Customer Service Insurance

DAMARIS ROCHE

EAST * STREET, BETHLEHEM, PA *****

*** ********(cell)

610-***-**** (home)

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

SKILLS SUMMARY Skilled in medical billing, efficient, detail –oriented, highly organized. Strong analytical and problem solving skills.

SSI system, Medics, Share point, Pass port, Navi net. EMPLOYMENT

LVPBS PHYSICIAN BILLING

A/R Supervisor

MAY-2006- PRESENT

Bethlehem, Pa

● Responsible to post payments, posting remits, posting checks, posting and working denials, all in a 24-48 hr turnaround time line for different entities.

● Coordinated meeting with different departments to reduce AR. Including but not limited to Compliance department, offices, hospital staff and team members. Traveled to different office’s to educate staff on different insurance carve outs / denials etc...

● Responsible for close communication with staff, offices and patients for the charity care reduced fee application requirements and processing.

● Training new hires on the medic system, office procedures, billing etc.

● Developed and implemented a tracking claim system for the electronic held claims and released dates utilized monthly in our Compliance Meeting.

● Responsible for the staff PTO time, Bi weekly Time Sheets, implemented team work to reduce A/R and bring revenue etc. Easton Hospital

Claims processor /Medical Biller

December 06- may-2006

Bethlehem, PA

● Transmitted claims/download from the SSI system to the insurance clearing house. Keeping track of denied batches/claims and responsible to distribute to the appointed biller. Responsible in tracking all 277 and 997 reports for all insurance’s including denials on a daily basis.

● Electronic billing for all Blue insurance’s including hospital billing. Billing secondary claims and working denials from error reports and or opening investigations on the navi net system.

ST LUKES HOSPITAL

MEDICAL BILLER/ CUSTOMER SERVICE

MAY 2000- DEC.12-2006

Bethlehem, PA

● Electronic billing claims on EZ 2000 program, billed secondary and primary insurances, Billed on promise for medical assistance claims.

● A/R reports worked daily to reach the monthly goal. Special project with timely guidelines

EDUCATION

William H Maxwell High School

Certified EKG & Phlebotomy

Managers Workshop certificate

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