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Medical Biller Follow up & Collections

Detroit, Michigan, United States
January 24, 2018

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Joan Bennett

***** **** **., *******, ** ***** 313-***-****


Diploma, General Academic Requirements

Chadsey High School, Detroit, MI


Assisted with the General Motor Summer Project

Awarded the Customer Service Award 2013/ 2014/ 2015

Technical Skills

Medical Terminology

Proficient in Microsoft Office

Proficient utilizing Outpatient (UB-04) and Professional (1500) Claim forms

Utilizes the Official Disability Guidelines system to obtain ICD-9/ ICD-10, CPT codes

Utilizes Encoder Pro to obtain HCPCS and Modifier codes

Personal Proficiencies

Excellent communication, organizational, time management skills

Ability to interact with Senior Executives

Ability to multi-task well and work cross functionally with other team members

Works independently with ability to self-manage projects to meet deadlines

Works with a high sense of urgency and the ability to swiftly and accurately respond to requests

Professional, positive and enthusiastic attitude, team player

Interest for domestic and international travel that would further company’s business objectives

Professional Experience

PBS Bureau, Dearborn, MI October 2003 – March 2017

Medical Biller/Collections Specialist

Validate & process professional and outpatient medical claim forms

Process daily reports & manage over 125 claims daily

Review claims for completeness & accuracy

Generate payments to the proper provider and/or medical facility

Ensure proper guidelines were followed during claim processing to determine approval and/ or denial status

Examine claims forms and other records to determine insurance coverage.

Pay and process claims within designated authority level

Examine claims investigated by insurance adjusters, further investigating questionable claims to determine whether to authorize payments.

Arrange for debt repayment or establish repayment schedules, based on customers' financial situations

Smith Medical Center, Detroit, MI February 1998 -December 1999

Medical Biller/Medical Assistant

Administered registration of patients and passed on information to required hospital departments

Schedule Appointments

Process daily reports & manage over 30 calls daily

Generate messages for the different departments and Physicians

Informs patients of required documentation, and payment information via phone and postal services

Examine claims forms and other records to determine insurance coverage.

Interview patients to obtain medical information and measure their vital signs, weight, and height

Record patients' medical history, vital statistics, or information such as test results in medical records

Prepare and administer medications as directed by a physician.

Leadership & Certifications

Education Committee, Bible Way Church, C.O.G.I.C June 2014-present

Secretary, Multicultural Student Healthcare Association November 2010-April 2012

Volunteer, Tutor/Mentor for Grass Roots Organization September 2010-April 2012

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