Customer Service Medical

RACHEL WORREL

**** *. ****** #* *******, CA ***02 CELL PHONE 714-***-****

email:********@**********.***

OBJECTIVE

Seeking a position as a Medical Billing/Collections within an organization

in the health care industry where my skills will be effectively utilized

and that will offer me an opportunity for growth, development, and career

advancement.

QUALIFICATIONS

. Experienced 15 years in all areas of Medical Insurance Billing i.e.,

coding, and AR management

. Certified Medical Coder CPT and ICD-9 coding

. Bilingual/ Spanish

. Ten key by touch 12,000 kph\ Typing/ 45 wpm

. Outstanding oral and written communication skills

. Extensive knowledge of PPO's, HMO's, Medicare, Worker's Compensation

. Auditing accounts, understanding EOB's, effective appeals,

negotiations

. Strong ability to multitask

. Work well both independently or with a team

. Excellent at interpretation of insurance contracts

. knowledge of Excel and MS word

. Systems used: ELLIGENCE, CENTRIX, QSI, SMS, IDX, EXCEL, WORD, MEDICAL

MANAGER

PROFESIONAL EXPERIENCE

BILLING SAVI

. Medical Practice Manager

2005-2009

Manage doctor accounts; client/patient liaison doctors include

Plastic Surgeon, Anesthesiologist, and Orthopedic

Surgeon, Internal Medicine run and analyze reports and find

trends, Reconcile

Month end payments, One on One with Insurances regarding

underpayments (contracting vs. non contracting

and fee negotiations), bilingual translation, audit accounts,

payment posting, data entry, appeals, coding

CHEST AND CRITICAL CARE CONSULTANTS

. Medical Reimbursement Specialist

2004-2005

Front and back end collections for multiple Pulmonary and

Hospitalists. Multiple clean up projects

tracking with excel spreadsheets. Appeals, capitation

contracts, case rate contracts,

billing and collections on all HMO account

types. Client customer service, Bilingual translation,

general office duties.

REVCARE

. Medical Biller/Collector/Implementation Specialist

1999-2004

Front/Back end collections for multiple hospitals and physicians

groups, train others on systems/

collection procedures, payment posting, charge entry,

client/customer service, bilingual translations,

general office duties.

CMCS BILLING SERVICE, FULLERTON

. Receptionist, Medical/Biller/Collector, Payment Poster

1998-1999

Generate/work collection reports, payment posting, mail

correspondence,

HMO, PPO, Medicare/Medi-cal billing, Work comp, general office

duties, answer phones, verify

insurance information, interpret EOBS work denials, suspends,

and bilingual translations

Children's Hospital of Orange, ORANGE, CA

1998-1998

. Externship

Burst and separated bills; edited claims both HCFA and UB92's;

Correspondence; finding

requesting medical information for EOB'S;

Insurance/Authorization verification. Computer

programs used: Word, Excel, Premis, FMS and others. Worked hands

on 10-key.

EDUCATION

AAPC Coding Class, Cypress, Ca

. Certified Professional Coder

2003-2004

Newbridge College, Santa Ana, CA

1997-1998

. Medical Billing and Office Management Diploma

Concorde Career Institute, Anaheim, CA

1996-1997

Medical Assistant Diploma

Professional References and Additional Employment History

Available Upon Request

Contact this candidate