Customer Service Medical Billing

Shelly E. Shaw

**** *. ********* **. ****** CO **013

Home: 303-***-****, Cell: 720-***-**** *******************@*****.***

Seek the Challenging Position of Billing Clerk

A highly talented Medical Billing Clerk with huge experience in performing a variety of complex clerical and accounting functions for patient billing, including verification of invoice information, maintenance of third party billing records, and resolution of variety of problems; following up on submitted claims and patient billing; resubmitting claims and resolving problems.

Summary of Qualifications

• More then ten years experience.

• Strong ability to interact an communicate with people over the telephone, often in stressful situations.

• Uncommon ability to use independent judgment and to manage and impart confidential information.

• Remarkable ability to communicate effectively, both orally and in writing.

• Thorough knowledge of medical insurance claims procedures and documentation.

• In-depth knowledge of medical billing procedures – submission of insurance claims, Medicare, Medicaid and other private insurance carriers.

• Considerable data entry and word processing skills.

• Enviable ability to verify data input and correct errors.

• Excellent records maintenance skills.

• Strong ability to gather data, compile information, and prepare reports.

• Excellent knowledge of medical terminology and customer service skills.

• Excellent knowledge in using all manuals to perform proper billing.

• Remarkable experience with Microsoft Office suite, Word, Excel, Outlook.

• Great typing skill - 40 words per minute.

• Strong ability to efficiently and effectively perform ambulance billing activities.

• Exceptional ability to prioritize work to meet goals and objectives within acceptable time frame.

Professional Experience

CPR Inc., Aurora, CO 2006-2008

Office Manager/Medical Billing Clerk

• Process billings to patients and third party reimbursement claims.

• Maintain supporting documentation files on employees and current patient addresses.

• Process patient statements,employee payroll, key data, post transactions, and verify accuracy of input to reports generated.

• Research and respond by telephone and in writing to patient inquiries regarding billing issues and problems.

• Follow up on submitted claims.

• Monitor unpaid claims, initiate tracers.

• Resubmit claims as necessary with proper documentation.

• Receive and receipt cash items and third party reimbursements

• Post and reconcile payment to patient ledgers, employee ledgers.

• Balance daily batches and reports; prepare income reports and statistics.

• Distribute reports; hold general meetings.

• Maintain patient and employee demographic information and data collection systems.

• Participate in development of organization procedures and update forms manuals.

• Perform a variety of general clerical duties, including telephone reception, mail distribution, and other routine functions.

• Assist in preparing documentation and responses for legal inquires, litigation, and court appearances.

• Ensure strict confidentiality of financial records; employee records.

• Perform miscellaneous job-related duties as assigned.

Account – Information Clerk

• Kept accounting records and compiled information requested by customers and others pertaining to customers; patient and employees.

• Kept records and prepared report of meters registering use of gas or electric-power, showing results of investigations and amounts recovered or lost

• Prepared lists and entered charges and payments to customers; patient accounts for losses, additional deposits special and irregular charges

• Kept records of overpayment on customers' and patient accounts.

• Applied overpayment to charges on customers; patients accounts and prepared voucher for refunds.

• Investigated incorrect billings due to charges or credits on customers' patient accounts and prepared written instructions for correction.

• Reviewed accounts not billed and prepared bill form available information.

• Entered information in meter books which was received to late for billing, such as meter test reports and missed meter readings.

• Prepared lists of special billing instructions, incorporating charges shown on customers; patients accounts.

• Prepared and mailed duplicate bills as requested.

• Interview customers, employees and others in person and by telephone to answer inquirer and complaints pertaining to bills, customers' deposits and employee concerns.

Education

Bryman Medical School, Utah

Medical Secretary Certificate

Employment

1992-2006

San Diego California

Quaker-town Pennsylvania

Certificate\ Letters of Recommendations

Medi-Cal Training

PPS/Consolidated Billing

6 Letters

Contact this candidate