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Customer Service Medical

Location:
Durham, NC, 27707
Salary:
fair compensation to commensurate with my skills
Posted:
February 10, 2012

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Resume:

NANETTE WILLIAMS

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

Durham, NC 27707

919-***-**** or 919-***-****

ymzti0@r.postjobfree.com

OBJECTIVE

To obtain a position as a certified Medical Coder or Billing Specialist.

HIGHLIGHTS OF QUALIFICATIONS

IDX Medical Terminology

Siemens Bookkeeping

Blue E Insurance Claims

FISS MAS90

Accurate Procedural and Diagnostic Coding

RELEVANT EXPERIENCE

Customer Service Agent/IC

ACC Direct 03-2011 to present

Answer incoming calls regarding pledge donation (using scripts)

Refer members to Member Services

Explain gifts to members

Work with PBS and NPR radio and television

Data Collections Specialist 02-2010 to 02/2010

Green Resources@RTI International (MEPS-MPC)

Probe for information for contacting personnel to request medical records,

Send Authorization forms to physicians from patients that volunteer to participate in research to find out how people pay for and use health insurance benefits

Medical coding, ICD-9, and CPT codes (modifiers),

Abstract from the Medical Record

Receive and Return Medical Record

Customer Care Attendant 1-2010 to 2-2011

Accredited Computer Services

Explain coverage to HUMANA clients

Make and confirm demographic changes, using CI (Customer Interface, PBS)

Take payments

Compare plans with customers

Transfer calls to appropriate departments

Customer Care Agent 2-2009 to 4-2009

Sutherland Global Services, Inc.

Answer inbound telephone calls to support products such as Cable

Resolve Internet and VOIP issues

Suggest the appropriate up sale to the member

Educate the member on where to find needed information and how to perform

resets

Schedule service appointments

Merchant 1-2003 to 2-2009

Self Employment Marketing

Sales Experience

Management Experience

Business Development Experience

Initial advertising and marketing, capitalization and funding

Operational management

Developing business plans and strategies

Client relations Instituting cost controls

Internal audits and customer service

Medical Billing Specialist 3-2001 to 1-2003

Kelly Services/Kelly Healthcare

Process claims for 16 states

Accurately adjudicate claims and display extended working knowledge of each table

Administration of 6000 edits to ensure claims are processed to completion

Assist with the logging in of data into databases

Knowledge of medical terminology

EDUCATION

Stratford Career Institute 06-2010 Medical Transcription

Center for Employment and Training 06-2001 Medical Insurance Billing, Durham, NC

Bartlett Yancey Senior High School 06-1983 Academic HS Diploma



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