Insurance Medical
Resume:
Evelyn Febles
Miami, FL. *****
To Whom It May Concern,
I believe my experience and solid record of achievement make me an ideal
candidate for position in your office.
I have over 12 years of Medical Billing experience, with a National Medical
Insurance and Certified from the American Academy of Professional Coders.
As my enclosed resume indicates, my experience includes Collections Office
Duties and Surgical Coder / inpatient & outpatient procedure and knowledge
of ICD-9 and CPT coding and HCPS.
Please call me at 305-***-**** if you need additional information or
would like to discuss my experience and qualifications.
Sincerely,
Evelyn Febles
Evelyn Febles RESUME OF QUALIFICATIONS
2471 SW 138th Pl Home: (305) 553-
0399
Miami, FL. 33175 Cell: (305) 975-
2958
E-Mail:
*********@*****.***
PROFILE In the years of experience in a private physician's practice,
it have taught me the necessity of handling my job with
a sense of urgency and also managing patient's accounts
with the respect and persistence both you and they
deserve. With an extensive medical knowledge and
abilities in billing, coding and managing; I will be a
valuable asset to your company. These qualifications
will aid in bringing your establishment in more revenue
in a timely and efficient manner.
EDUCATION
Miami Senior High, High School Diploma 1994
Miami Dade Wolfson Campus, Associates in Science Degree
1998
National Certified Insurance & Coding Specialist
Certification (NCICS) 2004
Certified Professional Coder (CPC)
EMPLOYMENT HISTORY
Southernmost Foot & Ankle
(Podiatry)
2010 to 2012
RESPONSIBILITIES:
. Front Desk; Check patients in/out
. Schedule appointments
. Schedule patient procedures
. Collect patient co-payment/deductible
. Enter patient and insurance information
. Verification and authorization of insurance
. Responsible for posting all charges on daily basis
Kenneth B. Shephard, M.D
(Endocrinology and Metabolism)
2008 -2009
RESPONSIBILITIES:
. Front Desk; Check patients in/out
. Schedule appointments
. Collect patient co-payment/deductible
. Enter patient and insurance information
. Review patient charts for authorization or referral
for the following day
. Obtain authorizations for procedures
. Verification and authorization of insurance
. Responsible for posting all charges on daily basis
. Prepare and submit claims electronically or by mail
to various insurance companies
. Review of explanation of benefits for possible denial
or patient responsibility
CMS Open MRI
(Diagnostic Center)
2005 to 2008
RESPONSIBILITIES:
. Prepare and submit claims to various insurance
companies either electronically or by mail.
. Answer patient, clerical staff and insurance
companies questions.
. Handle collections from patients, insurance companies
and attorneys on a weekly basis.
. Submit claims for accident cases (PIP) and attorneys
. Prepare and submit paper claims including the
obtaining of office notes or other documents that are
required to be attached to the claims for processing.
. Review secondary claim to determine if any claim can
be set up for other medical filings
. Evaluate patient's financial status and establish
budget payment plans.
. Follow and report status of delinquent accounts
. Responsible for posting daily insurance payments and
patient balances
Femwell Group Health Inc. - South Miami Hospital
Pedro Alvarez M.D. / Jaime Sepulveda M.D.
(Gynecology & Urogynecology)
1995 to 2004
RESPONSIBILITIES:
. Indirect responsibility for supervising two separate
facilities
. Collections / Billing for four individual practices
. Working with high volume insurance companies
. Identify and resolve patient billing complaints
. Maintain and control accounts receivables to prevent
lost funds
. Conduct monthly accounts receivable meetings
. Perform bookkeeping, cash receipts, insurance
payments and period closing
. Perform end of month report & weekly analysis report.
. Surgical Coder / inpatient & outpatient procedures
. Develop and implement coding procedures with accurate
diagnosis
Alfredo Suarez-Sarmiento, M.D. / David Moises MD.
(Urology & Psychiatry)
1993 to 1995
RESPONSIBILITIES:
. Front desk; Check patients in/out
. Schedule patient appointments
. Insurance authorization and verification
. Schedule patient procedures
STRENGTHS Creativity and dedication are my greatest strengths. My
organizational skills and studious nature allow me excel at
whatever I do.
LANGUAGE Fluent in both English and Spanish.
COMPUTER
SKILLS Office 2003, Project 2000, Medical Manager, MediSoft, MedStar,
Medtopia
REFERENCES Available Upon Request.
Contact this candidate