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Customer Service Medical Billing

Location:
Los Angeles, CA
Salary:
$14 per hr
Posted:
September 15, 2013

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Resume:

JOYCE P. WILLIAMS

310-***-****

*******@*****.***

OBJECTIVE

Seeking a position in Medical Billing and Collection where I can utilize my skills and experience in a

challenging and rewarding environment.

SUMMARY OF QUALIFICATIONS

● Accomplished customer service, billing and collections representative with extensive experience

in the medical field

● Adept at combining in-depth knowledge of industry practices and legal requirements with

analytical expertise, strategic negotiation and skillful relationship building to perform billing and

customer service functions and other tasks assigned by management

● Well versed in Medicare, Medi-Cal, HMO, PPO billing and collections

TECHNICAL SKILLS

● SMS & IDX

● Medical Billing & Collections

● Microsoft Office

PROFESSIONAL EXPERIENCE

Cymetrix – Gardena, CA 01/2013-02/2013

Medical Billing & Collecting

● Responsible for Physician Billing, Collections Surgery Billing Department using SMS billing

system

● Handled in-patient hospital billing

● Billing and Collection from Medicare, Medi-cal, HMO and PPO Payer's

Brentview Medical Inc. – Los Angeles, CA 07/2013-11/2013

Medical Biller & Reviewer

● In charge of handling recovery of Worker’s Compensation claims beginning with their old files

that needed to be collected on

● Call worker compensation review claims for request documentation, X ray reports P2 and P4.

Time with the Therapy Dept.to explain their missing information in the recovery

● Requested documentation was than mail, fax and e mail to the Worker Comp agents, allow 10 day

for follow-up by phone, e mail and fax

UCLA FFP – Los Angeles, CA 04/2007-06/2012

Medical Billing & Collecting

● Responsible for Physician Billing, Collections Surgery Billing Department using SMS billing

system

● Handled in-patient hospital billing

● Billing and Collection from CCS, Medicare, Medi-cal, HMO and PPO Payer's

Imperial Placement & Temp Services – Toledo, OH 05/2006-02/2007

Physician Billing & Collecting

● Responsible per assignments arrange from assisting in cleaning up claims 120/160 days old,

review EOB for denials, missed contractual write offs, and other miscalculations

Family Health Plan, HMO – Toledo, OH 06/1992-04/2005

Claims Analysts

● Responsible for data entry of medical claims

● Review claim for payment per contract, with or without authorization

● Working with capitated services

● Setup authorization

Neighborhood Health Association – Toledo, OH 03/1986-04/1992

Medical Coder & Billing

● Responsible for code diagnosis, review for evaluation and management per Insurances

● Scheduled appointments, arrange for patient lab visits and radiology appointment at the hospitals

● Verified Insurances, eligibility per Medicare and Medi-Cal programs

EDUCATION

Professional Skill Institute Certified Medical Billing/Collection Specialist

AAPC Certified CPC#01140068



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