Post Job Free
Sign in

Customer Service Insurance

Location:
Clifton, NJ
Posted:
December 17, 2012

Contact this candidate

Resume:

Genorval Whitaker

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

Address: **** *** ****** ***. ***#E3

City: Clifton

State: NJ

Zip: 07013

Country: USA

Phone: 973-***-****

Skill Level: Experienced

Salary Range: $40,000

Willing to Relocate

Primary Skills/Experience:

See Resume

Educational Background:

See Resume

Job History / Details:

Genorval Whitaker

1401 Van Houten Ave Apt#E3

Clifton, NJ 07013

973-***-****

*********@********.***

Objective: To obtain a position within a Medical Office environment as a Credentialer/Biller/Coder or a position in Management that will enable me to utilize my skills to their fullest potential.

Education: Earl C. Cement College Plaza School of Technology

Morganfield, KY Paramus, NJ

Degree: Communication BA Diploma: Medical/Dental Office Grad 1994 Technology/CMC

Grad 1997

Experience: Credentialing Specialist

Health Network Management, LLC

Florham Park, NJ

07/09-02/12

Duties include: Credentialing of all doctors for MCR/MCD and all commercial payers, recertification/renewal of all credentials, Medical licenses, CDS, DEA, Malpractice insurance, Board Certification. Provider Relations, being the go between for the physicians, when dealing with insurance companies, and various provider locations. Various duties as assigned by supervisor.

Credentialing Specialist Precise Medical

Mahwah, NJ

01/08-02/09

Duties include: Customer Service, telephones, filing, international conference calls and in person meetings with physicians regarding billing/payment process/collections, AR follow-up, credentialing of all new doctors for MCR/MCD and all commercial payers, recertification of all doctors for MCR/MCD and commercial payors, reviews claims before sent to verify clean claims, electronic and paper claim filing, arranging meetings when necessary with staff regarding any pertinent issues, problem resolution, handle claim denials and handles various duties as assigned by supervisor.

Coder/Medical Biller

American Imaging of Jersey City

Jersey City, NJ

12/05-11/07

Duties include: Customer Service. All types of insurance billing including MCR/MCD for NY/NJ. Analyzes medical record, extracting clinical, pathological, and epidemiologic data in accordance with established ICD-9 and CPT-4 guidelines

Billing/Coding Supervisor

Paulison Pain Management

Clifton, NJ

10/03-03/05

Duties included: Supervised 4 employees, handled all training, disciplinary actions annual review, scheduling, facilitated program to reduce AR, customer service, all types of insurance billing including MCR/MCD for NY/NJ, ICD9/CPT coding, telephones, problem resolution, appointment scheduling, printed monthly reports for management. filing, insurance claims filing paper and electronic, AR follow-and denials.

Medical Billing/Collections Supervisor

EBI

Parsippany, NJ

02/03-09/03

Duties include: All types of insurance billing including MCR/MCD, supervised 4 employees for MCR/MCD billing, trained employees, handled all employees reviews

And disciplinary action, worked AR follow-up and denials, ICD9/CPT coding, insurance claims filing paper and electronic, problem resolution, telephones, filing and handled various types of correspondences.

Medical Billing/Collections

Universal Fidelity Corporation (St. Josephs Hospital)

Wayne, NJ 07/01-01/03

Duties included: Customer Service, all types of insurance billing, answering telephone,

Problem solving, attained monthly collection goals, filing and insurance claims billing including MCR/MCD NY/NJ

Skills: Window, Word Perfect, Excel, Medisoft, Microsoft Word, Intellicred, Intelliapp, PCN, ECIS, Insurance claims billing UB92/1500forms, Insurance/third party, CPT/ICD9 coding Reading EOBs, ADS

Reference: Furnished upon request



Contact this candidate