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Customer Service Medical Billing

Location:
Milwaukee, WI
Posted:
October 19, 2017

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Resume:

Lance Coleman

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

Milwaukee WI **216

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

414-***-****

PROFESSIONAL SUMMARY

Medical Billing, Collections, Inside Sales, and Customer Service Professional who is experience and a team player.

Computer Software Experience

EPIC, Enterprise, AS400, Mestamed, Mainframe, Microsoft Office, Exel, Word, Powerpoint, CRM, CSM, Outlook

Experience

Northwestern Mutual/Adecco 6/2017-Present

LTC IRI Specialist

* Assist Long Term Care policy clients with questions regarding up coming rate increases, benefit account value, elimination periods, AAPB, ABI, billing questions

Scion Dental 02/2016-07/2016

Customer Service Representative

* Provide claim status to medicaid and medicare members

* Advise of what information is needed to correct rejected or denied dental claims

* Explaining EOB, preauthorization status

* Offer suggestions on ways to possibly get denied benefits approved per state guidelines

* Post Payments

Specialized Medical Services 6/2015 - 01/2016-temporary

Billing Specialist

* HIPAA

* Post payments

* Entered charges for oxygen thru the forward health portal

* Worked ageing reports for 50 facilities

* Entered charges for each of the 50 facilities for month end close

* Corrected ICD-9 and CPT-4 codes for claims submission through the forward health portal

* Entered cash payments and researched EOB' and remits for corrections and resubmission of claims Experience with ICD-10 and HCPCS code processing

Lakeside Buses 9/2012 - 06/2015

Driver

* Safely transported students to and from school

* Fueled, cleaned, checked fluid levels and lights

* Addressed damage in and around the bus

* Prepared reports and attended monthly safety meetings

Hewlett Packard/State of Wisconsin Dept. of Health Service 06/2010 - 08/2012

Income Maintenance Assistant

* Assisted clients in applying on line for state and federal benefits such as food stamps, badger

care, senior care, RX, child care, foster care, and family care benefits

* Provided assistance in 6 and 12 month reviews

* Provided information regarding energy assistance, and food pantries.

We Energies 2/2008 - 5/2010

Seasonal Collector

* Collection of past due electric and gas bills via telephone

* Offered energy saving tips and addresses where clients are able to apply for energy assistance

* Set up payment arrangements and reconnections for customers

Tru-Green 02/2006 - 01/2008

Sales

* Sold lawn care products door to door to the general public

* Completed telemarketing during the winter month

Washington Mutual 01/2003 01/2006

Mortgage Specialist

* Performed customer service duties while in the call center

* Accepted incoming customer calls regarding insurance, taxes, amortization, escrow, PMI, RESPA, loan settlement statements, appraisals, mortgage, and mortgage note, titles, deeds, satisfactions, HELOC's, prepayment penalties, ect * Provided detail information regarding ARM's, balloon, FHA, VA, and fixed rate mortgages

BankOne 1/2001 - 12/2002

Collector

* FDCPA collecttion of auto loan payments 30-60 days past due

* Processed telephone payments

* Negotiated payment arrangements to avoid getting a replevin judgement for repossession

* Verified employment, home, billing address, and collateral location

* Received and made up to 120 calls per day on average

US Bank 06/1996 - 12/2000

Personal Banker/Mutual fund Specialist

* Opened new checking, savings, CD, and Money Market accounts

* Performed money transfers

* Regulation D & E adherence

* Problem-solved any other customer concerns.

* Perform exchanges, transfers, redemptions of mutual fund shares.

Extendicare 09/1988 - 05/1996

Medical Billing Coordinator

* Processed medical claims for Medicare, Medicaid, and insurance electronically

* Processed ancillary and re-occurring ancillary charges on a daily basis

* ICD-9 and CPT-4 coding was one of my duties

* Corrected incorrect codes and resubmitted claims

* HCFA & HIPAA

Education

WRTP/BIG STEP-CPR, Scaffold Building

Kaplan University-Insurance Certificate 2011

MATC- Real Estate course work Certificate 1986

MBTI Certified Basic Business Accounting



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