Customer Service Medical
Resume:
LESLIE N FEARBRY
PITTSBURGH, PA 15220
Primary Phone: 412-***-****
Cell Phone: 412-***-****
Email: *******@*****.***
EXPERIENCE
Maxim Healthcare Services/CVS Caremark - Monroeville, PA 12/14/2009 -
04/30/2010
AR Specialist/Collections
Resolved patient accounts in pharmaceutical accounts receivable department.
Pressley Ridge - Pittsburgh, PA 12/25/2008 - 12/13/2009
Awake Over Night Counselor
Redirecting children with mental and behavioral health back to bed during
the night and also
assisted with daily living activities.
UPMC Health Plan - Pittsburgh, PA 04/16/2007 - 12/31/2007
Outreach Representative
Made out-going calls in Medical Management Department to Medicare members
with Asthma
and Diabetes to offer educational information and enrolled interested
members in the disease
management programs, sending literature and making referrals for other
programs involved
with their particular disease.
UPMC Presbyterian Hospital/UPMC Temp Services - Pittsburgh, PA 02/19/2006 -
02/01/2007
Abstractor
Entering data from patients medical record into EPIC system such as patient
problem list or
diagnosis, medications, allergies and abstracting and scanning medical labs
and/or diagnostic
test results in the Out-patient Cardiology department.
Gateway Health Plan - Pittsburgh, PA 11/04/2002 - 08/10/2005
Pharmacy Member Service Representative
Answering calls at a medical assistance HMO company in a high call volume
pharmacy
department assisting members with pharmaceutical issues pertaining to
pharmacy benefit
coverage, medication coverage, filing complaints and grievances for denials
and also follow up
calls on pharmacy denials.
Various positions as a Certified Nursing Assistant from 4/27/2001 -
3/11/2002
Allegheny Personnel Services/ Highmark - Pittsburgh, PA 01/01/2001 -
04/01/2001
Medical Claims Processor
Posted payment, processed claims, and entered new claim for their Worker's
Compensation
Dept.
Physicians Billing Solution /Dr. Robert Edwards & Assoc - Pittsburgh, PA
08/01/2000 - 12/01/2000
Medical Receptionist/ Medical Biller
Responsibilities included appointment scheduling, registration, insurance
verification, medical
terminology, ICD-9 and CPT4 coding, charge entry, HCFA 1500 claim
submission, processing
EOB s, payment posting, and basic accounts receivable follow-up.
Mellon Bank - Pittsburgh, PA 6/1/1996 - 9/1/1999
Teller/ Customer Service Representative/ATM Coordinator
Performed all aspects commensurate with customer service in full service
financial institution.
EDUCATION
CCAC 05/25/2001 - 06/25/2001
Pittsburgh, Pennsylvania
Attained other Post-Secondary or Certification
Major: Nursing Assistant
PBSI/ Physicians Billing Solutions Inc. 07/28/2000 - 08/01/2000
Pittsburgh, Pennsylvania
Attained other Post-Secondary or Certification
Major: Medical Billing Training
ICM School of Business 01/02/1995 - 04/16/1996
Pittsburgh, Pennsylvania
Attained other Post-Secondary or Certification
Major: Business/ Accounting
CERTIFICATIONS AND LICENSES
Medical Coder/Claims Processing issued by PBSI, Inc.
Certificate in Medical Billing, CPT ICD-9 Coding, Claims Processing
CNA issued by CCAC-Downtown
Certified Nursing Assistant
REFERENCES: Available upon Request
Contact this candidate