Jane Dismuke
xj6lx8@r.postjobfree.com
Skills
Medical Terminology, Coding & Billing (CPT and ICD-9-CM), Medical Billing and Claims (HMO, PPO, MEDICARE, MEDICAID), Human Anatomy & Physiology, Law & Ethics, HIPPA
QUALIFICATIONS
Excellent customer service and communication skills, both verbal and written
Strong organizational, planning and interpersonal skills
Computer skills: MS Word, Excel, Power Point, Outlook, Access, Internet Explorer
Strong attention to detail and active listening skills
Accomplished research and analytical skills
Leadership background in production planning, training, and scheduling
EXPERIENCE
Insurance Verification Specialist
Elizabeth Jekot Imaging Center; (06/2007-02/2008)
Presbyterian Surgery Center of Plano; (12/2006-05/2007)
Surgery Center of Richardson; (03/2005-06/2006)
• Contacted large carriers for benefits and eligibility
• Verified patient’s benefits and eligibility
• Documented all information for tracking and current demographics
• Calculated co-insurance, then notify patients regarding financial responsibility
• Communicate/send necessary info for pre-certification/referral request
• Provided customer service by taking messages and answering customer inquires
• Supported management and staff with clerical and multi phone lines
• Possessed excellent organizational skills, detailed oriented and customer focused
• Ability and willingness to interact with individuals at all levels in the organization
• Investigated and researched discrepancies regarding patient’s coverage
• Discussed benefits and payment options with patient’s
• Assisted front desk with patient check –in and multi phone lines
• Filed charts, reviewed determination letters and EOB’s
• Posted insurance and patient payments
Externship (07/2004-08/2004)
Plano Internal Medicine
• Verified insurance and checked claim status
• Contacted customers for billing inquiries
• Created and filed medical records
• Handled accounts receivable in regard to insurance aging
• Updated CLIA certificates
• Performed ICD-9 coding and other duties as assigned by Practice Manager or Group Leader
Education
CCI Training Inc.--Medical Coding & Billing Certification (03/2004-08/2004)
Attended Collin County College Business Administration ((09/1994-05/1997)