C Medical
Resume:
Janice J . M arks
Irving, T x. 7 5060
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OBJECTIVE
To o btain a p osition a s a M edical B illing a nd C oder i n a f acility w here I w ill f ace challenges t hat w ill e ncourage m e t o s trengthen a nd b roaden m y k nowledge a nd s kills. WORK E XPERIENCE
02/2016 t o P resent A lliance F amilies o f C o I rving, T x.
R espiratory S leep S olutions Medical P ayment P oster: P osting p ayments v ia B rightree s ystem e lectronically a nd making t he n ecessary a djustments w hen n eeded. A lso p osting l ive a nd m anual c hecks that c ome i n e nsuring t he m onies a re p osted t o t he c orrect a ccounts. R esearching thoroughly w hen n ecessary w hen t he p atients i nvoice n umber i sn’t c orrect o n t he payment o r s imply i s n ot t here. T racking n on-payments a nd c oding t rends v ia v arious insurance c ompanies. T ransferring m onies t o t he p atients s econdary i nsurance i f n eeded. 02/2009 t o 0 2/2016 C oncentra C BO P lano, T x Urgent C are P ayment P oster: I p rocess v arious I nsurance p ayments f rom M ajor And C ommercial I nsurance c ompanies o n a d aily b asis. A lso I p ost P atient p ayments f or various v isits a cross t he U nited S tates w hile w orking i n t wo d ifferent s ystems
(Practice V elocity a nd G E). I s tage/ready b atches f or p roper p ayment p osting With i n b oth s ystems a s w ell a s t ransfer m onies t hat b elong t o v arious c enters/CBO’s Across t he U nited S tates. I p repare R efund r equest w hen n ecessary f or b oth I nsurance And p atients w ho’ve o ver p aid a fter i nsuring t here a re n o o utstanding d ates-of-service The a dditional m onies c an b e t ransferred t o. A t t he e nd o f t he d ay I c omplete m y Spreadsheets s tating m y d aily p roductivity a long w ith a b rief y et c omplete s tatement Of m y d aily w orks. A ll w hile t raining n ew a nd e xisting e mployees o n v arious w ork flows
I’ve e ncountered t hat w ould m ake t he w ork p rocess f low s moothly. A lso, I p rocess/ manually p ost o nline p atient p ayments v ia c redit c ards. Urgent C are E RA/EFT S pecialist: O n a d aily b asis I g o f rom s tate t o s tate p rinting electronic d ocuments ( Payments) f rom v arious i nsurance c ompanies; a ttaching t heir check n umbers t o t he s ystems ( PVPM) b atches t hat h ave b een c reated p rinting t hose Janice J . M arks
612 T ipton R d.
Irving, T x. 7 5060
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Urgent C are E RA/EFT S pecialist: O n a d aily b asis I g o f rom s tate t o s tate p rinting electronic d ocuments ( Payments) f rom v arious i nsurance c ompanies; a ttaching t heir check n umbers t o t he s ystems ( PVPM) b atches t hat h ave b een c reated p rinting t hose batches b efore p osting. W orking c losely w ith t he P ayment P osters t o i nsure t he c laims are c orrectly a djusted p er s tates p er c laim. T ransferring m onies t o p atients w hen necessary; f lagging a ccounting a nd h anding o ff t he A ccounts R eceivables f or f ollow-up and c ompletion w hen n ecessary o f n on-paid a nd p roblem c laims. P reparing R efund Request f or t hose p atients w ho o ver p aid d ates-of-services. W orking c losely w ith management t o e nsure m y p roductivity i s i nline w ith w hat’s n eeded t o h it o ur q uotas f or each a nd e very m onth a s w ell a s T en K ey.
