EVERLYN ASIAGO ad49uz@r.postjobfree.com

OBJECTIVE: SECURE A POSITION IN AN ORGANIZATION THAT WOULD

UTILIZE MY TALENTS, ABILITIES AND SKILLS.

PERSONAL SKILLS

Knowledge of ICD-9, ICD 10, CPT, HCPCS coding.

Processing electronic and paper claims.

Knowledge of Iknowmed,Epic, Centricity, Rubixis, Sharepoint, Kinnser, Navinet, Zirmed, Epic,Vision,Medisoft, Homecare Homebased, DE Vero, Synergy, Quadax and Availity.

Medical terminology and anatomy.

Customer service, general office experience and people handling skills.

Ambitious, hardworking and committed to excellence.

Fast learner, able to adapt to pressure and efficient.

Detailed oriented, ability to multitask, flexible and organized.

TECHNICAL SKILLS

Microsoft office Tools -internet, PowerPoint, excel, Word, Outlook, Office Teams.

TEXAS ONCOLOGY 06/2019- CURRENT

A/R INSURANCE SPECIALIST II

Review Reports, identify denied claims, researches and resolves issues, detailed reconciling of accounts and resubmitting claims to payer.

Contacts third party payors to resolve payor issues, expedite claim processing, and maximize medical claim reimbursement.

Maintains credit balances of patients and payors ensuring timely refunds within government guidelines/regulations.

Reviews payment postings for accuracy and to ensure account balances are current.

Monitors and updates delinquent accounts status and recommends accounts for collection or write-off.

Contacts and follow up with Physicians for missing or incomplete documentation.

Contacts third party payors to resolve payer issues, expedite claim processing and maximize medical claim reimbursement.

Adheres to confidentiality, State, Federal and HIPPA laws and guidelines in regard to patient records.

Performs other duties as assigned.

MCKESSON/CHANGE HEALTHCARE 7/2016-6/2019

SR MEDICAL A/R BILLING SPECIALIST/PATIENT SERVICE REP

Follow up of outstanding A/R all payers and/or including self-pay and/or

including resolution of denials.

Responsible for handling all correspondence related to an insurance or

patient account, contacting insurance carriers, patients and other facilities

as needed to get maximum payment on accounts and identify issues or changes to achieve client profitability.

Responsible for working EDI transactions and ERA files, including reconciling carrier submissions, edits and rejection reports.

Research and resolve accounts appearing on Delinquent Insurance Report,

Collection Ledger and Government Payor report as directed by

management making appropriate decisions on accounts to be worked to maximize reimbursement.

CONIFER HEALTH SOLUTIONS HEALTHCARE SCOUTS STAFFING 2015-2016

Medical Account Receivable Representative (Biller)

Bill claims appropriately completing billing requirements via electronic or paper

claims including any attachment of required documentation.

Complete subsequent billing to third party payors to include rebills, secondary

billing and / or special billing.

Bill all late charges with proper billing codes, per late charge workflow.

Review charges, patient information and insurance information prior to billing to

minimize underpayment, denials and rebill attempts.

Properly submit claims to Primary, Secondary and tertiary Insurance Companies

with the appropriate Explanation of benefits (EOB) attachments, if applicable.

Responsible for calling insurance company if rejection reports are unclear to

determine next step needed for billing.

Collect on outstanding claims.

Bill Hospital inpatient and outpatient claims.

EVOLUTION HEALTH/GUARDIAN HEALTHCARE -3/2014-11/2015

Medical Claims Resolution Specialist

Insurance follow up and collections.

Re-filing Insurance Claims that have been denied.

Posting Payments and Adjustments.

Resolving issues with EDI claims rejections.

Submitting medical claims to various insurance companies and Medicare.

Identify potential billing complaints and finding the solutions.

Other duties as assigned to me.

CUDDLE ME HOME CARE -9/2012-3/2014

Billing Specialist

Preparing and submitting clean claims electronically or by paper to various

Insurance Companies.

Correcting and submitting claims to third party payers.

Preparing billing invoices from nursing and therapy notes.

Posting payments records.

Verifying Medicare and Insurance eligibility

Verify Authorization to ensure accurate and timely billing.

Appealing denied claims

Preparing Reports and check on claim status frequently.

Responsible for sorting and filing claims and EOB’s in client’s financial charts.

Identify potential billing complaints.

Maintain strict confidentiality and adhere to all HIPPA guidelines and

regulations.

Answering phones calls from clinical staff, patients and insurance companies.

Collecting co-payments from patients.

EAGLE MEDICAL EQUIPMENT AND SUPPLIES INC. (EXTERNSHIP) 2010

Verification of eligibility of patients supplies by Medicare.

Allocating the right codes for diagnoses and medical supplies using the ICD-9

and HCPCS.

Contacting physicians about the approval of the supplies that the patients

require, as per their diagnosis.

Receiving calls from patients concerning their supplies.

Entering data and general office clerical duties as required.

Processing bills for the supplies to Medicare for payment.

CAPITAL ONE BANK (APPLE ONE STAFFING) 2009

Loan Adjustor

Operating an automated dialer answering customer’s questions on their accounts. Collecting past due account balances and making online payments.

Processing customer requests about their accounts, changing bill cycles and

payment due dates as per request and processing payments.

Changing account names and titles for customers who have changed status,

changing customers billing addresses and service addresses.

Perform all lockbox duties assigned by my superiors.

EDUCATION BACKGROUND

Medical Insurance Billing and Coding.

Business Analyst Training.

Contact this candidate