Insurance Medical

Sherry D. Coleman

Cell Phone 202-***-****

Home Phone 202-***-****

Washington, DC 20018

v SUMMARY

Possess strong organizational, analytical, interpersonal and

leadership skills. Self motivated with creative talents for

troubleshooting and resolving complex problems and escalated

issues.

v WORK HISTORY

2006 - 2010 Caregiver

Carried out daily household duties, such as cooking and cleaning;

assisted in accomplishing daily tasks such as bathing,

clothing and eating. Provide transportation to doctor's

appointments, errands to pharmacy, post office, and shopping

for food products.

2004 - 2006 Medical Biller / Collections, Hobart West Solutions-

Providence Hospital, Wash., DC

Duties included billing DC Medicaid and

follow-up of assigned accounts. Researched explanation of

benefits to ensure payments were applied to the correct date

of service. Verified status of provider credentials and

assisted patients with explanations of their bills and/or

contacted their insurance companies for resolution. Partnered

with management to research and prepare information for

internal and external meetings with providers and insurance

companies. Negotiated settlements, processed appeals, self

pay and PIP accounts.

2002 - 2004 Billing and Collection Specialist, The Center for

Cancer, Rockville, MD

2000 - 2002 Senior Medical Biller / Collector, Neurology Center

and Associates, Silver Spring, MD

Duties included billing and collections of

Medicaid, Medicare, HMO and other lines of business to ensure

prompt payment of claims. Contacted patients and insurance

companies to ensure accuracy of information prior to updating

the company computerized accounts. Maintained contact

clients to resolve delinquent accounts in a timely manner.

Communicated to team departmental changes to ensure the

accuracy of established policies and procedure and provided

training to new hires.

1999 -2000 Accounts Receivable Biller, Metropolitan Radiology Associates,

College Park, MD

1998 -1999 Accounts Receivable Collector, Nascott

Rehabilitation Services, Silver Spring, MD

Performed daily billings to various insurance companies to

include Commercial, Medicare, Medicaid, HMO, PPO, POS and MCO

accounts. Responsible for written and verbal appeals,

prioritized accounts based on weekly aging reports to ensure

departmental and company goals. Contacted insurance companies

to ensure the accuracy of benefits and stated coverage.

Obtained pre-authorization for services rendered. Performed

patient account inquiries and mailed medical necessity

certificates to providers and insurance companies.

1995 -1998 Medical Biller, Apria Healthcare, Beltsville, MD

Downloaded HCFA-1500 forms via the ACIS database. Researched

and posted claims for services and supplied codes to ensure

compliance with the current JCAHO standards. Performed daily

verification of payments and communicated with patients

regarding status of services listed on their claim forms.

Researched database to verify pre-existing conditions and/or

denied claims. Contacted insurance carrier to review

coverage and resolve denied claims. Resubmitted claims to

insurance companies if needed.

v EDUCATION

Certificate of completion in Secretary Information

Processing - Temple Business School

High School Graduate

v SKILLS

Windows (98, XP, Vista, 7), Microsoft

Office XP, POSI, THIN, Medical Terminology,

ICD-9, CPT-4 and HCPCS coding, INGENIX, UB

Editor, ACIS, JCAHO

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