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Customer Service Representative

Location:
Denver, CO, 80014
Salary:
18.00
Posted:
April 01, 2013

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Resume:

A ndrea Wright. 720-***-****

**** * ****** ***. ****** Co 80014

A ndrea Wright

C apabilities:

• A multi-tasked, disciplined team-oriented, AAPC CPC Certified Coder with

k nowledge of anatomy, physiology and medical terminology t rained in all aspects of

f ront office of both medical and dental. In addition, have the knowledge of

government insurance programs including Medicare, Medicaid, Tricare and also

H MO, PPO, POS, Indemnity, etc.

• T EC H N ICAL SK I L LS:

• •

I C D-9 CM Coding Accounts Payable

• •

MS Word Alta

• •

3M (ADA Snodent)

• •

CPT 4-Coding Accounts Receivable

• •

MS Excel HCFA 1500 Forms

• •

Encoder pro Payroll

• •

HCPCS Level I I Coding UB-92 Forms

• •

MS PowerPoint Access

A ndrea Wright. 720-***-****

3738 S Danube Cir. Aurora Co 80014

A ndrea Wright. 720-***-****

3738 S Danube Cir. Aurora Co 80014

• •

Meditech Epic

• Dental Coding

P rofessional Expe rience:

Evans Army Community Hospital J une 2008 – September 2012

Coding Specialist

• Ambulatory Surgical Coder: Abstract note from operative report’s code using ICD9,

CPT4 and HCPCS for multiple specialty, put charts together and enter codes into

t he computer system.

• Coding Specialist: Assign ICD-9 and CPT code for midwife outpatient clinic abstract

f rom delivery note and assign codes, code evaluation & management coding

• Researched on claims inqui ries and reprocessed claims as needed.

• Searched and recovered funds for providers due to overpayment from insurances,

and adjusted provider claims for overpayment and underpayments.

• Communicated with providers about claims recovery and adjustment issues by

telephone or in person and emails as appropriate.

• Review claims report and followed up and resolved errors

• Verify members other coverage’s, calling insurance companies, provider offices, or

t he patients and schedule patients appointments

A ndrea Wright. 720-***-****

3738 S Danube Cir. Aurora Co 80014

A ndrea Wright. 720-***-****

3738 S Danube Cir. Aurora Co 80014

• Other responsibilities: run reports, bank deposits, educate providers on coding

material, developed presentation on coding material once a month, help t rain new

employees, run daily and monthly error reports on provider and present data/reports

Exempla Saint Joseph Hospital Clinic. J une 2006 – June 2008

Coding Specialist

• Chart Abstracter: Inpatient and Outpatient Specialty Coder for OB/GYN/ CNM,

M FM Assign CPT, ICD-9 codes for emergency department encounters using external

coding Conventions as well as internal policies. Write physician documentation

deficiencies as required. Use critical thinking skills as needed. Participate in quality

review process. Attend monthly coding meetings

• Abstract E & M codes from hand wri t ten doctor’s notes from charts.

• Assign ICD-9, CPT codes for inpatient and outpatient encounters.

• Orientate new physician and t rain on how to wri te sufficient documentation note.

• Correct rejection from insurance companies, Medicaid, and Medicare.

• Assisted in coding for other specialty departments such as Rehabilitation,

Hospitalist, Internal Medicine, Renal, Hematology, Oncology, Cardiology, Infectious

D isease, Orthopedic, Neurology, Emergency Department, and Pediat rics

Andrea Wright. 720-***-****

3738 S Danube Cir. Aurora Co 80014

A ndrea Wright. 720-***-****

3738 S Danube Cir. Aurora Co 80014

• Beacon Medical Service July 2003 – February

2006

• Coder

Ace Security January 2003 – June 2003

Receptionist

• Answer 5-line phone, run credit reports, payroll for sales representatives, type

documents, check over paper work, mail outs, maintain office supply, email payroll,

paper work to corporate office and filing folders

Tenet Health Center September 2001 – December 2002

P re-Surgery Prep, Coder

• Pre-Certifying patients for surgery.

• Ensured proper payment from insurance, billing on all procedures and entered CPT-

4 codes

• Prepare charts and appointments for physicians

AT&T Call Center February 2001 – August

2001

Customer Service Representative

Andrea Wright. 720-***-****

3738 S Danube Cir. Aurora Co 80014

A ndrea Wright. 720-***-****

3738 S Danube Cir. Aurora Co 80014

• Answer phones, processed new orders, maintained credit reports, post payments and

resolve problems

Wal-Mar t December 1999 – January 2001

Customer Service Representative

• Layaway Associate: Greeted customers, process t ransactions and input orders, put

merchandise away, ran bin audits, answered phones, ran all the layaway reports,

i nventory, open close layaway and helped t rain new employees

America's Best Eyeglass & Contacts J uly 1998 – November 1999

Receptionist

• Answered 8-line phones, t ransferred calls, scheduled appointments, greeted

customer, dispensed contact orders, ran bank errands, pulled records and filed

Education and Certifications:

• Phoenix University – 2014 Expected Graduation

• CPC Certification

• Concorde Career Institute Certificate -2003

• National Bank Teller School Certificate-1996

Andrea Wright. 720-***-****

3738 S Danube Cir. Aurora Co 80014

A ndrea Wright. 720-***-****

3738 S Danube Cir. Aurora Co 80014

Andrea Wright. 720-***-****

3738 S Danube Cir. Aurora Co 80014



Contact this candidate