Insurance Medical Billing

*** ******** **. **. **********,al *****

334-***-**** abjn17@r.postjobfree.com

Veronica wilson

objective

To excel beyond my greatest extent in my career.

Experience

****-******* *******ans Professional Management. Mtg, AL.

Insurance Specialist

* Researched denied claims and resolved them

* Typed appeal letters and submitted re-determination forms

* Communicated with insurance companies and patients daily

* Worked A/R, refund, and bad debt reports monthly and electronic

mail daily

* Occasionally communicated with provider relations reps to help

resolve issues and reported issues to insurance commissioners of

different states

* Re-filed electronic and secondary claims as necessary

* Reported issues to upper management pertaining to claims

processing such as guidelines changes and changes that need to be

made to the system

* Attended continuing education meetings

* Researched guidelines of Medicare, Medicaid, Commercial, and Workers'

Compensation programs for changes

2004-2006 Baptist South Medical Center Montgomery, AL.

Patient Registration Specialist

* Admitted patients to the hospital for outpatient and inpatient

services

* Verified insurance and collected payments from patients

* Practiced HIPPA and JACHO regulations and customer quality customer

service

* Interacted with nurses and doctors and other clinical staff on a

regular basis to maintain quality of patient care and effectiveness

of great healthcare

* Trained new employees

* Attended continuing education seminars on-line or on site

2002-2003 Aetna US Healthcare Alpharetta, GA.

Inbound Queue Associate

* Received inbound calls from providers and members for pre-

certifications

* Verified that referrals were on file for procedures and put in

referrals for special services

* Authorized certain inpatient and outpatient procedures

* Tracked requests and created cases to expedite these urgent requests

for members

* Practiced problem-solving skills with extensive quality customer

service

2002-2002 Receivables Process Management Alpharetta, GA.

Patient Account Rep-Externship

* Verified EOB's/RA's and posted codes and cash on accounts

* Updated and verified patient information

* Tracked payments and sent out balance due letters

* Problem-solved and followed up on claims that have not yet been

paid

2001-2002 Windsor Auto Alpharetta, GA.

File Administrator

* Located and made microfiche and paper copies of files for customer

service reps

* Prepared, entered, and reviewed system maintenance records

resulting in up to date records

* Prepared files for the filming and loading department

* Audited files regularly and researched old or lost files and made the

necessary corrections

* Trained new employees

2000-2001 Norrell Temp Agency Montgomery, AL.

Data Entry Clerk

* Inputted approximately 65-80 customers' orders per day

* Reviewed clients' contracts and made sure they were correct and in

order

* Organized and maintained customers' files in an alphanumerical

order

* Made sure invoices and orders had the correct billing address

1999-2000 AUM Library Montgomery, AL.

Student Assistant-Government Documents Department

* Advised new and continuing students on the materials in the library

and how to access needed information

* Located and presented research information and helped students and

patrons with materials

* Processed government documents and other circulating and non-

circulating materials

* Completed other office duties including typing, copying, and faxing

as well as used different computer programs for research

* Trained new assistants

Education

1997-2007 TU/ASU/AUM Tuskegee/Montgomery, AL

Bachelor of Science in Biology

2002 National Institute of Technology Atlanta, GA.

Diploma in Medical Billing and Coding

REFERENCES

Available upon request

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