Customer Service Medical

DORIS JOHNSON

PO BOX ***, LAVEEN, AZ

602-***-****, abjkx0@r.postjobfree.com

PERSONAL QUALIFICATIONS

. 5 years of medical billing experience

. Medicare, AHCCCS, Commercial Insurance Plans

. Multi-Phone System

. Customer Service Representative

EMPLOYMENT HISTORY

SOUTHWEST AMBULANCE - Medical Biller/Patient Account

Rep. 3/06 - 7/10

Contact the payer to determine the status of a claim and take

appropriate action based on the payer's response.

Work each denial as appropriate.

Submit corrected claims or appeals.

Request a Medicare hearing when appropriate.

Bill a supplemental payer, the customer, or adjust the account.

Request appropriate adjustments when required.

Process refunds to Medicare or commercial claim

Strong knowledge of Medicare guidelines as well as direct insurance

billing.

Handle all Medicare and AHCCCS, commercial correspondence.

TEMPORARY ASSIGNMENTS/AGENCY

ARIZONA MEDICAL IMAGING/Maximum Temp Service - Front Office

Coordinator 9/05 - 3/06

Perform front office duties including answering high-volume, multi-

phone system.

Retrieve patient medical results and forward to their Primary Care

Specialist, contracted/non contract.

Collect copay, work on A/R Accounts.

SUN AMERICAN - Sperion Temp Agency - Administrative

Assistant 4/05 - 9/05

Perform general office duties to include organization of legal

documents.

Sorted legal documents in numeric order in accordance with standard

operation procedures.

Initialized mailing preparation for submission to judicial systems.

Doris Johnson

Resume

Page 2

BRAILLE & TALKING BOOK LIBRARY - Randstad Agency - Shipping Clerk 3/05

- 4/05

Pulled tapes from inventory and shipped to customers who are

physically handicapped and blind.

DATA CENTER OF ARIZONA - TRC Agency - Mail

Clerk 11/04 - 12/04

Sorting and distributing incoming mail throughout the department.

FRENSENIUS DIALYSIS CENTER - Admission

Clerk 4/04 - 6/04

Verify eligibility and benefit coverage for patients preparing or

receiving dialysis treatment.

Call patient PCP to get referral or authorization for patient's

treatment in- or out-of-state.

SONORA QUEST - Accounts Finance Professional Agency - Medical

Biller 3/03

Laboratory received correspondent letter stating claim has been

denied.

Request four-digit code.

Call PCP for corrected ICD-9 diagnosis code.

Submit corrected claims to the contracted insurance provider.

MARICOPA COUNTY ATTENDANT - Patient Attendant Care

10/01 - 10/02

Prepared meals, housekeeping, assist in personal hygiene.

Transport patients to their doctors' appointments.

EDUCATION

Electronic Billing School of Las Vegas, NV

Certificate 2003

Institute of Business & Medical

Graduated 1992

South Mountain High School

Graduated 1973

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