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Medical Insurance

Location:
Modesto, CA, 95356
Posted:
August 15, 2010

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Resume:

JANE LINDER

**** ********** *****

MODESTO, CA. *5356

209-***-****

WORK EXPERIENCE

EXPERIENCE:

**/**/**** ** **/01/2008. 40 Hours Per Week. MEDICAL BILLING CLERK, MEDEX

PRACTICE SOLUTIONS.

Provided medical record advisory services to medical facility personnel. Subjects included:

encoding system for outpatient billing, medical information release procedures, diagnosis related

group utilization management, quality improvement issues involving medical records,

interpretation of regulatory guidelines, etc. Evaluated new health information management

technologies including computerized data gathering systems for adequacy to meet regulatory,

research, legal, and patient care requirements. Provides periodic in-service training on medical

record subjects such as medical terminology. Coordinated the release of medical information and

ensures appropriate release procedures are followed in accordance with HIPAA.

06/01/2004 to 05/01/2007. 40 Hour Per Week. PHYSICIAN BILLING CLERK, PHYCOM

BILLING & COLLECTIONS.

Operated billing machines with or without computing devices to prepare bills, statements, and

invoices to be sent to customers, itemizing amounts customers owed. Inserted blank billing

sheets in machine and set carriage. Transcribed data from office records, such as: customer's

name, address, and items purchased or services rendered. Calculated totals, net amounts, and

discounts by addition, subtraction, and multiplication, and recorded computations. Made

computations on separate adding and calculating machines. Designated bills according to type

prepared.

11/01/2003 to 06/01/2004. 40 Hours Per Week. MEDICAL INSURANCE BILLER, MEDICAL

HOME CARE SERVICES.

Verified hospitalization insurance coverage. Computed patients' benefits, and compiled itemized

hospital bills. Typed insurance assignment form with data, such as: names of insurance company

and policy holder, policy number, and physician's diagnosis. Telephoned, wrote, or wired

insurance company to verify patient's coverage and to obtain information concerning extent of

benefits. Computed total hospital bill showing amounts to be paid by insurance company and by

patient, using adding and calculating machines. Answered patient's questions regarding

statements and insurance coverage. Telephoned or wrote companies with unpaid insurance

claims to obtain settlement of claim. Prepared forms outlining hospital expenses for

governmental, welfare, and other agencies paying bill of specified patient.

EDUCATION:

High School Diploma, Oakdale High School, 739 West G. St., Oakdale, CA. 95361, 1980-1984

LICENSES/CERTIFICATES

Medical Assisting, Galen College, 1604 Ford Ave, Modesto, CA 95350, 1985

OTHER INFORMATION

References upon request.



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