Medical Customer Service

Lamont Mcgriff

***** ******** ***, *******, **, *0428

708-***-**** Home 773-***-**** Mobile • *******@****.***

Medical Coding/Collections Specialist

Professional Summary

** ***** *********** **d Customer Service Experience • Microsoft Office Suite Proficiency including Word and Excel

15 years Skip Tracing and Asset Investigation Experience • Research and Analysis Skills • Willingness to Adapt • Detail

Oriented

Excellent Oral and Written Communication Skills •.Negotiation and Dispute Resolution Skills • Exceptional Client

Relations and Follow up Skills • Alphanumeric Data Entry Skills • TSA 1 Certificate • Knowledge of ICD 9 CM and

CPT 4 • Ability to work independently and multi task • Knowledge of Medical Insurance Billing Procedures and use of

CMS 1500 and UB 04 forms

• Explain terms and agreements of contractual obligations to borrowers

• Identify areas of conflict and assess appropriate approach for negotiation of repayment

• Understand and apply FDCPA, Privacy Act and Collection Improvement Act as applicable to situation

• Apply skip tracing and asset investigation skills as needed

• Understand and extract the proper information from contracts

• HIPAA, Privacy and Security Rules

• Explain the uses of coding conventions when assigning codes and modifiers

• Identify the placement of CPT codes on the CMS 1500 and UB 04 insurance forms

• Code E/M services, anesthesia services

• Apply procedural coding and billing skills

• Understand and extract the proper dx, procedures, and charges from a medical claim (CMS 1500)/(UB 04) and

itemized invoice

• Decipher medical terminology as written in case reports

• Medical Terminology

• Anatomy and Physiology

• ICD 9 CM Diagnostic and DRG Procedural Classification

• CPT Procedural Coding

• Medical Insurance and Reimbursement procedures

• Medical office administrative practices

• Hospital and Physician Coding and Billing

• Medicaid/Medicare/Medigap/HMO/TRICARE/CHAPVA/Private Pay

• Introduction to Electronic Health Record (EHR) Systems

• Provider and insurance follow up

Education

Currently Enrolled, A.A.S. in Health Information Technology Program, Devry University Online

Vocational Certificate, Medical Billing and Coding, Computer Systems Institute, Chicago, Illinois 2012

Diploma, Marian Catholic High School, Chicago Heights, Illinois 1993

Experience

International Medical Coding Specialist, LaSalle Network, Chicago, IL 2013 to Current

• Identify the proper ICD 9, HCPCS, CPT and Revenue codes for use on the HCFA and UB 04

insurance forms based on 2012 and 2013 claims

• Hospital and Physician Coding and Billing

• Decipher medical terminology as written in case reports

• Currency Conversion

• Use of Google Translate and internet to decipher diagnosis and procedures for coding

• Auditing and correcting rejected claims for resubmission to the host processor

• Generation of additional information request letters to patients and providers

• Submission of coded claims to the host processor for reimbursement

Primary Care Specialist, Self Employed, Markham, IL 2007 to Current

Daily Feeding and Cleaning

•

Managing Bladder Control and Supplies

•

Care and Monitoring of Gastrointestinal Tube

•

Management of household inventory and finances

•

Understand and extract the proper information from contracts

•

Decipher and explain medical and insurance terminology as written on insurance EOB

•

• Explain HIPAA and Privacy Act Rules

Collector, American Financial Management, Arlington Heights, IL 2003 to 2007

• Explain terms and agreements of contractual obligations to commercial borrowers

• Identify areas of conflict and assess appropriate approach for negotiation of repayment

• Forward files to litigation as applicable to situation

• Apply skip tracing and asset investigation skills as needed

• Understand and extract the proper information from contracts and documentation

Dept of Education Collector, Van Ru Credit Corporation, Des Plaines, IL 2001 to 2003

• Explain terms and agreements of contractual obligations to student loan borrowers

• Identify areas of conflict and assess appropriate approach for negotiation of repayment

• Understand and adhere to Collection Improvement Act of 1998, FDCPA, state and federal laws

as applicable

• Apply skip tracing and asset investigation skills as needed

• Understand and extract the proper information from contracts and documentation

NSF Recovery Specialist, American Recovery Systems, Mount Prospect, IL 1998 to 2001

• Explain terms and agreements of contractual obligations to borrowers

• Identify areas of conflict and assess appropriate approach for negotiation of repayment

• Understand and adhere to FDCPA, Privacy Act and state laws as applicable

• Apply skip tracing and asset investigation skills as needed

• Follow up on NSF resolution

Contact this candidate