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Customer Service Insurance

Location:
Birmingham, AL, 35216
Posted:
March 09, 2010

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Resume:

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

Drive 205-***-****

Birmingham,AL E-mail

***** *******@labcorp.c

om

Ruby Booker

Objective To secure a position with a company that will allow

obtainable goals to be met and accomplished.

Summary of Knowledge of ICD9 and CPT procedures codes

qualifications Knowledge of Medical Terminology

Insurance Follow-up and Self-pay Collections

Call Center and Customer Service experience

Data Entry experience

ICD 9 Certified translator thru LabCorp of America

Knowledge of Medicare and Medicaid Guidelines

Education 1999 - 2000 Virginia College Birmingham, AL

Medical Billing and Coding/Medical Reimbursement

Completed 20 credits hours

Lawson State Community College Birmingham, AL

Social Work

Completed 12 Hours

Sociology completed

Work experience 07/2007-present LabCorp of America Birmingham, AL

Healthcare Billing Specialist

Responsible for keying requisitions on a daily basis,

keying patient demographics and pertinent patient

information.

Verifying and correcting insurance information,

entered correct diagnosis codes, correcting suspends

on a daily basis (specimen that have incorrect

billing information.)

Call various clients to get correct information on

patient's accounts to update in the system.

Perform weekly audits on group verifying that the

information was entering into the system correctly,

catching any errors before claim is billed out thru

front-end billing.

Responsible for filing claims to Medicare, Medicaid

and Commercial Insurance in a timely manner.

02/2007-5/2007 Vital Med (Snelling

Personnel) Birmingham, AL

Guarantor Collections

Responsible for multiple tasks, which include daily

deposits, private pay files, insurance verifications,

and scanning EOB's into docuware for imaging. Handle

return mails for skip tracing, separate checks from

EOB and enter into system.

06/2006-01/2007 Cash Retriever

Birmingham, AL

Insurance Follow-up/Self Pay Collector

Responsible for calling various insurance carriers

checking the status on submitted claims.

Make corrections to Medicare and Medicaid claims

resubmitting in a timely manner.

12/2004-07/2005 UAHSF (Venturi Staffing Agency)

Birmingham, AL

Third Party Correspondence

07/2005-12/2005 UAHSF

Birmingham, AL

Third Party Correspondence

Responsible for working audits trails (rejected

claims) on a daily basis correcting and resubmitting

in a timely manner.

Working claims edits (claims that are rejected

in-house) correcting and resubmitting in a timely

manner.

Assigned Alpha prefixes for Blue Cross and Medicaid

no activity files (claims that have been filed one or

more time with no response) research to why the claim

has not been paid.)

03/2004-10/2004 Pensacola Open MRI

Pensacola, Fl

Insurance Specialist

Responsible for calling various insurance carriers

verifying patient current level of benefits.

Post billing for Central Billing Office; collect

co-pays from patients, assisted with scheduling

patient for out patient procedures, requests

authorization.



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