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Customer Service Medical

Location:
Woodstown, NJ
Posted:
October 08, 2012

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Resume:

Barbara Wright

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

Address: ** **** **., *********

City: Woodstown

State: NJ

Zip: 08098

Country: USA

Phone: 856-***-****

Skill Level: Experienced

Salary Range: 35

Primary Skills/Experience:

See Resume

Educational Background:

See Resume

Job History / Details:

BARBARA A. WRIGHT

41 Main Street

Pilesgrove NJ 08098

856-***-****)

OBJECTIVE

To secure a position working from home in a Data Entry or Medical

Coder/Biller position. Looking for home position due to mobility problems.

Also to be trained from home. Also good benefits.

SUMMARY

Self starter with 42 years experience in health insurance, data entry, and

customer service. Excellent knowledge of ICD 9, CPT, HCPCS codes.

Highly organized and meticulously detailed in preparation, presentation,

and follow-up. Skilled in claims processing. Reliable, dependable with 10

years perfect attention when employed by Prudential. Experience with

healthcare receivables, insurance claims, denial and appeal processing,

and UB and 1500 claim forms.

EDUCATION

U.S.CAREER INSTITUTE, Medical Coding Online Course, Fort Collins, CO

80525

PENNCO TECH, BLACKWOOD NJ July 31,1998 Honors Graduate, PERFECT

ATTENDANCE

COURSE EMPHASIS: Medical Secretary Major

Typing

70 wpm

Telephone Skills

Excel

Insurance Claims Processing

CPT/HCPCS/ICD 9

Windows

Medical Terminology/Medical Coding

Medical Collections

Microsoft Word

Accounts Receivable

PROFESSIONAL EXPERIENCE

HBCS, New Castle, DE

Accounts Receivable Representative/Specialist

2001 to 2012

Responsibilities were collecting for hospitals in the MIDWEST. Also

involved doing spreadsheets for reports to be sent to the hospital on a

weekly basis. Responsible for meeting deadlines that need to be

completed & training new employees. Worked accounts receivable and

also claim denials from insurance companies, such as cob & other patient

information that is needed to process the claims. Also ability to identify

payer trends that need to be corrected.

STERLING MEDICAL SERVICES, LLC, Moorestown NJ

Accounts- Receivable- Representative

1999

2001

Responsibilities were collecting for Aetna US Healthcare, balancing the

monthly accounts receivable and tracking the days AR. Good at meeting

deadlines when needed. Worked on numerous projects which involved

creating spreadsheets as well as sending letters requesting claim review

thru the appeal process.

VISITING NURSE SERVICE SYSTEM, Runnemede NJ

Accounts-Receivable-

Coordinator

1998

1999

Responsibilities included billing and collections for Aetna US Healthcare

and Coram. Phone calls and filing involving home care and custom care

services. Responsible for balancing accounts receivable and the analyzing

and calculation of days AR.

PRUDENTIAL INSURANCE COMPANY, Millville NJ

Senior Claim Technician, Quality Review Technician, Customer Service

Representative 1970

1998

Processed claims for IBM employees under specified production and

quality standards using ICD 9 & HCPCS/CPT codes. Also trained

employees on numerous jobs. Reviewed claims for quality control &

trained employees when necessary on coding procedures. Also answered

calls in the customer service area for providers and patients. Claims were

reprocessed correctly while in the customer service department for correct

payments. When I started working at Prudential in 1970 claims were all

coded manually using the ICD 9 & CPT/HCPCS codes. Processed & data

entered physicians 1500 claim forms.

SALARY EXPECTATIONS - $40,000.00



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