Customer Service Medical

PROFESSIONAL EXPERIENCE

The Reading Hospital Medical Group - Reading, PA

****-****

Billing, Collections, and Accounts Receivables Specialists

. Reviewed unpaid, underpaid or inappropriately denied claims and follow

up with practice staff, patients, or insurance carriers to resolve

claim processing issues. Worked credit balances on the accounts.

. Performed claims analysis and claims research to determine root causes

and/or resolution to payment variances.

. Resolved any Accounts Receivable and Billing issues.

. Actively participated in any special projects as needed.

. Applied any contractual write offs due to contractual agreements

. Review aged A/R reports.

. Request Explanation of Benefits (EOB) to match to claims

Digestive Diseases Associates - Wyomissing, PA

Billing Clerk / Charge Entry

2000 - 2006

. Entered CPT and ICD-9 charges according to the physicians procedure

reports.

. Scheduled any follow up appointments with physicians, radiological

exams, or surgical consults.

. Calculated the total amount due from a patient, prepared invoices and

mailed to ensure prompt payment.

. Contacted insurance companies to determine what goods and services

would be reimbursed and for how much.

. Mailed out claims with EOB's to secondary payers for any balances due.

. Assisted front desk in checking in/out of patients and answering phone

when needed.

. Used sophisticated medical computer programs that calculated charges.

. Printed and mailed out HCFA 1500 to all insurance carriers.

. Assisted patients with questions and resolved discrepancies or errors.

UT Medical Group - Memphis, TN

Clinical Coder / Charge Entry

1999 - 2000

. Entered and compiled charges for services rendered

. Used an excellent working knowledge of medical terminology, clinical

documentation, legal aspects of health information, and health data

standards to analyze clinical statements and assign standard codes

used for reporting to health insurance provider of the recipient of

the care.

Viteroretinal Foundation - Memphis, TN - Patient Account

Representative/Team Leader

Cable Com - Memphis, TN - Administrative/Payroll Clerk

Tulsa Regional Medical Center - Tulsa, OK - Emergency Clerk

SKILLS

. Demonstrated Ability to Readily Master New Technology

. In-depth working knowledge of: IObserver, Navicure, Navinet, Microsoft

Office, Encoder Pro, Practice Management Systems, Payer specific web

sites and Hospital systems. Epic Practice Management, GE Centricity

Practice Management, Mysis and Medical Manager.

. Strong math aptitude, interpersonal and organizational skills.

. Exceptional customer service, multi-tasking and communication (oral,

written, presentation) skills

. Knowledge of medical terminology, CPT and ICD-9 coding.

EDUCATION

Tulsa Junior College - Tulsa, OK

. Completed several workshops to enhance Medical Office Assistant and

General Office Skills

Personal / Professional References by Request

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