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Urgent C are B iller: B illing f or v arious s tates a nd c enters t hat o ffer U rgent C are services. B ill v ia P ractice V olicity s oftware a s w ell a s, r un p rograms s uch a s A lchemy, Rightfax, A CM, L otus N otes a nd P ractice V olicity-PVPM E mdeon. I m ass b ill c laims electronically a s w ell a s p rint H CFA’s ( CMS-1500 f orms), g enerate r eject r eports f rom the A CM s ite. V erify p rocedural p ayments v ia i nsurance c ontracts ( Credentialing) t o ensure t he c laim w as/has b een p aid a t t he p roper l evel p er c ontract p er s tate. I b alance bill p atients w hen t hey a re r esponsible f or t he r emainder o f t heir o ffice v isits. O n a d aily basis I p ost a nd n otate p atient a ccounts f or r efunds t hat a re d ue b ack t o t hem; a s w ell a s insurance c ompanies t hat a re d ue b ack f unds t hat w ere o ver p ayment f or s ervices rendered. I p ost p atient c redit c ard p ayments t o/for r esent a nd o verdue a ccounts; a nd send a s preadsheet o f m y d aily w orks t o m anagement a nd t he p roper e ntities s o t he d aily work p rocess r uns s moothly. I a ssist i n t he t raining o f n ew e mployees t he b illing p rocess and w hat’s e xpected o f t hem o n a d aily b asis t o m eet o ur q uota f or t he n ext m onth. I communicate d aily w ith m anagement a nd t he C A’s o f/at t he c enters I w ork t o e nsure a ll necessary i nformation t hat’s n eeded o n a ll p atient c laims a re c omplete t o n ot i nterfere with t he b illing p rocess t o c ollect p ayments m ore s wiftly. O n a d aily b asis I s end a nd receive f axes, s can d ocuments f or/ f rom v arious e ntities f or c orrections o n d ifferent claims.
2008-2009 M edix S olutions,Inc. D allas, T x. Urge nt C are B iller: I a ssisted t he C ash R econsideration D epartment i n t he p rocessing o f Deposit N otification f orms f rom v arious c enters t hat w ould b e f axed i n v ia R ight f ax. O n a d aily b asis I w ould v erify t he c ash, c heck, a nd/ o r c redit c ard p ayments a nd m ake t he necessary c alls t o t he c enters w hen t he m onies w ere n o a dding u p a s s tated o n t he f orms received.
Janice J . M arks
612 T ipton R d.
Irving, T x. 7 5060
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2007 F TGU C onsulting L .LC L ittle E lm, T x. Medical B illing a nd I nsurance C oordinator: H one-based. T he c orrection o f o ut-dated insurance c laims f or p rompt p ayment v ia t elephone/fax f rom m ajor i nsurance c ompanies and/ o r s elf-pay p atients. R esubmitting c laims e lectronically t hrough T exas T hin Clearinghouse f or s peedy c ollections o f c laims p ayments. I ’d p ost c heck p ayments o f patients t o t he a ppropriate D OS’; a nd b alancing o utstanding a ccounts. P erformed o n a daily b asis: D ata E ntry, W ord, a nd E xcel s preadsheets. 2006-2006 C oppel F amilyMedicalCenter C oppell, T x. Medical B illing a nd I nsurance C oding S pecialist: D uties i nclude t he i ntense c orrection of u npaid c laims t o i nsurance/ p atients, p reparing p ayment p lans f or p atients, p osting payments, a nd a lso t raining i ncoming e xterns o n t he c orrection o f m edical c laims t o getting t hem p aid p romptly. O n a d aily b asis I w ould v erify p atients i nsurance e ligibility as w ell a s e nsuring t he i nsurance c ontracts w ere c urrent ( Credentialing) a nd u p t o d ate t o receive s wift p ayments i n a t imely m anner. I ’d h elp t he D octors i n t he r ecovery o f outstanding m onies a long w ith a ny q uestions t hey a nd/ o r t he concerning b illing i ssues t o t he b est o f m y a bility. I w ould a lso o n a d aily b asis a nswer/ respond t o t he i ncoming e lectronic m ailings f rom p atients a nd d ifferent e ntities. 2001 T he W hole N ine Y ards N ew O rleans, L a. Receptionist: D uties i ncluded e ffectively c oordinating t he o perations o f a L awn C are Service o peration i ncluding f ielding m essages, m aking a ppointments, d ispatching c rews, making c ash d eposits a t t he b ank a nd m onitoring o ffice o perations a nd p rotocol s o a s t o insure t he p roper p rocedures w ere i n p lace f or b usiness. Janice J . M arks
612 T ipton R d.
Irving, T x. 7 5060
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EDUCATION
HIGH-TECH I NSTITUTE I vring, T x Medical B illing a nd C oding D iploma 2 006 CERTIFICATIONS
Integrity a nd H IPAA P ractices
S ept. 2 009
Conflict o f I nterest i n T he W orkplace
Sept. 2 011
Ethics a nd C ompliance
Sept. 2 011
Fraud, W aste a nd A buse L egal T raining f or M edicare/Medicaid July 2 012
Identity T heft P rotection R ed F lag R ules-Patient C ontact Sept. 2 009
Treated R ight: D efining C ustomer S ervice
Jan. 2 011
Cardiopulmonary R esuscitation ( CPR)
Expires J an. 2 013
Advanced C oding
Jan. 2 6, 2 007
Coding b y S pecialty-Ortho
March 1 6, 2 007
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