BRENDA K. TUGGLE

*** *. ***** ***

Ripon, CA ****6

209-***-**** or 209-***-****

ac0bml@r.postjobfree.com

OBJECTIVE: Obtaining a challenging career position in Customer Service, Data Entry Clerk, A/R, Payment poster, Medical Claims Biller, Collector, Referral and Authorization clerk. I possess excellent communication skills, both verbally and written and would appreciate the opportunity to be an asset for your Company

QUALIFICATIONS:

*Fifteen years’ experience as a Customer Service, Sales and Support Representative

*Exceptional communication skills, both verbal and written

*Ten years in the Medical Field, with Radiology as my Specialty

*Responsible for obtaining and billing claims to all Insurance

Companies

*Knowledgeable of Insurance guidelines, rules & regulations; HIPPA

*Proficient in Medical Terminology, Procedure and diagnostic

coding, Referral, and Authorization

*Excellent communication skills, both verbally and written*Strong

problem solving and multi-tasking abilities

EXPERIENCE:

2015-2015 AUREUS HEALTH /KELLY SERVICES Santa Clara, CA

Patient Intake Processor

; Responsible for patient demographics, Insurance information and verification

; processed claims from other countries per Insurance guidelines

2013-2015 RANDSTAD / BANK OF AMERICA Union City, CA

Data Entry Clerk

; Posted commercial and personal payments and

correspondence for the I.R.S. contracted with

Bank of America

2010-2012 IN-HOME SUPPORT SERVICES Modesto, CA

Personal Assistant

; Prepared all clients health documents, handled Insurance billings, assisted client to and from all appointments

2004-2007 GLV, INC. Lodi, CA

Bookkeeper, Payroll clerk, Phones, Filing, and Customer Service Associate, Administrative Support to Three Owners

2000-2001 NATIONAL HEALTH PLANS HMO / TENET HEALTHCARE Modesto, CA

Claims processor; Patient Account Representative II., Collector

Responsible for maintaining current aging reports in an efficient and accurate manner,

contacted Insurance Company, patient and referring Physician for follow-up information,

prepared delinquent accounts for outside Collection's; Researched over-payments and refunded proper payer

1997-2000 HANGER ORTHOPEDIC GROUP Modesto, CA

Account's Receivable clerk/Billing Follow-up /Collector

Posted all payments to account's, worked aged account's in a timely manner, re-billed or appealed denied claims with proper documentation ie; prior or retro authorization's, referrals, tar's, corrected Dx code's; front desk and scheduling backup

EDUCATION:

2003-2004 MODESTO JR. COLLEGE Modesto, CA

Studies pertaining to Business Management and Social Services

PROFESSIONAL REFERENCES AVAILABLE UPON REQUEST

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