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Medical Billing Insurance

Location:
Santa Rosa, CA, 95401
Posted:
May 10, 2011

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Resume:

Mia Trezza

Employment Hanger Totalcare ****-**

*0

Medical Collector

Processed in excess of 60 healthcare claims

per day

Respond to inquiries from providers on a

broad scope of coverage issues pertaining to

eligibility, coordination/explanation of

benefits, and payment schedules

Carefully research and review

individual/group claims exercising a strong

working knowledge of major medical plans and

leading healthcare networks

Proficiently utilize and collaborate with

Claim Review Department to expedite the

resolve of claim discrepancies and

insufficient information.

Acted as Professional Relations

Representative between the main office and

three regional locations to ensure the

timely and accurate processing of insurance

claims.

Pacific Pulmonary Services 2004-20

06

Senior Reimbursement Rep

Implemented an efficient follow-up system to

expedite the recovery of 30-day outstanding

payments from non-responsive insurance

carriers.

Reconciled outstanding balances and

incidents of returned claim checks from

Medicaid/Medicare.

Obtained proper documentation for CMN's from

physician offices to make charts compliant.

Gained a reputation for accuracy and timely

responses to requests, most frequently

requested associate by physicians and

attorneys offices to locate and process

charts.

Trained and supervised a billing team on

insurance claim processing and approval

procedures.

Springhill Medical Group 2002-20

04

Medical Billing Clerk

Processed computerized medical billing for

1,200 patients under private, No Fault, and

Worker's Compensation insurance plans.

Followed up with insurance carriers and

patients to expedite the recovery of payment

obligations.

Coordinated with hospitals to schedule

surgery times for four different doctors.

Walmart Pharmacy

1998-2002

Pharmacy Tech

Assisted pharmacist in filling prescriptions

Responsible for the stock and re order of

medication

Interviewed new/existing patients for

medical background / insurance information

and all private information pertaining to

the patient.

Received my Pharmacy Tech license

Education Western Career College 2000-20

AA Degree with a Medical Billing 02

Certificate



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