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Medical Billing Insurance

Location:
Kernersville, NC
Posted:
April 27, 2016

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Resume:

Sebrenia Davis

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

Walkertown, NC 27051

610-***-**** cell

Summary-Twenty four years’ experience as a Medical Billing Representative, one year experience as a Billing Team Leader and one year experience as a Billing supervisor. Five years’ experience as a Medical Claims analyst. Strengths included good oral and written communication skills, consistent top ten performer and able to meet deadlines. Hands on experience with the following: Windows XP, Multi-line phone system, electronic claims processing, Web MD and Emdeon, all clerical skills, ICD9-IDC10/CPT4 knowledge, experience with NextGen computer system and Allscripts electronic medical records.

Experience- 2009-Present Central Penn Management Group Lancaster, PA

Senior A/R Representative

● Work A/R in NextGen for five Offices and work A/R in Vision for two offices

●I do all budget plans and bankruptcies for NextGen

●Help offices with any question arising regarding charges or eligibility

●Telephone calls to patients or insurance companies.

●Help co-workers with any questions that arise

2008-2009 OB-GYN of Lancaster Lancaster, PA

Billing Supervisor

●Oversee Five Billing Representatives

●Month End Reports

●All Billing Responsibilities

2007-2008 Chester County Eye Care Associates West Chester, PA

Billing Team Leader

●Oversee five billing representatives

●Month End Reports

●Monthly reports to nine providers

●Billing Responsibilities

2006-2007 Brandywine Valley Cardiology Thorndale, PA

Medical Billing Representative

●Taking billing calls from patients, insurance companies and other doctors’ offices

●Open all mail and do the daily deposits

●Post all monies to accounts from deposits

●Bill all Medicaid (DPW) on the Promise website

2004-2006 Healthcare Administrators Partners Media, PA/NH

A/R Representative

●All A/R for radiology group

●Took on three new groups and input all charges for one group. Posted payments for

all three groups and did all A/R follow up

●Make sure all monies balance on spread sheet for the month end closing

2003-2004 Laser and Skin Surgery Center Lancaster, PA

Medical Billing Clerk

●Checked out all patients and schedules appointments when necessary

●Input all charges into the computer system

●Post all payments from patient and insurance companies

●Do all A/R follow up on all accounts

●Answer telephone and schedule appointments

2002-2003 Jennersville Regional Hospital Oxford, PA

Senior Billing Coordinator

●Oversee the billing staff for Jennersville Home Health and Hospice

●Input daily charges into the computer system and do the daily Stat report

●Handle all Medicare billing and follow up on all Medicare claims

●Post all accounts receivables

●Do the month end process and reports for Home Care and Hospice programs

●Calculate monthly mileage checks for entire staff

●Answer telephones, filing and clerical duties

1999-2002 Millenium Orthopaedics, LTD Exton, PA

Medical Billing Representative

●Process all payments into the computer system

●Input hospital and offices charges into the computer system

●All month and year end reports

●Electronic transmit medical claims to insurance companies

●Print HCFA 1500 forms for all insurance companies

●Process refunds to insurance companies and patients

●Collections of patient accounts

1994-1999 John Hancock/Unicare Insurance Company West Chester, PA/Greensboro, NC

Claims Analyst

●Responsible for the uniform claim administration of the group medical policies

including payment and denial of claims in excess of $750,000-$1,000,000 annually

via Hanstar 2 claim payment system. The implementation of company policy and

procedures to assure the accuracy and quality of the administration.

●Assisted with on-going day to day training as situations arose or questions occurred

●Processed electronic billings and paper claims

●Performed simple adjustments

1991-1994 Help Counseling, Inc. West Chester, PA

Bookkeeper

●Kept tract of billing and bookkeeping for a community mental health clinic

●Kept records for five programs on a computerized system for insurance, medical

assistance and collections

●Balanced and processed monthly financial reports for accountant

1987-1991 National Liberty Insurance Company Malvern, PA

Life Correspondence Representative

●Processed beneficiary name and address changes on life insurance policies

●Sent cover letters to customers when requested

●Read incoming letters from customers and responded by letter or telephone

Work Assignment Clerk

●Separated and batched work in packs for Life Correspondence representatives

●Separated and distributed mail

●Verified beneficiary changes on the computer

Pre-Examing Clerk

●Set up files in the Life Claims area that were waiting to be processed by the

examiner when the client is deceased.

●Input information in the computer system regarding the claims

Education Coatesville Area Senior High School Graduate 1986



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