Medical Customer Service

CASSANDRA J. CHAMBERS **** Justice Lane * Converse, TX 78109 * (210) 363-

**** ************@*****.***

OBJECTIVE

Many years of experience in medical and administrative support services,

providing exceptional levels of professionalism, customer service,

performing collection functions, medical billing and processing of medical

claims. Seeking a professional position in health care industry where

skills and abilities can be fully utilized and enhanced.

Summary of Qualifications

IDC-9 & CPT Medical Insurance Coding . Electronic Billing . Insurance

Claims Processing . Collections . Cash Handling . Data Entry & Retrieval

. Medical Terminology

Microsoft Word, Excel and PowerPoint . Emds . Orchid . Availity . WebMD .

SAM. Healthwyse Advantx . Citrix1 . Amkai . Medical Manager 9.2

3M CCE, CHCS and AHLTA . Internet Research . E-mail Communications

Professional Experience

Billing Specialist

Dr. Rogers Wellness and Weight Loss 2/09 -

8/10

Enter daily charges, post insurance and patient payments, make sure

provider credentials are up to date, Submit electronic & manual claims

daily; work any rejections from immediately and resubmit. Appeal claims;

make sure we are getting reimbursed our contracted rate from insurances.

Maintain all outstanding A/R for various insurances and patients accounts.

Document every task and call to each account. Prepare, review and mail

patient statements monthly. Assist front desk with check in and check out

processes.

Lead Billing Specialist

Foundation Surgery Affiliates

4/07 - 8/08

Enter daily charges, post insurance and patient payments, run daily and

weekly reports for accuracy at each San Antonio, TX location. Provide

physician and other providers with monthly reports. Maintain all

outstanding A/R for various insurances and patient balances. Document

every task and call. Work closely with our corporate staff, assist

patients with calls and statements. Briefing patients on their in and out

of network benefits. Assist front desk with check in and check out

processes. Resubmit any denials in a timely manner, balance and prepare

daily deposits

Coder Coach 10/05 -

6/06

TMI Management, Inc.

Perform various auditing duties related to physician practice management

and coding to maintain compliance with payer reimbursement policies and

government regulations as well as Medicare/CMS guidelines. Review and

assign CPT and ICD-9 codes for third party encounters. Coach Staff

Physicians, Resident, Interns, Physician Assistants and Nurse Practitioners

in the General Surgery Clinic at Tripler Army Medical Center on better

documentation to increase RVU's within the MTF,

This also includes ED coding, Consults, Observation and Inpatient Rounds

Encounters.

Billing Specialist

3/05 - 10/05

TMI Management, Inc.

Submitted claims via TPOCS to various insurance companies, verify ICD-9,

CPT & HCPCS codes, insurance coverage and updating insurances, request and

attach medical records if needed, separating clinic visits from

lab/radiology visits.

Vantage Med Hawaii 7/04 - 3/05

Medical Accounts Manager

Register and update patient information. Enter charges into several

databases, making sure ICD-9 codes and CPT codes are linked accordingly to

show medical necessity. Submit electronic and manual claims to various

insurance companies, post payments, work denials and follow ups as needed.

Prepare and send patient statements. Assist with patient calls and

resubmissions of claims when necessary. Prepare daily deposits.

Beneficiary Service Representative

7/00 - 5/04

Health Net Federal Services

Provide accurate oral and written communication with inquiries from

providers and beneficiaries about the Tricare programs, including

enrollments, benefits, referrals and authorization process. Assign

providers; coordinate the reconciliation process for beneficiaries'

claims/collections issues. Document all communications pertaining to

beneficiaries or providers.

Education

Kapiolani Community College, Honolulu, HI

Professional Medical Coding

2005

National Education Center, New Orleans, LA

Medical Assistant

1990

References: Available upon request

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