Medical Insurance
Resume:
JANNETTE ROGERS *** N Forest Blvd
Houston,TX ****0
rogers.j *******@*****.***
MEDICAL BILLING AND CODING SPECIALIST
Reliable, focused, trained professional whose goal is to secure an opportunity with a company and earn advancement through proven on-the-job performance and dedication by using my current skills and past professional experience. Educated and experienced in maintaining strict patient confidentiality and professional ethics. With my diverse, yet solid medical administrative office skills, I also bring a customer-service focused, detail-oriented skill set that includes software application, database management, scheduling, data entry, filing, faxing, copying, receiving clients and customers, and answering multi line phone systems.
KEY ADMINISTRATION SKILLS
* ICD Coding • Anatomy and Physiology • Access
* CPT Coding • Healthcare Systems & Legal Issues • Outlook
* Medical Coding CMS 1500 • Excel • MS Word
* Medical Manager • Power Point • Windows XLP
* Medisoft • Microsoft • Medical Insurance
* Confidentiality • Internet • Medical Terminology
PROFESSIONAL EXPERIENCE
Jewish Hospital, Louisville, KY
Patient Accounting/Billing/Collections
Accurately performing miscellaneous clerical duties such as updating demographic insurance information, answer correspondence, locate and monitor overdue accounts, using computers and a variety of automated systems. Call insurance companies to ensure payment of claims. File any necessary appeals. Utilize multiple software applications (A2K, SOVERA, ARTIVA, PAPERS, SSI ELECTRONIC) Ub92 and 1500. Prepare claims for payment from third parties utilizing a prescribed format. Edit claims for payment and process corrections and adjustments. Submit claims for payment utilizing the appropriate, established media. Tenaciously follow up on all unpaid claims using established criteria. Maintain medical records, files, and logs of claim status and other billing information as directed. Coordinate with third party payers to obtain payment for pending or rejected claims. Refer problem or unpaid claims to supervisor in accordance with policy and procedures for follow up and review. Assure accuracy of demographic information in the billing system to ensure accurate billing and prompt payment. Participate in projects when requested. Submit and process refund requests to insurance companies and patient when required.
Sister & Sister Soul Food Restaurant, Tampa, FL
Owner
Managed daily family restaurant operations, including human resources. Prepared meals. Supervised kitchen staff. Managed daily financial operations, including payroll, bookkeeping, accounting, and costs control. Managed advertising, marketing, and public relations.
Diversified Ambulance Billing, Tampa, FL
Patient Account Dept.
Answered phones. Processed returned mail. Researched and located patients' addresses and phone numbers. Corrected and updated insurance information. Printed HCFAs, verified insurance and rebilled.
After Hour Pediatric, Tampa, FL
Insurance Specialist
Handled general accounting including: lock box balances and daily deposits. Received and processed payments. Processed checks filled out receipts and deposited checked and cash in bank account. Processed reports. Billed Medicare and Medicaid. Prepared medical charts. Printed and processed HCFA forms. Corresponded with various doctors' offices.
United States Army, Frankfurt, Germany
Data Processing Clerk
Processed new soldiers and their family members. Identified temporary housing and communicated benefit information. Efficiently performed miscellaneous other duties assigned by supervisors.
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Jefferson Country Board Education, Louisville, KY
Data Processing Clerk
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Answered multiple phone lines. Entered student information. Requested information from schools. Printed reports and submitted same to supervisors.
HEALTHCARE CERTIFICATION
Certificate - Health Information Specialist and Billing & Coding, Ultrasound Diagnostic School, Tampa,FL • 2003
EDUCATION Associate in Science, Accounting, Hillsborough Community College, Tampa, FL (pending)
References available upon request.
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