Customer Service Medical
Resume:
Kalena D. Johnson
Phoenix, AZ 85041
e-mail: **********@*******.***
Healthcare Billing Specialist
CAREER OBJECTIVE: Looking for a challenging position as a Billing Specialist
where my expertise and skills will help in the progress of the company and provide me
with some quality professional experience.
SUMMARY OF QUALIFICATIONS:
Billing experience of more than 7 years with an in-depth knowledge of medical
insurance claims procedures and documents.
Thorough knowledge of medical billing procedures, insurance claims processing and
business practices, such as HIPAA.
Ability to work in fast paced environment, and under pressure.
Learn new concepts quickly and efficiently, and enthusiastic to take on new
challenges.
Good communication skills both verbally and written, able to express ideas clearly
and effectively.
Customer service skills and medical terminology including ICD-9 coding procedures.
Extensive computer training with knowledge of MS-Office, Word, and PowerPoint.
PROFESSIONAL EXPERIENCE:
Hanger Inc- Phoenix, AZ
March 12, 2012- Present
Provide the highest level of customer service to patients, fellow employees and
referral sources
Obtain accurate insurance information, verification, and authorization
Process billing daily, ensuring that claims are accurate, timely, and fully documented
Ensure the privacy and security of protected health information per HIPPA
requirements
Key at least 40 wpm
Understanding of medical reimbursement and terminology
Use OPS system
Ability to navigate different insurance website portals
Excellent organizational skills and the ability to manage multiple tasks
Labcorp of America – Phoenix AZ
July 10, 2005 – March 12, 2012
Process AR and Clinical request for AZ, NV, UT
Research in house data base and call clients for patient insurance information.
Translate verbal diagnosis, and incorrect ICD-9 Codes.
Research backend denials, and make all necessary corrections
Process daily unbillable claims, and reduce claims inventory by researching for
missing data
Use internet and in house systems to verify eligibility
Perform data entry of all patient demographic information
Provide customer service and resolve patient and client complaints.
Global Fulfillment Services
July 12, 2004- July 10, 2005
Input customer information from rebate forms
Scan UPC codes sent by consumers
Central Court Clerk – Temporary
June 2003-August 2003
Input confidential information into correct case numbers
Linking images to correct document type and case number
Used ICIS and Onbase Systems
EDUCATION:
1998 – 2004
South Mountain Community College PHX, AZ
Associates Degree Received May 2004
ACCOMPLISHMENTS
Member of PHI THETA KAPPA
International Honor Society
Contact this candidate