Medical Health Insurance

Email: ***********@*****.***

Cell Phone: 404-***-****

Miriam M. Green

Professional Profile: Over six years of medical office experience in a healthcare environment.

Summary of Skills and Qualification:

• Implementing policies in a health care establishment

• Ability to coordinate, and work within a diverse academic/healthcare community

• Competent at monitoring, trouble shooting, and handling Credentialing matters.

• Assist staff and co-workers of duties associated with billing, coding, claim submission,

• Knowledge of medical terminology, health insurance policies

• Knowledge of medical software OSA GOLD, GHP, WEB MD, ICD-9 and CPT codes

• Knowledge of government regulatory policies and procedures (HIPPA)

• Ability to utilize critical thinking skills to identify problems, initiate corrective action while looking for

solutions

• Ability to analyze complex medical records, abstract and compile data to identify billable services

• Ability to conduct informative meetings with physicians & staff on coding, documentation and

reimbursement issue

Work Experience:

2010 - Present H&R Block Decatur, GA.

Tax Professional I

• Prepares income tax return forms for individuals and small businesses

• Reviews financial records, such as prior tax return forms, income statements, and documentation of

expenditures to determine forms needed to prepare return.

• Interviews client to obtain additional information on taxable income, deductible expenses and

allowances.

• Computes taxes owed, using TPS software, Peoplesoft software and completes entries on forms,

following tax form instructions and tax tables.

• Consults tax law handbooks or bulletins to determine procedure for preparation of atypical returns.

Occasionally verifies totals on forms prepared by others to detect errors of arithmetic or procedure.

2009-2010 NB Express Trucking Co. Decatur, GA.

Dispatch

• Research broker sites for freight that’s compatible to drivers location

• Mapquest location/destination of freight to record miles

• Call Broker to negotiate price of freight and record weight of freight

• Once price is agreed I accepted and confirm load with broker

• Receive, Sign and Fax back all carrier packages to Brokers

• Call driver to assign freight & give description, pick-up/drop-off, payment, weight of freight

• Scan and enter all data into computer file and file all faxed copies

• Preformed all account receivable/ account payable details

Accomplishments:

• Helped company save on fuel, by booking freight outer the same location of driver final destination

• Created a carrier package and marketing material for NB Express

• Helped with getting long term routes with Brokers

• Developed a filing and tracking system

2005- 2009 Morehouse School of Medicine Atlanta, GA.

Billing Coordinator 1 Pediatrics Dept.

• Code diagnosis procedures

• Data entry of all coded claims

• Denial management (resubmit denied claims in timely manner to insurance company)

• Prepare various reports for tracking billing submissions

Accomplishments:

• Helped identify reason for lose of revenue and initiate solution.

• Helped Pediatrics department meet its 2006 revenue goals

• Helped coordinate specialty clinic at Huge Spalding Children Hospital

• Trouble shoot problems within the IDX system and pass that information on to help desk to assure a clean

claim

• Developed a filing and tracking system for older filed claims to be recovered easily.

•

2004-2005 United Credit System Atlanta, GA.

Medical Billing/Collection Specialist

• Reviewed and billed medical claims

• Collected on self pay claims for Grady, Emory and Morehouse Patients

• Follow up on unpaid claims

2003-2004 Intracorp, (Cigna Healthcare) Atlanta, GA.

Medical Claims Processor

• Reviewed medical notes and assign IDD-9 codes to medical claims

• Identified Workman’s comp. and Med- Risk claims

• Processed at least 250 claims a day

2003-2003 Veterans Medical Center Decatur, GA.

MCCR Medical Care Cost Recovery

• Verified health insurance information

• Assist patients with changes to their demographic information

• Followed up with insurance company and verified all paid claims

Education:

HS Diploma /1991 Douglas McArthur North

ICD9-CPT/Coding Certificates / 2003 National Healthcare Assoc., Atlanta, Ga.

Certified Tax Preparer/2010 H&R Block

Software:

Excel, Microsoft Word, Word Perfect, Power Point, TPS, People Soft

Community Service: Woman’s Shelter, Atlanta, Ga.

Reference: Available upon request

Contact this candidate