Customer Service Insurance
Resume:
YVETTE TOOMER
****Brookdale Rd E
OBJECTIVE:
TO FIND A POSITION IN CUSTOMER SERVICE OR MEDICAL BILLING
QUALIFICATIONS:
. Maintaining patient satisfaction through timely and effective billing
including third party payments & Adjustments.
. Submit claims to government & medical agencies ensuring they are billed
appropriately.
. Auditing charges for accurate procedure codes dates modifier. Interpret
billing practices, insurances submission and out of pocket patient
responsibility
Rebilling to insurances with corrected information as
needed.
. Accurately post private & miscellaneous payments including 3rd
party payments disallows & or denial s to patient accounts.
. Interpret explanation of benefit codes and determine if rebilling
is necessary. Act as a liaison between patients and clinic on
claims questions, coding trace errors, record adjustments to
determine the appropriate destination.
. Submit 2ndairy billing on a daily basics obtain referrals when
needed too refill.
. Make Phone calls to insurances companies checking on outstanding
accounts then rebelled if necessary.
. Typing 40-50 wpm Microsoft 2007, ten key by touch 140 Knowledge of
Health wind, Horizon EPIC.
ELECTRODIAGNOSIS & REHAB 10/08-12/08
Tacoma, WA
. Write up appeals on very old account.
. Made phone call to insurance and primary care physician to obtain
referrals.
. Make Phone call to insurances to check on status of claims, rebuild on
accounts as needed, post payments, & charges to accounts.
. TEMP AGENCY
0708/-09/08
HEALTHCARE RESOURCES
Tacoma WA
. Customer Service, Answered phone call from customers about their
account, took payments over phone, sent out accounts to collections,
set up patients on payment plans.
FRANCISCAN MEDICAL GROUP 10/02-04/08
Tacoma, WA
COLLECTIONS\BILLING
. Answered questions from insurance agencies regarding denials. Any
question on patient accounts. Ask insurance companies about why claim
denied corrected billing then rebilled. Ask when will we receive
payments
. . Phone call to insurances agencies regarding payments status &
duplications or if claim on file.
. Checking the status of claim assuring it is being processed correctly.
. Done up refunds to insurance once determine if truly a refund.
. Doing up patient refunds... Phone call to patient regarding accounts
over 60-90days
. Inputting patients demographic as needed or updating information in
system as need as well as updating patient insurance information as
needed.
. Posting miscellaneous payments on daily basics as well as Dr. Charges
from the clinic.
DIALYSIS CONSULTING GROUP 06/01-10/02
Biller
Seattle WA
. Insurance verification of patient registration, as well as updating
patient demographic.
Assuring billing is going out correctly.
. Calling of insurances checking status of claims or assuring account is
being paid.
. Obtaining referral, sending out appeals as needed with back up
information of what ever is needed to insurance.
. Obtaining charges from facility and posting in system correctly.
Generate the rebills. Act as liaison between facility assuring charges
are billed correctly
ORCHARD PARK HEALTH CARE & REHAB 05/00-06/01
Billing Specialist/Business Mgr.
TACOMA WA 98409
. Responsible for A\R Accounts on patient's ensuring patient's
satisfaction paying patients billing.
. Answering questions and concern regarding any problems that comes.
Maintaining accurate accounts on daily basics making deposit to bank
on daily basics sending out monthly statements.
. Posting of monies billing to Medicare, Medicaid. Phone calls to
insurances checking status of claims.
TOTAL RENAL CARE 07/98-05/00
Commercial Collector
Pacific Ave TACOMA WA
. On a daily basis, billed rapor with insurances to obtain information
assuring the claim will be paid
. On a timely manor or correcting outstanding accounts not yet paid sent
out billing on a daily basis. Monthly closing involving EPO Etc... is
being billed correctly
EDUCATION
. 1997-1998 BATES TECHNICAL COLLEGE
. 1977-1981 RICHMOND HILL HIGH
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