Customer Service Insurance
Resume:
CHERYL L. PEEFF
Lodi, CA **240
OBJECTIVE: To obtain a challenging, responsible and professional position with a progressive organization
offering opportunities for continued growth and advancement.
EDUCATION: WESTERN CAREER COLLEGE, Sacramento, CA
Medical Biller-Coder/Health Care Insurance Representative, Associate of Science Degree
REGIONAL OCCUPATIONAL SCHOOL, Pleasant Hill, CA
General Business Certificate
DIABLO VALLEY COLLEGE, Pleasant Hill, CA
General Business
SKILLS: Medical Terminology CPT/ICD-9 Coding Dental Terminology
Claims Processing Typing (75 wpm) Data Entry
Microsoft Word Third Party Collections MediSoft Windows
Managed Care Medicaid/Medi-Cal Medicare
Computer Billing Dental Insurance 10 Key (11,900 phr)
Disability/Workers Comp Hospital Billing FSI-Pharmacy Billing
Microsoft Excel Evaluation & Management Anatomy
WORK EXP: 2009-2010-Filled in for temporary job for anesthesia billing and pain management. I am currently
enrolled and a member of the American Academy of Professional Coders to obtain Certification as
a Certified Procedural Coder (CPC).
2003-2008-DAMERON HOSPITAL-LINACIA PHARMACY-Ensure compliance (HlPPA) with
applicable billing policies and procedures relating to all Third Party, Workers' Compensation and
private accounts. Maintain thorough knowledge and understanding of NDC number and Medi-
Cal pharmacy fee schedule. Appeal insurance for correct payment. Reduced workers
compensation outstanding billings from approximately 115,000.00 to approximately 25,000.00.
Deposit all payments received to the correct general ledger account Compile batches for posting
account receivables. Balance daily pharmacy register. Report to hospital all financial transactions.
Excellent communication with doctors and hospital co-workers. Responsible for drug invoicing
and credits including retail purchased items. Review employee co-payment and deductible for
correct insurance code and charges. Maintain up-to-date insurance matrix for pharmacy
employees. Resolve computer problem (or potential) directly with computer software company.
2000-2003-ANESTHESIOLOGIST ASSOCIATES INCORPORATED-Walnut Creek, CA
Medical billing, calculate anesthesia rates, appeal insurance company payment, including
Medicare, Medi-Cal, Medicaid, Workers Compensation, Managed Care and Capitation. Daily
documentation of all incoming telephone calls, correspondence from patients, insurance
companies and providers to the appropriate patient account. Submit adjustment, refund and
collection journals to the payment department. Transfer of funds to other accounts, this includes
recouped payment from providers. Strong customer service for resolution of patient accounts. Full
understanding of ASA, CPT/ICD-9 and modifiers. Organization of provider's contracts and
termination date. Negotiate insurance proposals for physicians. Recognize trends to correct errors
in billing and collections.
DAVID GRANT MEDICAL CENTER-Travis Air Force Base, CA Assisted in CPT/ICD-9
coding/Third Party Collection Office/compiled computer billing
KELLY SERVICES- Fairfield, CA Solano County Treasurer's Office/Mr. Charles Lomeli
Calculation of daily incoming department funds. Endorse checks/deposits. Solano County Superior
Court Traffic Division/Mrs. Jill Rameriz/Assist public with traffic violation procedures. Schedule
court appearance appointments/file traffic violations.
STATE COMPENSATION INSURANCE FUND-Word Processor, invoicing, allocation of District
funds customer service for rehabilitation patients.
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