Customer Service Data Entry

LEESHA BLACKMON

***** ******* *****, *******, ********** 92337

Phone: 909-***-**** Email: *************@***.***

PROFESSIONAL SKILLS

Extensive knowledge of HMO, Managed Care, PPO and Private Insurance billing. Initiate daily billing & verify eligibility utilizing, AllScripts, Home Care Home Base, Cerner, Zirmed, and Medicare Verification Process.

EXPERIENCE

Accounts Receivable Specialist I - Accent Care Skilled Home Health, Ontario, CA 05/2011 - Present

Work EOB/remittance advices on a daily basis to identify denials or short paid claims.

Initiate daily billing on assigned claims in an expeditious manner, through electronic or hard copy format.

Resolve credit balance accounts on a monthly basis.

Demonstrate aggressive collection efforts to ensure claims billing for maximum reimbursement.

Verify eligibility and benefits of patient(s) through third party payor.

Assist cash dept. w/corrections to be certain payments are processed and posted to proper accounts.

Perform all other duties as assigned by A/R Manager and/or Director of Reimbursement.

Contact branch office designee on eligibility issues and necessary documentation to ensure timely collection of accounts.

Medical Billing Analyst - Professional Billing Services, Upland, CA 08/2010 - 03/2011

Audit claims to ensure pertinent information is captured, including authorizations, clinical notes, and

treatment plans etc.

Maintained control of claims billed and pending to ensure full accountability is for all claims.

Processed and submitted clean claims to various companies via electronic and/or by mail.

Advised A/R Manager of workload problems which may prevent timely follow up on accounts.

Analyzed aging report to identify details of opened account balances.

Executed a variety of office support functions and/or completed other assignments as requested.

Administrative Assistant I - Law Dragon Inc., Los Angeles, CA 05/2007 - 12/2008

Conserved complete alpha numerical filing system for forms, records and general correspondence.

Organized and researched projects in order to meet deadlines.

Performed data entry and other routine office support functions.

Supported editorial staff in all activities leading to publication.

Contacted subscribers as a courtesy follow-up and updated any additional information.

Data Entry Specialist II - Analysts Employment Services, Anaheim, CA 05/2006 - 05/2007

Maintained all customer billing, listing & renewal status utilizing A-Frontier data entry system.

Proofread and edit content for spelling/grammar accuracy and ensure that all instructions are clear.

Managed daily logs of activities.

Upgraded outdated products to current standards.

Initiated queries for violations and/or unclear instructions.

Customer Service Representative II - Los Angeles Daily Journal, Los Angeles, CA 09/1998 - 04/2006

Established a positive rapport with customers to promote persistent advertising buys.

Prearranged and examined projects to intense deadlines prior to publication.

Scheduled and performed data entry of classified advertising orders using Advanced Publishing Technology Program.

Investigated and arbitrated issues related to misapplied payments and delinquent account balances.

Maintained a high volume of inbound/outbound sales from a wide variety of law firms and agencies.

EDUCATION

- United Education Institute College, Ontario, CA - Medical Insurance Billing/Coding Diploma

- San Gorgonio High School, San Bernardino, CA - Diploma Awarded

Contact this candidate