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Customer Service Medical Billing

Location:
San Angelo, TX
Salary:
13.00-15.00
Posted:
February 08, 2013

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Resume:

Deresha Black

**** ********** **. ***.#***

San Angelo, Tx., 76904, United States

325-***-****

aboavi@r.postjobfree.com

Objective: To find employment with an office that will allow me to utilize my skills and

grow within the corporation. I am a self-motivated, a fast learner, and a multitasking

individual.

Professional Experience

Shannon Clinic Business Office San Angelo, TX

Medicare Clerk August 2011 - Present

Medicare Clerk: Duties Include; I work the Medicare claims, the follow up and denied claims, an

average of 150 to 300 claims per week, this includes following up on all unpaid claims, as well as

researching all denied claims, and finding resolutions to the denied claims in order for the claims

to be paid; also work on manage care plans, which includes Care Improvement Plus, Humana,

Scott & White Senior Care, Aetna Medicare and that just to name a few, these claims are also

worked and researched to find resolutions to receive payment from insurance; I also send appeals

to all insurance on claims that would denied incorrectly; made also insurance adjustments on

claims that was processed and discount was given but not adjusted on claim; also moved

payments that were made by the insurance to the correct claim that was paid; also sent HCFAS

statement balances to all Skilled Nursing Facilities, Hospice, and Home Health agencies; worked

all explanation of benefits; checked patient eligibility daily.

Dr. John Hunt San Angelo, Tx

Office Manager January 2011 - August 2011

Duties Include: Worked closely with billing clearing house and handled all daily functions with

billing, handled all incoming paperwork for hospital and made sure that the billing firm has all

necessary codes to file insurance claims. Followed up on all medical denials, verified insurances

prepare all bank deposits, oversee office, filing charts, scheduling appts., and going over patients

billing statements.

Accounts Control Technology, San Angelo TX

Collections August 2010 - January 2011 Duties Include: Handled student loans for Dept. of Education, collected on

accounts that were in default, negotiated all defaulted accounts and made payment arrangements with consumers.

Kelly Services San Angelo, Tx.

Temp. Customer Service Rep. May 2010 - July 2010

Duties Include: Contracted out to Blue Cross Blue Shield, handled all benefits and claims, customer service,

verified provider diagnosis and procedure codes to see if they were billable, checked and followed up on referrals

for out of network visit.

Titanium Billing Services Wichita Falls, TX

Titanium Billing Services Wichita Falls TX

Medical billing July 2007 - November 2009

Duties Include: Provided medical billing for 13 physicians, posted all explanations of benefits, followed up on all

claim and denials, completed monthly reports, and posted all charges and payments for 13 physicians.

Education

Central High School San Angelo, TX

Graduated from High School 1998

Additional Skills:

Computer Skills: Microsoft word, Excel, Windows, Keyboarding speed 50+ words per minute.

Medical Skills: CPT-4 and ICD-9 coding

Office Skills: Filing, 10 key by touch, scheduling appointments, answering phones, and customer service.

Billing Skills: Completing monthly reports A/R Summaries, post and apply all financial payments where necessary,

post charges for physicians, follow up on denials and all medical claims, verifying insurances, going over

explanations of benefits, looking up procedure codes and diagnose codes, and providing them when necessary to

billing firms, and Closing out all financial areas at end of the day and preparing bank deposits.

References: Given upon request



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