Quality Assurance Data Entry

** ** * * * F F AV E N O R T H L A S V E G A S, N V 8 9 0 3 2

P HO NE NUM B E R 754-***-****

E M A I L A D D R E S S B A BY G I R L 0 8 2 4 0 2 @ YA H O O . C O M

YO L A N D E H E N L E Y

OBJECTIVE

To obtain a position where my skills and work experience will contribute towards

company goals and objectives.

KNOWLEDGE

CMS UB04 Forms All Office Machines

Insurance Verification Medicare Guidelines

CPT & ICD 9 Coding HIPAA Regulations

Direct Data Entry (DDE) Medical Office Procedures

EMPLOYMENT

3/2007 10/2010 DaVita Irvine, California

Patient Account Representative

Electronic and manual billing using UB04 and CMS 1500 forms, filing, preparing

packages for shipment and employee pick up, data entry, conducting calls to payers

disputing payments, Compiling applicable information and sending payer appeals, facility

liaison, treatment auditor, keying claims in payer web portals, contract reviewer, claims

distributor, review patients account to ensure payers have processed and paid claims per

contract, claims auditor, create treatment reports for weekly and monthly audits, create

reports for monthly A/R audits, review and implement policies per the SOX guidelines,

creating A/R correspondence for patient records, overseeing the implementation of yearly

contract changes, insurance verification, obtaining appropriate authorizations, conducting

individual patient education secessions, submitting and correcting claims to through the

Direct Data Entry (DDE) system.

7/2005 11/2005 BCC Financial Oakland Park, FL

Medical Biller & Quality Assurance Liaison

Data entry of patient and client information, electronic and manual billing using CMS

1500 and UB92 forms, correcting CPT 4 and ICD 9 codes for rebilling to ensure proper

payment, Medicaid billing, tracking Medicaid authorization, conducting contractual

refunds to patients and insurance companies, conducting business to business phone

calls, insurance verification, distributing mail, operating multi line phone, retrieving

patient files, filing, posting payments, creating correspondence for clients, preparing

packages for pickup and employee distribution, performing quality assurance checks,

generating quality assurance reports, conducting all office duties from home.

10/2004 6/2005 CAREERXCHANGE HIPA Hollywood, FL

Referral Processor

Medical coding using current ICD 9 and CPT codes, data input specialty referral

forms, retrieval of patient files, patient insurance eligibility verification, data input

patient information, prepping patient files to be scanned, creating correspondences for

providers.

7/2003 9/2004 Physician Automated Billing Service Sunrise, FL

Medical Biller & Collector

Data input patient information, using proper coding ethics to ensure on time payment

of claims, produce CMS 1500 forms, posting E.O.B payments, worked denied claims,

patient collections, answered multi line phone, worked aged reports to resolve problem

accounts.

EDUCATION

2009 Present University of Phoenix Online

Pursuing an Health Administration Degree

2003 2004 Concorde Career College Lauderdale Lakes, FL

Insurance Coding and Billing Specialist, Diploma

1998 2001 Piper High School Sunrise, FL

High School Diploma

REFERENCES

Available Upon Request

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