Insurance Medical

Iris Mitchell

**** ********** ******* **., #**, Spring Valley, CA 91978

310-***-**** (M)

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

OBJECTIVE

To obtain a medical insurance business position in the Healthcare Industry that will allow me to utilize and develop my skilles as a CPC Coding, Medical Biller, Claim Collector and Analyst.

PROFESSIONAL EXPERIENCE

September 2012 to Present

Medical Biller/Follow Up Specialist

Golden Hour Data System

• Bill HCFC 1500 claims to Medicare and commerical insurance carriers

• Contact Medicare and insurance carriers regarding claim status, payments and appeals.

• Request contractual allowance and small balance adjustments.

• Review claims CPT codes and IDC-9 codes for correct coding.

• Review contracts for reimbursement guidelines according to payers contract.

• Prepare appeals and redeterminations for claim reconsideration.

• Invoice patient

November 2007 to September 2012

Patient Accounts Representative

Providence Health System

• Request contractual allowance adjustments for high balance commercial insurance.

• Contact patient’s commercial insurance regarding payments.

• File appeals to patient’s commercial insurance regarding hospital claims.

• Review claims CPT codes and IDC-9 codes for correct coding.

• Review contracts to verify claim was paid according to contract.

May 2007 to November 2007

Medical Biller (Temporary Position)

All’s Well Health Care Services

• Entering and processing HCFA 1500 secondary billing.

• Enter data from test orders of laboratory tests for out patients services

• Verifying ICD-9 and CPT codes on requisitions for final billing to insurance companies

• Mail correspondence to patient/insurance carries regarding insurance problems

• Batch and log IHC Requisitions for order entries

February 2007 to April 2007

Medical Biller/Insurance Verification Clerk

(Temporary Position)

South Bay Gastroenterology Medical Group

• Verify patient medical insurance with varies insurance companies.

• Contact patients regarding insurance.

• Create/enter patients information into Medinforatix database system.

• Inquiry with insurance companies for prior authorization for schedule procedures.

• Review patient’s medical records to authorization for CAT SCANS.

March 2003 to May 2006

Bus Operator

Los Angeles County Metropolitan Transportation Authority

• Operate a public transportation vehicle.

• Assist customer with daily information.

• Prepare daily reports.

• Collect transportation fare from customer.

EDUCATION

San Diego Mesa College, San Diego, California

Healthcare Information Technology

El Camino College, Torrance, California

Radiology

August 2007 to October 2007

Code Master, LLC, Los Angeles, California

CERTIFIED PROFESSIONAL CODER

August 2006 to February2007

Bryman College, Gardena, California

MEDICAL BILLING AND CODING SPECIALIST

• Honors

• HIPPA Certified

• Distinguished Attendance

PROFRESSIONAL QUALIFICATIONS:

Microsoft Office Professional Suite 2010 CPT and ICD-9 Coding HCFA-1500 & UB-92 Forms

Med Ware Software HIPPA Certified Emdeon

SSI ePremis Xifin

4D Client (RMS) Cap Management System Medinformatix

Oncology Meditech 6.0 (CAMIS) PBar

REFERENCES

Available upon request.

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