Medical Billing Insurance
Resume:
Doris Stigall
Jacksonville, AR **76
*******@***.***]
North Metro Medical Center
Jacksonville AR 72076
Medicare Patient Account Rep
March 2010 to Present
•Collect all the information necessary to prepare insurance claims and bill patients.
•Enter patient demographic and insurance information into the medical claim software.
•Enter patient encounter information including ICD-9 Diagnosis Codes and CPT medical
billing codes.
•Interpret and process (post) Explanation of Benefits (EOB's).
•Research, correct, and re-submit rejected and denied claims.
•Bill patients for their responsible portions.
•Answer patient questions regarding charges.
•Prepare appeals to denied claims.
•Understand Copays, Coinsurance, & Deductibles
•Detailed oriented
•Good with math and data entry
•Knowledgeable on the insurance process, medical terminology, and coding
•Familiar with medical billing guidelines
•Trustworthy
•Have good multi-tasking skills
Rapid Resolution
April 2007 - February 2010
United Healthcare
200 West Capitol
Little Rock, AR 72201
Receiving calls from provider with problem where they feel claims had not paid correctly per
there contract. Researching contract, and claims they had been submitted to check to see if they
are paid correctly. Also sending info to other department to have insurance claims reprocess
and make sure all info documented.
Rebsamen Medical Center
1400 Braden St
Jacksonville AR 72076
Jacksonville, AR
Patient Account Rep
April 2005 - April 2007
•Review patient bills for accuracy and completeness and obtain any missing information
•Knowledge of insurance guidelines especially Medicare and state Medicaid
•Follow up on unpaid claims within standard billing cycle timeframe
•Check each insurance payment is for accuracy and compliance with contract discount
•Call insurance companies regarding any discrepancy in payments if necessary
•Identify and bill secondary or tertiary insurances
•All accounts are to be reviewed for insurance or patient follow-up
•Answer all patient or insurance telephone inquiries pertaining to assigned accounts
•Detailed oriented
•Good with math and data entry
•Knowledgeable on the insurance process, medical terminology, and coding
•Familiar with medical billing guidelines
•Trustworthy
•Have good multi-tasking skills
June 2003 – March 2005
Rush Medical Center
Chicago, ILL
Medicare Biller
•Review patient bills for accuracy and completeness and obtain any missing information
•Knowledge of insurance guidelines especially Medicare and state Medicaid
•Follow up on unpaid claims within standard billing cycle timeframe
•Check each insurance payment is for accuracy and compliance with contract discount
•Call insurance companies regarding any discrepancy in payments if necessary
•Identify and bill secondary or tertiary insurances
•All accounts are to be reviewed for insurance or patient follow-up
•Answer all patient or insurance telephone inquiries pertaining to assigned accounts
•Detailed oriented
•Good with math and data entry
•Knowledgeable on the insurance process, medical terminology, and coding
•Familiar with medical billing guidelines
•Trustworthy
•Have good multi-tasking skills
PATIENT ACCOUNT REP
September 2002 - April 2003
Baptist Memorial Hospital
Little Rock, AR
09-2002 thru 04-2003
Supervisor: Tara Breeding 501-***-****
•Collect all the information necessary to prepare insurance claims and bill patients.
•Enter patient demographic and insurance information into the medical claim software.
•Enter patient encounter information including ICD-9 Diagnosis Codes and CPT medical billing codes.
•Interpret and process (post) Explanation of Benefits (EOB's).
•Research, correct, and re-submit rejected and denied claims.
•Bill patients for their responsible portions.
•Answer patient questions regarding charges.
•Prepare appeals to denied claims.
•Understand Copays, Coinsurance, & Deductibles
•Detailed oriented
•Good with math and data entry
•Knowledgeable on the insurance process, medical terminology, and coding
•Familiar with medical billing guidelines
•Trustworthy
•Have good multi-tasking skills
PATIENT ACCOUNT REPRESENTATIVE
October 2001 - August 2002
Gottlieb Memorial Hospital
Melrose Park, ILL
Review claims to make sure that payer specific billing requirements are meet follow-up on billing, determines and applies appropriate adjustment, answer inquiries and updates accounts as necessary. Familiar with standard concepts, practices, and procedures within a particular field. Perform a variety task work under general supervision. Would do the billing on the downloading procedure on the internet.
PATIENT ACCOUNT REPRESENTATIVE
August 1996 - September 2001
ST VINCENT INFIRMARY HOSPTIAL
Little Rock, AR
•Collect all the information necessary to prepare insurance claims and bill patients.
•Enter patient demographic and insurance information into the medical claim software.
•Enter patient encounter information including ICD-9 Diagnosis Codes and CPT medical billing codes.
•Interpret and process (post) Explanation of Benefits (EOB's).
•Research, correct, and re-submit rejected and denied claims.
•Bill patients for their responsible portions.
•Answer patient questions regarding charges.
•Prepare appeals to denied claims.
•Understand Copays, Coinsurance, & Deductibles
•Detailed oriented
•Good with math and data entry
•Knowledgeable on the insurance process, medical terminology, and coding
•Familiar with medical billing guidelines
•Trustworthy
•Have good multi-tasking skills
PATIENT ACCOUNT REP/INSURANCE VERIFIER
June 1985 - July 1996
University Hospital
Little Rock, AR
Called insurance company for verification for patient coverage, contact patient for insurance
information if no info on the patient. Work trial balance, did secondary insurance also
follow-up on accounts.
Contact this candidate