Customer Service Medical

Nubya Shabazz

**** ******* ******

Decatur, GA **032

Telephone: 678-***-****

Email: ************@*****.***

Objective: To obtain a position that will allow me to utilize my skills and abilities to benefit and promote growth for a company

Experience:

2015- 2017 Parallon Business Solutions Norcross GA

Government Collections Specialist

Monitor insurance claims by running appropriate reports and contacting insurance companies to resolve claims that are not paid in a timely manner

Identify coding or billing problems from EOBs and work to correct the errors in a timely manner

Identify problem accounts and escalate as appropriate

Update the patient account record to identify actions taken on the account

Work with patients and guarantors to secure payment on outstanding account balances

2011- 2015 Roberson-Brown Group, LLC, Hiram, GA

Part Time Medical Biller

Verify Insurance

Research Provider Information

Submit Medicare and Medicaid claims for Hospice and Home Health

Prepare Billing Summary

2013- 2014 SourceHOV Riverdale, GA

Data Entry Operator

Batch documents

Troubleshoot Data Problems

Process customer information for medical claims.

Process mail and checks for clients.

Upload claims and reimbursements.

2010 - 2012 Alorica, Kennasaw, GA

Customer Service Representative

Verify Accounts

Assist with Billing Questions

Update Account Information

Assist with Technical Problems

Order Equipment and adjust accounts

2006-2010 NC Division of Medical Assistance (DMA), Raleigh, NC

Administrative Assistant/ Customer Service

Utilized SAS Software

Responsible for High Dollar Claims over 3 million

Maintained Integrity of Medical Claims and Records for Appeals and Hearings

Responsible for Legislative Reports for DMA and overseeing reports for other divisions

Maintain Website and Bulletins for Division of Medical Assistance

2003-2006 Cancer Centers of NC, Raleigh, NC

New Patient Referral

Prepared Encounter forms

Scheduled appointments and created charts

Obtained referrals/approvals for treatment

1999-2003 Holly Hill Hospital, Raleigh, NC

Patient Account Representative

Counseled patients regarding copay and benefits

Verified insurance information

Increased collection of grossly past due accounts by 45% over 3 months

Education:

2009-2010 Wake Technical College, Raleigh, NC

Double major in Business Administration & Medical Office

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