Medical Insurance
Resume:
Dear HR:
My name is Carol Collins and I work as an instructor of the Medical Billing and Coding
Program at the Bryman School of Arizona located in Phoenix, Arizona.
I am writing to you because I will be relocating to the Los Angeles area at the end of
June, and I am excited about the job opportunities you have available within your
company. I am looking for an organization with a strong, solid background with room for
growth, and one that offers unique opportunities and benefits for their employees.
I currently hold a Bachelor’s Degree in Business Management, and I have over 15 years
of combined experience in teaching, employee benefits (HR), claims processing, medical
insurance, health education, and management. My resume, which is enclosed, contains
additional information on my experience and skills. I can be reached anytime via my cell
phone at 901-***-****, or my e-mail address **************@***.***.
Thank you for your time and consideration and I look forward to speaking with you about
the opportunities you have available!
Sincerely,
Carol Collins
Carol L. Collins
3193 Balsam Cove
Memphis, TN 38127
**************@***.***
PROFESSIONAL PROFILE:
Dedicated, resourceful professional with s olid background in Teaching, Claims Processing,
Human Resources, Medical Insurance, Health Education, and Management . Proficient in
ICD9 and CPT codes, medical terminology, HIPAA regulations, Workers Comp, major medical
insurance plans, and billing procedures. Experience using Word, Power Point, Excel, Medisoft,
Moss/Synapse, IDX, AS400 and MPV software.
RELATED EXPERIENCE:
●Instructor June 2009 - Present
Bryman School of Arizona
Instruct assigned medical billing and coding courses in accordance with approved curriculum
and supervise the performance of classroom activity. Ensure that quality and quantity of
instruction provided in the classroom are consistent with the stated objectives of the school and
industry. Maintain daily record of student attendance, monitor performance, administer and
grade all course examinations, assignments, and lab exercises. Attend graduations, scheduled
meetings, seminars or conferences as required. Accomplish all other tasks and special projects
required by the Program Manager, Director of Education, and Campus President.
●Program Assistant / Teacher November 2007 – June 2009
University of TN Extension:
Assisted with the implementation of nutrition education programs by networking with community
agencies and public schools in Covington, TN. Developed comprehensive training modules,
educational materials, and publications for health programs, as well as coordinated plans and
goals through public relations and marketing. Provided leadership and support in projects relating
to school nutrition programs, and worked with school administrators and teachers to schedule
programs, teach classes, and administer testing of student knowledge. Performed data entry for
student enrollment utilizing SUPER (System for University Planning Evaluation & Reporting).
● Appeals Claims Analyst August 2005 - February 2007
University of TN Medical Group:
Processed medical claims, investigated claim payments, filed appeals, and followed up with
insurance carriers to ensure that contracts were in compliance based on policy and procedure.
Researched complex claim issues while interpreting, coding and understanding medical
terminology in relation to diagnoses and procedures, operative reports, and medical records.
Resolved COB issues with commercial and government medical insurance plans, including
HMO’s, Managed Care, and Medicare. Worked insurance accounts receivable to optimize cash
flow and meet organizational financial goals and objectives. Responsible for updating patient
demographics and insurance information, worked payer correspondence, edits and aged account
receivable and identified and corrected billing errors. Also resolved and appealed denials and
rejections and identified billing issues and trends and reported them to management.
● Manager January 2002-July2004
Express Carpet and Upholstery:
Managed the daily operation of the business. Interviewed applicants and challenged employees
to progress toward their professional development goals. Organized work schedules and
approved time and expense reports in a conscientious and timely manner. Also suggested areas
for improvement in the internal process of the business along with possible solutions.
●Account Representative June 2000- October 2001
Nova Factor Pharmaceutical:
Analyzed financial forms, collected data and prepared various reports to coordinate complex
reimbursement claim issues. Filed prescription drug claims, verified insurance benefits,
performed collections, and maintained communication with clients enrolled in the Access
Assistance Program for the southeast region of the United States.
●Accounts Receivable/Senior Claims Processor March 1991 – May 2000
Federal Express:
Processed group health claims for Fed Ex employees. As Senior Advisor to Level III and IV
Processors, reviewed charges, payments and denials, adjustments, and worked with ICD-9
diagnosis as well as CPT-4 coding procedures. As an Accounts Receivable Clerk, balanced
invoices and posted payments to the Fed Ex Accounts Receivable System. Also reviewed
invoices and forwarded inaccuracies to research department for billing adjustments. At Personnel
Information Control Center (HR), worked closely with managers, personnel representatives and
legal department in processing confidential employee documents. In addition, processed and
coordinated reports, including performance reviews, hire/termination dates, salaries, benefits,
STD/LTD and FMLA requests.
●Coordinator of Benefits/Claims Processor November 1985- July 1990
Blue Cross Blue Shield of Memphis:
Processed medical claims for Blue Cross Blue Shield of Memphis to ensure proper payment in
accordance with the benefit plan. Resolved claim issues relative to deductibles, co-pays and co-
insurance for maximum provider reimbursement. Also applied COB guidelines for secondary
insurance payments and developed letters to members and providers relative to claim issues.
EDUCATION & CERTIFICATIONS:
●Bachelor of Business Administration 12/2007 Strayer University
●Master of Arts in Education/Graduation 12/2010. University of Phoenix
●Member of the Tipton County Health Council, Tennessee Consumer Science Education
Program (TNCEP), Covington, TN. 2007 -2009
●Served on Advisory Board of (Relatives as Parents Program) Tipton County, TN
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