Medical Billing Manager
Resume:
Kirsten Rodriguez
**** ********** ****** . *** ******, DE 19720
CELL 302-***-**** . abl85e@r.postjobfree.com
PROFESSIONAL EXPERIENCE
QUALIFICATIONS:
Working Knowledge in:
Analyzing & Processing Incoming Claims from Medicare
Medicare A and B Knowledge
Reconciliation of Patient Accounts
Process reports of Claims Billed to Medicare & Patient
Open & Process denied insurance benefits, explanation of benefits
Process CMS 1500 Forms
UB-04 Hospital Billing Forms
ICD-9 & CPT Coding
Winasap 2003 Medicaid Billing System
Proficient in Various Billing Software Systems
Argus system for Pharmaceutical Prescriptions
PROFESSIONAL EXPERIENCE:
Amerigroup Corporation, Tampa, FL 01 - 05/2009
Medicare Claims Analyst
Tenet Healthcare, Boca Raton, FL 01 - 11/2007
Medicare Accounts Receivable Representative
Center for Family & Child Enrichment, Inc, Miami, FL 03 - 08/2006
Medical Billing Clerk
United State Pharmaceutical Group, Sunrise, FL 10 - 03/2006
Healthcare Counselor
Progressive Insurance Company, Wilmington, DE 09 - 10/2005
Medical Coder 1/ Claims Processor (Personal Injury)
Professional Associates, Newark, DE 05 - 09/2004
Ambulance Billing Representative/ Medical Coder
Diploma
2004 DAWN TRAINING CENTRE, Wilmington, DE 2004
Medical Billing/Health Insurance Claims Examiner
ICD-9, CPT and Dental Coding
Medical and Dental Terminology
Basic anatomy and Physiology
Preparing CMS 1500 and UB-92 forms
Benefit Plan and Contract Interpretation
Computerized Medical Office
DELCASTLE VO-TECH, Wilmington, DE 1993
Certified Child Care
AI DUPONT HIGH SCHOOL, Wilmington, DE 1992
Diploma
References
Laverne Stallions, professional colleague
Nicole Cerro, HR Manager, Professional Associates
Rebecca Gustemente, HR recruiter, Tenet Healthcare
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