Customer Service Medical Billing

**** **** **** ***** **** FAHMY 732-***-****

SOUTH BRUNSWICK, NJ *************@*******.***

08852

EDUCATION

University of Maryland Baltimore Baltimore, MD

County (UMBC)

Bachelor of Arts Health Dec 2005

Administration & Policy

Relevant Coursework: Study of the United States Health Care System,

Bioethics, Environmental Health Policy and Practice, Human Development

Implications for Health and Disease, Health Care Organization and Delivery,

Health Planning and Administration, Accounting, Technical Writing,

Financial Management and Decision Support for Health Services

Organizations, Health Economics, and Management.

WORK EXPERIENCE

Gentle Care Home Services Piscataway, NJ

Billing/Receivables Specialist & April 2011- Present

Payroll Processor

. Reviewing unpaid accounts to determine status and taking appropriate

action to ensure payment.

. Reviewing all claims for compliance and completeness for claims

submissions.

. Contacting payers, via website, phone and/or correspondence, regarding

reimbursement for unpaid accounts over thirty (30) days or more, by

researching and following up on denials and requests for additional

information. Including contacting patients as needed to collect

appropriate information or to collect patient balances.

. Experienced in medical billing, accounts receivables, and collections

within a healthcare, homecare and insurance environment.

. Knowledge of HCFA 1500, easy claims, Medicaid billing, veteran

programs, insurance companies (Liberty Mutual, Blue Shield/Blue Cross,

Molina Healthcare, etc.), DME and private pay.

. Possess quick and accurate Alpha/numeric data entry skills

. Understand the requirements of Medicaid, Medicare and Insurance

billing

. A self-starter, with ability to work well as part of a team and

independently

. Exhibit excellent work ethic and commitment to job responsibilities

. Strong customer service skills

. Checking client authorization against employee timesheets, process

timesheets and apply hours worked onto a spreadsheet for payment.

Maxim Healthcare Services Columbia, MD

Reimbursement Specialist - Homecare September 2010 - February 2011

. Reviewing unpaid accounts to determine status and taking appropriate

action to ensure payment.

. Reviewing all claims for compliance and completeness for claims

submissions.

. Reviewing daily billing edit reports for electronic claims.

. Contacting payers, via website, phone and/or correspondence, regarding

reimbursement for unpaid accounts over thirty (30) days or more, by

researching and following up on denials and requests for additional

information. Including contacting patients as needed to collect

appropriate information or to collect patient balances.

. Process and post weekly revenue.

. Experienced in medical billing, accounts receivables, and collections

within a healthcare and insurance environment.

. Knowledge of HCFA 1500 and UB 92 coding

. Possess quick and accurate Alpha/numeric data entry skills

. Understand the requirements of Medicaid, Medicare and Insurance

billing

. A self-starter, with ability to work well as part of a team and

independently

. Exhibit excellent work ethic and commitment to job responsibilities

. Strong customer service skills

Long Fence and Home Columbia, MD

Marketing Supervisor June 2008 - May 2010

. Actively contributed to the growth and success of the

organization

. Number one producer and marketing telemarketer for over one year

. Generated and produced over $8 million in revenue

. Recognized repeatedly for outstanding achievements including:

Employee of the Month, Top Producer, and Top Media/Internet

Caller

. Directly managed and trained a team of 7 individuals

. Oversaw the production of my team making necessary adjustments

where needed

. Interviewed and hired employees

Daproza Agency of Allstate Insurance Elkridge, MD

Office Support Manager Sept 2005 - June 2008

. Conduct follow up calls for individuals requesting quotes

. Build quotes and mail them out to prospects

. Answer multi-line phones and take messages promptly and

efficiently

. Maintain all the files in the office, keeping them well

organized, updated and accurate

. Always provide stellar customer service for all clients and

potential clients

. Actively contribute to the growth and success of the agency

DISTINCTIONS & SKILLS

Technology Skills: Proficient in Peachtree and Microsoft Office Suite

including Word, Excel, Access, and PowerPoint. Also proficient in

electronic medical billing, Medicaid, HCFA 1500 and UB forms.

Languages: English, Arabic, French & some Spanish.

Personal Skills: Efficient at multi-tasking, always meet deadlines,

dedicated and hard worker, detail-oriented, creative, professional

demeanor, high energy, reliable, use good judgment, excellent communication

skills and solid organizational skills.

REFERENCES

Available immediately upon request.

Contact this candidate