Customer Service Medical
Resume:
Harriet Hall, CCS
Los Angeles, CA 90047
Cell 213-***-****
Email: ************@*******.***
Dear Prospective Employer:
I am enclosing for your professional review a copy of my personal resume.
I am currently interested in seeking employment in the Healthcare field.
You will note, as you read in my resume, that I offer a solid educational
background. I have excellent people skills, and I work well with a
diversity of people at various levels. I project a professional image. I
am flexible in any new career situation and will perform according to the
highest professional standards. I welcome challenge and responsibility.
If, upon review of my qualifications, you feel you may have a present or
prospective need for an individual such as myself, then I would certainly
like to arrange a meeting to discuss the possibilities. Please contact me
at the above address or telephone number.
Thank you for your time, consideration and reply. I look forward to
hearing from you soon.
Sincerely,
Harriet Hall, CCS
Enc.
Harriet Hall, CCS
2029 W. 85th Street
Los Angeles, CA 90047
Cell 213-***-****
Email: ************@*******.***
JOB OBJECTIVE: To obtain employment in the Healthcare field as a Member
Service representative, Patient Account representative or Patient
collections. I endeavor to work for a company, where my skills and proven
ability can be utilized.
PROFESSIONAL EXPERIENCE:
Accu- Claim Services
Medical Biller/Collector 04/2010 - Present
Medical Billing for Third party payors, IPA, HMO plans and government
programs under all Medicare and Medi-cal according to CMS guidelines.
Responsibilities also include creating patients statements and invoices.
Customer Service by phone, use of CPT, HCPCS and ICD-9 codes. Assist
biller with medical coding and data entry. Some filing of patient records,
charts and statements. Account collections from patient on unpaid balances
and review EOB's for correct Insurance payments. Rebilling for proper
payment disputes and/or Appeals. Software used Medi-soft and OfficeAlly.
LaVida Medical Group
Claims Examiner 10/2006 - 04/2010
Process medical and dental claims on-line. Use of CPT codes, CRVS codes,
HCPCS codes and ICD-9 codes. Also, processing of IPA, Managed Care and HMO
claims. Audit processed claims for proper adjudication, codes and correct
payment. Forms UB04 & CMS1500. Various software experience such as; RIMS
Qic claim 1 & 2, EZ-Cap system, IDX claims system, etc.
Daniel Freeman/Marina Medical Center
Customer Service Representative 11/2004 - 10/2006
Verified the extent of patient medical benefits. Completed insurance UB-04
forms to submit to the government and other paid sources. Assisted with
processing claims in connection to itemized hospital billing. Estimated
amount to be paid by insurance and patient responsibility.
Diamond Funding, Los Angeles, CA 02/1990 - 11/2004
Loan Processor
Entered client's data into point system. Opened escrow documents for
processing. Prepared potential client packa
ges for home loans or refinancing. Ordered office supplies and handled
heavy phones. Duties included interpreting policies while analyzing
applications, property specs and documentation; ordering all required
verifications and conducting follow up with the customer or internal
contacts as needed. Make sound business decisions based on credit risk
policy and procedures. Perform high volume, time sensitive tasks related to
the loan documentation process which includes researching and problem
solving to ensure compliance with customer loyalty, quality and timeliness
standards.
State Fund Insurance Company
Claim Adjuster 07/1987 -02/1990
Provide all appropriate benefits to include Temporary Disability, Permanent
Disability, Medical care and Vocational Rehabilitation. Investigation of
claims. Medical management to include working with Nurse Case Managers and
Medical providers. Litigation management include coordination with
internal and external resources. Communication with injured Co-workers,
medical providers, attorneys, area management, department leadership and
all other pertinent parties. File management to include establishment of
case reserves, diary review, generation of forms and letters, analysis of
medical reports, rating of permanent disability, settlement evaluation and
like processes
SKILLS AND ABILITIES:
MS Word, Excel, PowerPoint, ICD 9 and CPT Coding, 3M Health Information
Systems, and Medi-Soft Billing Software, EZ-Cap system and IDX claims
system.
EDUCATION:
Crenshaw High School, Los Angeles, CA 1978 - 1981
AHIMA Certified Medical Coding Specialist (CCS) 2012
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