB

•Following HIPPA Guidelines

Insurance Billing Specialist/ Medical Records

Metropolitan Anesthesia Alliance - 2014 to 2015

Submitting insurance claims to insurance carrier for proper processing

• Coding per operative report from hospitals and surgery centers

• Verifying patient insurance information

• Filing 1st and 2nd level appeals for payment

• Managing Aging accounts for Commercial Contracted Insurances (Cigna, Aetna, Humana, and Tricare)

• Gathering Medical records per request from law firms, insurance carriers and patients

• Collection of payments for accounts over 90-120 days old Credit Specialist

Unified Health Services - 2012 to 2013

Analyze Work Comp invoices

•Prioritize Emails, Payments, Insurance carrier information

•Aging Accounts

•Identified Issues, Resolution for payment

•Appeals for Payments

•Monthly Variance Reporting

•Follow HIPPA GUIDELINES

•Creating weekly aging spreadsheets

Client Service Representative

H&R Block - 2010 to 2012

Client Service Professional

•Appointment Management

•Client Services

•Collected Fees for Services

•Greeting Clients

•Organized/Maintained Neatness and Cleanliness of Office

•Coordinating Business Meetings

EDUCATION

Medical Office Professional Program

Concorde Career College - Memphis, TN

May 2011

ADDITIONAL INFORMATION

Skills

•EPIC training

•Centricity EMR

•Medical Terminology

•Computer and Internet literate ; light to moderate typing skills

•Self -Motivated, Goal Oriented, Organized and Efficient

•Skilled in Microsoft Word, Microsoft Excel, and Microsoft Power Point

•Flexible, Cooperative, Hard Worker, Team Player, and Reliable



Contact this candidate