High School Insurance
Resume:
Alison Gibb
Email: ********@*****************.***
Address:
City: Ayer
State: MA
Zip: 01432
Country: USA
Phone: 978-***-****
Skill Level: Any
Salary Range:
Primary Skills/Experience:
To obtain a challenging full time position in the medical field where I can utilize my experience in billing and collections while contributing to the success of my employer.
Educational Background:
High School Dipolma from Somerville High School, Somerville MA 1/2001 to 5/1983 (General studies)
Job History / Details:
Skill Highlights
CPT and HCPCS coding
ICD-9 coding
HIPAA compliance
Microsoft Office Skills
Knowledge of Medicare, Medicaid and Managed Care
Insurance verification
Excellent verbal and written communication skills
Professional Experience
August 2010 to July 2012
Primary Care Provider
Served as a full time Care Provider for a chronically ill family member
Researched and acquired a secondary health insurance policy
Advocated for services, such as meals on wheels, reduction of rent, nursing services and respite services
December 2008 to July 2010
Reproductive Science Center Lexington, MA
Financial Services Coordinator
Examined insurance policies to verify coverage for infertility services and relayed that information to physicians and patients'
Researched questions and concerns from patients' and provided detailed responses
Correctly identified claim errors and resubmitted
Carefully prepared, reviewed and submitted patient statements
Reviewed electronic clearinghouse reports and corrected errors
Submitted electronic, paper and COB claims with documentation, when requested
Submitted refund requests for claims paid in error.
Printed and reviewed monthly patient aging report and solicited overdue payments.
Evaluated patients' financial status and established appropriate payments plans.
Completed and submitted claim appeals.
January 2007 to January 2009
Merrimack Family Medicine Tewksbury, MA
Medical Claims and Collections Specialist
Accurately entered CPT codes, ICD-9 codes and patient demographics into E-Clinical Works software
Added modifiers as appropriate and verified diagnoses
Posted and adjusted payments from insurance companies
Resolved patient billing and payment issues
Identified and resolved claim underpayments and denials
September 2003 to December 2006
Special Education Advocate and Primary Care Provider
Advocated and cared for child
Advocated for Special Education Services by requesting, attending and participating in numerous IEP meetings
Reviewed and appealed Department of Education IEP decisions when appropriate
Advocated for Department of Mental Health Services
Attended and participated in NAMI family support and educational meetings
March 2002 to September 2003
Allergy and Asthma Specialist, P.C. Chelmsford, MA
Medical Claims Specialist
Accurately entered procedure codes, diagnostic codes and patient demographics into Medisence software
Posted charges, payments and adjustments
Completed appeals and resubmitted claims.
Contact this candidate