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Medical Billing Manager

Location:
Sharps Chapel, TN, 37866
Salary:
$10.00 hrly
Posted:
March 07, 2013

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Resume:

Sandy Hopper

*** **** ***** **** . ****** Chapel, TN 37866

Home: 865-***-**** . Cell: 865-***-****

Email: ************@***.***

Objective: Seeking a position where my 26+ years of experience in

electronic medical billing, HCPC & ICD-9 coding, collections,

and industry-specific software applications will be an asset.

Medical Industry Profile:

Medical Billing Specialist with a proven background of

experience and achievements in coding, electronic billing, and

collecting for a diversity of services/procedures. Commitment

to remaining up-to-date with changes in coding and billing as

well as laws regarding third party insurance carriers,

Medicare, Medicaid, and TennCare. Maintain on-going

communication with patients, medical and insurance

professionals, and associates to increase productivity and

resolve issues related to coding and billing. Proficient in

using industry-specific software applications to maximize

productivity and reimbursement. Established a reputation as a

dedicated, honest, and ethical employee. Offer skills and

experience in areas including:

- insurance verification - medical

transcription - collections

- insurance/patient/hospital billing - medical

terminology - HIPPA regulations

- records management -

reimbursement systems - regulatory compliance

Professional Experience:

LOST CREEK RV PARK, Sharps chapel tn 1993-present

my husband is on site manager, i assist in the office with

billing and collections

of all campground billing (

140 rv sites)

MEDICARE BILLING CONSULTANTS, Sharps Chapel, TN, 1990 - 2012

Medical Billing Specialist. (self-employed/contract labor)

. Utilize extensive industry experience to perform

electronic medical billing and collections for physical

therapy, psychiatric practice, and sleep lab services as

well as durable medical equipment.

. Utilize Microsoft applications as well as Medisoft,

Lytech, Emdeon, and Brightree software for

medical billing.

. Perform billing/collections with Medicare, TennCare,

Medicaid, and private insurance companies.

. Contact insurance providers, as needed, to gain

preauthorization for medical equipment services and physical

therapy visits.

. Perform billing and collections for durable medical

equipment services of up to $300,000/month.

. Follow up on unpaid and denied claims to resolve billing

issues or provide additional information on physician's

"medical necessity."

. Gained extensive knowledge and experience with HCPC and

ICD-9 codes.

ARGO MEDICAL SERVICES, Knoxville, TN, 1985 - 1990

Medical Billing Manager.

. Performed all medical billing and collections for this

durable medical equipment company (equipment, hospital beds,

wheelchairs, oxygen, nebulizers, CPAP machines).

. Billed and collected approximately $200,000 per month for

three separate company locations.

FIRST TENNESSEE BANK, Knoxville, TN (prior to 1985)

Teller.

. Initially worked in the check proofing department and was

promoted to Teller.

. Performed daily teller duties that included making

deposits, processing withdrawals, cashing checks, ordering

checks, making cash advances, maintaining the vault, and

quoting loan payoff amounts and balances.

Education: Graduate, Doyle High School, Knoxville, TN 1979

Training: Completed extensive, on-going training on medical

billing and collection procedures.

VOLUNTEER WORK; Mobile Meals (Knox Co), No Child Left Behind Program

(Claiborne Co), KARM & Goodwill

Sandy Hopper

320 Rush Sharp Lane . Sharps Chapel, TN 37866

Home: 865-***-**** . Cell: 865-***-****

Email: ************@***.***

References:

Mike Gentry (my go to person @ Triangle Aftercare)

919-***-****

Carolyn Poore (my go to person @ Spine & Sport)

865-***-****

Scott Tipton (my supervisor @ Argo Medical Services)

865-***-****

Scott Davis (Eagle Bend Realty/Lost Creek RV Park)

865-***-**** 865-***-****



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