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Experienced Biller

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Country: United States
State: Texas
City: Houston
ZIP: 77060
Salary: 26000
Posted date: 11/23/2011   all resumes
Contact Info: *********@*****.***
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*** ****** ** *******, ** ***** (832) ***-****
NTERPRISING, HARD-WORKING AND TECHNICALLY SKILLED ACCOUNTS PAYABLE/RECEIVABLE SPECIALIST known for accuracy, attention to detail and timeliness in claims processing for Healthcare-industry employers. A/R career spans 5 years of experience in insurance claim follow-up, applying appropriate adjustment types, insurance verification, appeals process,Explantion of Benefits including allowed amounts, discounts, in and out-of-network benefit levels, deductibles, coinsurances, and copays,Electronic and paper claims processing, ICD9 and CPT code knowledge, working knowledge of Special Instructions for carriers and practices.
• Accounts Receivable Processes & Management
• Invoices/Expense Reports/Payment Transactions
• MS Windows, Excel, Power Point
• Medisoft Medical Software
• Centricity Medical Software • Medicare, Medicaid, BCBS and Tricare
• CMS 1500, UB-04
• Verification and Eligibility Benefits
• CPT, ICD-9, HCPCS Codes
• Reconciliation A/R
Remington College, Houston, TX
Diploma in Medical Billing & Coding, 2010

Compsystems, Inc, New York, NY
Certificate in Medical Billing & Coding, 1994
Member, AAPC (American Association of Professional coders), 2010 to Present
MS Office (Word, Excel, PowerPoint) Medical Manager Medisoft Centricity IDX Windows (all)
eCardio Diagnostics, L.L.C., Houston, TX
Medical Collections, 5/11 To Present
• Daily follow-up of insurance claims
• Insurance Verification
• Explanation of Benefits
• Electronic and Paper claims processing
Big Jays Home Repair, Suffolk, VA & Houston, TX
Owner & Carpenter, 11/02 to 5/11
• Build or repair cabinets, doors, frameworks, floors, and other wooden fixtures used in buildings, using woodworking machines, carpenter's hand tools, and power tools
• Prepare cost estimates for clients or employers; maintain records, document actions and present written progress reports.

Sentara Health Systems Services, Norfolk, VA
Medical Biller/Insurance Verification, 5/97 to 11/02
• Billed commercial insurance claims; resolved customer inquiries concerning medical coverage or claim status
• Assign primary care physicians; reconciliation, A/R and retrieval of monies from patients or insurance companies for unpaid claims
• Billed Medicaid, Medicare, BCBS and private insurance on a timely and efficient basis
• Submitted electronic and paper claims as well as manually on the HFCA 1500 form
• Applied CPT and ICD-9 coding when creating new patients charts and inputting data into system concerning their medical coverage.

Accuhealth, Inc, Bronx, NY
Medical Biller, 4/94 to 5/97
• Used proper CPT and ICD-9 coding for accurate payment posting
• Utilized HCFA 1500 and UB92 forms to submit electronic and manual claims
• Billed Medicaid, Medicare, BCBS and private insurance on a timely and efficient basis
• Billed commercial insurance claims; resolved customer inquiries concerning medical coverage or claim status

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