Insurance Medical Billing
Resume:
Sandra Moyers
Colorado Springs, CO 80908
719-***-**** *********@***.***
Skills Summary:
Talent for quickly mastering technology
Experience in Microsoft Word, Excel spreadsheets, MS outlook
PMIS Time Management, File net, WDS System
SSI Click On System, electronic billing experience, large volume accounts
Multi-line telephones, Fax, Printers and 10 key
Front office operations
Strong organizational skills: attention to detail.
Maintains strictest confidentiality
Experience:
11 years of medical billing and hospital claims
3 years of front desk, scheduling, and insurance billing
3 years of dental claims processing
Collections, insurance and patient follow up
Adheres to all HIPAA guidelines/regulations
Able to work independently and a cooperative team member
Knowledgeable of various insurance plans including Tricare and Tricare for Life
Professional Experience:
Patient Financial Service Rep Surgery Center at Prints Park Colorado Springs, CO
2010 - 2010 Accountemps Assignment
Collections, insurance follow up. Patient payments, and inquires.
Answer all information requests from payers, follow up on insurance rejections, and
submit claims to secondary insurers. Calculate the precise patient responsibility portion
to be billed, and respond to patient queries.
Dental Claims Rep II WellPoint Anthem Colorado Springs, CO
2006 – 2009 laid off due to downsizing
Reviewing claim information for accurate claims adjudication, determine the specific
level of coverage and utilizing multiple systems to access and record claim information
needed to make accurate payment decisions. Review, analyze and process claims in
accordance with claims policies and procedures. Understanding of multiple products of
HMO, PPO, and COB’s. Key in and process claims.
Patient Financial Service Rep Memorial Hospital Colorado Springs, CO
1994 - 2006
Submit claims to government agencies, medical service bureaus and insurance
companies. Answer all information requests from those payers, and trace all claims to
those payers making sure they have been paid or denied appropriately and in a timely
manner. Follow up on insurance rejections, submit claims to secondary insurers calculate
the precise patient responsibility portion to be billed, and respond to patient queries. Act
as a resource to physicians, provider administrators and patients regarding health
insurance claim policies, procedures and requirements. Maintain confidentiality and
protect sensitive data at all times. HIPAA Compliant.
Billing Coordinator Health Network Centers Colorado Springs, CO
1994-1998 Memorial Hospital Affiliate
Process fee for service billing in an accurate and timely manner. Accurate data entry of demographic
information, charge entry, posting receipts and adjustments. Assign CPT-4 and ICD-9 codes as
appropriate. Established and maintained a professional working relationship with all staff and physicians.
Knowledge of various insurance plans. Collected co-pays and deductibles as indicated by third party
payers. Assist patients with billing problems.
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