Insurance Medical

Jessica R. Beardsley

**** *** ****

Bakersfield, CA 93311

Phone: 661-***-****

Email: ************@*****.***

OBJECTIVE: To obtain a profession that provides a stable environment with room for personal

g rowth and knowledge expansion while contributing my strengths to the company.

EDUCATION

2003-2003 General Education Degree, Santa Fe Community College

2003-2005 Basic Studies, Santa Fe Community College

EMPLOYMENT

August 2010 – Current R evenue Representative, Pacific Pulmona ry

D uties included working aging, being responsible for my own center,

working with insurance

Companies, entered EOB’s, prescriptions, CMN’s, and L MN’s, worked

on billable claims

Having to know the knowledge of CPT codes, diagnosis codes, and

modifiers.

March 2010-June 2010 C ustomer Service Representative, Verizon Wireless

D uties included conferred with customers by telephone or in person in

order to provide information about products and services, took orders for

new lines of service, canceled accounts, obtained complaints, kept records

of customer interactions, commented on actions taken, resolved customers’

service or billing complaints by performing activities such as exchanging or

refunding money, adjusted bills, opened and closed cash registers, counted

money, separated charge slips, t roubleshooting mobile phones, and

recommended, selected, and helped locate or obtain merchandise based on

customer needs and desire. (Relocated to Bakersfield, CA)

September 2006-October2009 B illing Specialist, P resbyterian Medical Services

Duties included operating telephone switchboard to answer, screen, and

forward calls, taking messages, scheduled appointments for up to 80

p roviders, greeted persons entering establishment, determined nature and

purpose of visit, heard and resolved complaints from customers and public,

f iled and maintained records, provided information about the

establishment such as location of departments or offices, employees within

t he organization, or services provided, reviewed work done by others to

check for correct billing codes, composed company wide e-mail and reports,

used Word, Excel, and company medical programs, trained 100 employees

on new computer software, helped IT department repair department

hardware, operated office equipment such fax machine, copy machine,

scanner, insurance card scanner, and medical record scanner, used

software to prepare spreadsheets, reports, invoices, financial statements,

letters, and medical records, completed insurance and other claim forms,

i nterviewed patients to complete documents, case histories, and forms such

as intake and insurance forms, verified accuracy of billing data and revised

any errors, prepared itemized statements and recorded amounts due for

i tems purchased, contacted customers in order to obtain or relay account

i nformation, performed insurance/billing clerical duties, including review

and verification of patient account information against insurance program

specifications, resolved routine patient billing inquiries and problems,

followed up on balances due from insurance companies, completed EOB

details for several different insurance companies, posted payments from

i nsurance companies directly to patient accounts, entered data

electronically and via mail to process charges, payments, denials, and

adjustments, analyzed and coded procedures and diagnosis using ICD-9

and CPT codes, and oversaw 4 front desk staff.

February 2004-August 2006 Staffing Manager, Santa Fe Services

Duties included receiving payments and posted amounts paid to client

accounts, located and monitored overdue accounts, recorded information

about financial status of clients and status of collection efforts, located and

notified clients of delinquent accounts via mail, telephone, or personal

v isits to solicit payment, determined staffing requirements and

i nterviewing, hiring, and t raining new employees, developed and

i mplemented product marketing strategies including advertising

campaigns and sales, managed staff, prepared work schedules, assigned

specific duties, monitored businesses and agencies to ensure that they

efficiently and effectively provide needed services while staying within

budgetary limits, entered payroll for up to 250 employees weekly, and

monitored all t ime sheets for up to 250 employees weekly.

References upon request

Contact this candidate