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Customer Service Medical Billing

Location:
Lakeland, FL
Posted:
February 27, 2013

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Resume:

Reply to: abqj60@r.postjobfree.com

Collections/CSR/AR/Billing (Tampa-Lakeland)

I am available to work all days and hours. If interested please contact me at the numbers listed on my resume. I am currently employed but actively looking.

Please see resume:

JULIEANNE BYRD, CPC-A

166 Shannon Drive Lakeland, Florida 33809

Tel. 863-***-**** Cell 863-***-****

abqj60@r.postjobfree.com

Friendly, courteous and articulate professional with 2+ years experience with medical billing and collections. Possess customer service skills necessary to interface effectively with all levels of staff and management. Recognized for team orientation, critical thinking skills and a desire for continuous learning. Committed to a job well done and a long-term career.

TRANSFERABLE SKILLS

Shows enthusiasm, initiative, drive and pride in work.

Comfortable in multi-tasking, fast paced environments.

Strong verbal, written and interpersonal communication skills.

Problem-solving skills proven by ability to identify solutions to challenging problems.

Good listener and well organized, able to manage time and prioritize tasks.

QUALIFICATIONS

ICD-9-CM HCPCS CPT Introduction to ICD-10-CM Medical Terminology Anatomy & Physiology HIPAA Government Payers Medicare Medicaid Tricare Third- Party Payers

CMS 1500 CMS 1450 EOB's RA's

Electronic Medical Records (EMR/EHR) Worker's Compensation

Managed Care (HMO, PPO, MCO, HSA and POS) MEDISOFT Proprietary Software MOSS MediFlex

Office Management Insurance Claim Processing Insurance Billing Procedures Payment Posting

Medical Office Procedures including Scheduling Appointments, Insurance Verification/Authorizations

Collecting Co-Payments and Deductibles Computer Skills Data Entry Type 45wpm 10-Key Skills

MS Word MS Office Customer Service Accounts Receivable

EDUCATION

Ultimate Medical Academy, Clearwater, FL

Medical Billing and Coding, 2011 (GPA 3.63)

Hands-on experience includes: medical terminology, anatomy and physiology, disease processes, surgical procedures, life cycle of an insurance claim, health care settings, health care payers, procedure and diagnosis coding from medical records, reimbursement systems, facility billing, keyboarding, word processing, medical practice management systems, and life skills for success.

Niagara County Community College, Sanborn, NY

Coursework in Business Administration, 1996-1997

CERTIFICATION/ASSOCIATIONS

CPC-A Certification, Accomplished 09/10/2011

PROFESSIONAL EXPERIENCE

Vangent, Inc, Riverview, FL -- Customer Service Representative 2011 -- Present

Handle inbound calls from Medicare beneficiaries in regards to their benefits.

Enroll Beneficiaries into Medicare Part D Prescription Drug Plans, Compare Medicare Advantage Plans. Knowledge of Part A, Part B, Part C, and Part D. Also how other insurances work with Medicare. Also hands on experience with medicare.gov website.

Compass Group, Lakeland, Fl 33801 -- Line Cook 2008 - 2010

Prepared food items in accordance with production requirements and quality standards while maintaining a safe and sanitary work environment.

Worked quickly and efficiently and able to work with a team.

GC Services, Lakeland, FL -- Collections Representative 2007

Required good listening skills.

Established and maintained effective working relationships with supervisors, co-workers and clients.

Collected data, defined problems; able to establish facts and make valid conclusions.

Negotiated payment arrangements, corrected oversights and maintained good public relations.

Documented all collection activity in a concise and accurate manner.

Advantage Travel/Great Escapes, Lakeland, FL -- Vacation Specialist/Customer Service 2007

Possess strong telephone personality and ability to effectively communicate with people over the phone.

Stayed organized and provided information to potential clients.

Sold services and products to consumers via inbound and outbound calls.

Kept the customer's attention in order to make successful sales pitch and sell the product or service.

Sweet Bay Supermarket, Lakeland, FL -- Customer Service 2007

The Pantry, Hastings, FL - Customer Service 2006

Provided individualized sales and customer service.

Ensured that customers were assisted properly and that all their questions and concerns were addressed while adhering to company guidelines and policies.

Maintained high level of confidence while accessing customer accounts.

Stay-at-Home Mother, Lakeland, FL 2004-2006

Headed school projects, showed strong leadership skills and managed budget.

Remained deadline-oriented and reliable while adjusting priorities and managing time wisely.

Required to make quick, crucial and often unprecedented decisions.

JayCare Medical Center, Lakeland, FL 2003-2004

Medical Billing/Collections Representative

Resolved denials and appeals between insurance company and organization.

Contacted clients about overdue bills and accounts and collected payment.

Authority to offer payment assistance and create individually tailored payment plans.

Documented payment agreement.

RIS, Lakeland, FL -- Medical Billing Clerk 2003

Prepared charges to the insurance company for medical services rendered.

Pulled medical records and verified insurance coverage and eligibility.

Used hospital software to pull radiology reports to submit to secondary and tertiary insurance.

Pharmacy Care Specialists, Lakeland, FL -- Medical Billing/Collections Representative 2002

Coordinated medications for 20+ nursing homes by processing insurance coverage.

Performed insurance/billing clerical duties, including review and verification of patient account information against insurance program specifications.

Resolved routine patient billing inquiries and problems.

Followed-up on balances due from insurance companies, and type invoices to insurance companies.

Worked with Power of Attorney documents for nursing home facilities.

Location: Tampa-Lakeland



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