Maria A Billingslea

Email: abozc6@r.postjobfree.com

Address:

City: Louisville

State: KY

Zip: 40211

Country: USA

Phone: 502-***-****

Skill Level: Any

Salary Range:

Primary Skills/Experience:

Medical Assisting Externship Physician's Primary Care - Jeffersonville, Indiana April 2011 - May 2011 Obtained current demographic and insurance information from patient, verified health insurance coverage, updated system Copy insurance cards from front and back, and photo I.D. Checked patients in/out on computer system Print out physicians' daily schedule Schedule/reschedule and cancel appointments Answer phones, ensured proper transfers, responded to patients questions, pulled and filed charts Collected and processed co payments using ZirMed system Took and record patients vital signs - blood pressure, temperature, height and weight, and pulse Record patient histories/symptoms, and reason for visit Prepared treatment room for patient examination

Educational Background:

High School Dipolma from Brown Mackie College, Louisville KY 1/2001 to 5/2011 (Medical Assistant Program)

Job History / Details:

Professional Summary

Medical Assisting Externship

Physician's Primary Care - Jeffersonville, Indiana April 2011 - May 2011

Obtained current demographic and insurance information from patient, verified health insurance coverage, updated system

Copy insurance cards from front and back, and photo I.D.

Checked patients in/out on computer system

Print out physicians' daily schedule

Schedule/reschedule and cancel appointments

Answer phones, ensured proper transfers, responded to patients questions, pulled and filed charts

Collected and processed co payments using ZirMed system

Took and record patients vital signs - blood pressure, temperature, height and weight, and pulse

Record patient histories/symptoms, and reason for visit

Prepared treatment room for patient examination

Skill Highlights

Utilized ZirMed system to post co payments

Medical terminology

ICD 9/CPT coding, financial recovery recoupments,

Process from CAS (Claims Administrative System), MTV (Metavance), Macess, CCP2 (Customer Care Portal), CIS (Contract Information System), Webstrat pricer, Coordination of Benefits - Commercial, Secondary, and Medicare, BAAG (Benefits At A Glance), CI (Customer Interface), Data Entry, Communicator - In System letter generator

Proficient with Microsoft Office Word, Outlook, Power point, Excel

Customer service calls - Inbound/Outbound

Accounts payable/receivable skills

Organizational, oral and written skills

HIPPA Privacy

Professional Experience

September 2012 to 10/16/2012 12:00:00 AM

Humana Inc Louisville, Ky

Coordination of Benefits Claims Specialist

Coordinate benefits with other insurance carriers and update CRI screens

Make phone calls to other insurance carriers to verify members coverage

Daily process Aging, Compliance, and performance guarantee claims

June 2006 to September 2012

Emergency Room Claims Specialist

Reviewed Emergency Room medical records to make a determination on how to adjudicate physician and hospital claims

Created action grams and sent claims to regions assigned for the Regional Medical Directors to review

Resolved provider and member issues using CCP2 (Customer Care Portal

Used Macess to demand draw claims from queues for: aging, compliance, and performance guarantee to avoid paying interest and penalty

October 2005 to July 2006

Lead Benefits Analyst

Utilized the XRI system to adjudicate hospital and physician claims through the suspense process; on behalf of the IPA (Independent Physician Association)instructions

Customer Service - handled Inbound/Outbound calls

March 2005 to August 2005

Emergency Room Claims Processing Specialist

Reviewed Emergency room medical records to make a determination on how to adjudicate physician and hospital claims

November 1998 to April 2005

Claims Adjuster

Utilized IPD system to adjudicate physician and hospital claims through queues

January 1991 to December 1995

Claims Adjuster

Utilized IPD system to adjudicate physician and hospital claims through queues

December 1989 to December 1990

Enrollment Specialist

Keyed data from enrollment applications for new members

Performed demographic changes for terminations, reinstatements, adds/changes, provider primary care changes

Contacted group subscribers for any incomplete information on applications, kept follow up file for missing information

May 1989 to December 1989

General Office Specialist

Handled incoming and outgoing mail then distributed it

Operate office equipment - photocopier, fax machine, calculator

Answered phones

Sorted and filed correspondence

Issued commercial I.D. cards to members

March 1989 to May 1989

Accounting Control Clerk

Filed correspondence

Keyed batch accounts payable invoices for vendors

Mailed out disbursement checks checks to vendors

Education and Training

2011 Brown Mackie College Louisville, KY

Associate of Applied Science Medical Assistant Program

Contact this candidate