Customer Service Medical

Khushboo Patel

Lead MEDIACAL BILLING & CODDING EXPERT

**** ******* *** *********, ** 92831 Phone: +1-714-***-****

E-Mail: *****.******@*****.***

Objective

Detail oriented quality focused professional billing specialist. Successful track record handling complicated

assignments. Experienced in reconciling insurance and patient payments and resolving account disputes.

Proficient in a variety of practice management software applications. Highly efficient Medical Biller with experience in worker’s compensation.

Excellent multi-tasker and demonstrated team player with a positive attitude.

Experience

Medical Biller/Coder

Healthcare Billing Solutions – Huntington Beach, CA Jan 2012 to Oct 2012

Significant experience in billing for a Workers Compensation medical facility. Knowledge of Coding and abstracting of outpatient & Clinic records.

Process claim and billed insure for payment of the services. Full cycle management of Medicare/Medicaid process, including billing, reading charts,

posting payment, denials and appeals. Successfully collection of accounts receivable, Analyzing accounts for correct payments, coding, and denials,

submission of documentation and follow up. A/R follow to ensure timely payments from insurance companies and patients. Checking on contract

reimbursement and patient policy. Submitting appeals with the proper documentation for full reimbursement. Building rapport w ith insurance

company customer service reps as well as the management to speed up the reimbursement process. Looked into EAMS/EDEX to obtain history of

patient’s employment, insurance provider, and date of injury and lien records to get accurate information for billin g purpose. Abstracted patient’s chart

and patient’s record from different medical group of specialty, and assigned appropriate diagnosis according to highest speci ficity. Verified employer

to physician’s office and attorney’s office for insurance informati on on injured employee. Resubmission of old and denied claims for reconsideration

and submit claims for payment.

Customer Service Representative

Mervyns’ – Fullerton, CA and Macy’s –Brea, CA April 2010 – Jan 2012

Open and secure customer accounts. Maintain customer’s records by updating account information. Resolve service problems by clarifying customer’s

questions and doubts. Determine the cause of the problem, selecting and explaining the best solution. Attract and recommend n ew and current

customers, potential plans and services to meet customer’s budgets. Taking customer’s order and clarifying their account information on phone.

Making sure that customers are satisfying with the store’s services and products. Assisted supervisors by presenting daily r eports. Managing the entire

product to replacements for the customer service floor. Supervising all the floors for maintaining performance to store stand ards.

Cashier/Customer Service

Trimana Restaurant – Anaheim and Wild Noodle Restaurant – Orange Jun 2005 to Dec 2006

Maintained high standards of customer service during high -volume fast paced operations. Handled currency and credit transactions quickly and

accurately. Manage inventory and ordering stock. Took initiatives to find extra tasks when schedule d duties were completed

Education

Diploma in Medical Billing and Coding

United Education Institute -Anaheim, CA

Business Administration

Fullerton College- Fullerton, CA

Skills

Advanced user of Microsoft Office, Access, Outlook and Int ernet.

Medical Software: E-MD's, Med-Informatics, MediSoft, Medicin, Electronic Health Record System.

Extensive experience with ICDPCM/RVS, CPT Coding, CMS-1500 Forms, HCPCS Modifiers, PPO, HMO, Medical Terminology, Medical,

Medicare, Worker Compensation and Transcription.

Type 65 wpm, 10 key by touch

* The above given information is authentic and true to the best of my knowledge . *

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