Medical Data Entry

Kerry Crawford

Specialist Billing

Latham, NY ***10

*******************@***********.*** - 518-***-**** Authorized to work in the US for any employer

WORK EXPERIENCE

Specialist Billing

St. Peters Health Systems - Cohoes, NY - 2005 - 2016 Data Processor II

Computer Science Corporation, Inc - Cohoes, NY - 2000 - 2005 Claims Inspector

Value Options, Inc - Latham, NY - 1999 - 2000

Community Health Plan (Kaiser Permanente, Inc.) Latham, NY Claims Inspector

Team Leader of Medical Records Department

Claims Examiner

Front Office Receptionist

EDUCATION

diploma

Shaker High School - Latham, NY

1975 - 1979

Certification in Community Health Plan

State

ADDITIONAL INFORMATION

• Extensive experience in Medical Records, Reception, and Claims

• Simultaneously perform office tasks including answering phones, obtaining files and checking in patients receiving Merit Award in 2016 for excellence with insurance company follow up

• Utilized OAS Gold, MACESS, IDX to review patient claims, interpret information, and resolve discrepancies REVELANT SKILLS

Office Management

• General office management, including customer interface, updating schedules and workload

• Supervised 3 staff members

• Trained managers and peers in MACESS Database

• Trained peers on internal processes

• Wrote articles to keep peers apprised of company updates

• Processed customer sales for products

Document Management

• Audited organizational processes and procedure to ensure compliance and accuracy for given insurance plan and proper payment

• Generated reports to ensure timely payment of medical procedures

• Data Entry for Health Care Financing Administration (HCFA) 1500, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) services, UB92

• Managed Accounts Payable and Accounts Receivable for physician claims, CDPHP, BCBS & commercial accounts

• Initiated phone calls, billed out claims and set up appeals

• Troubleshooting incorrect and missing information

• Claims processing for Workers Comp, Nursing Homes, Jails, VA Claims, Cancer Service Program claims and Credits

• Processed employee physicals entire process for payment

• Conversant in Health Care Financing Administration (HCFA) 1500, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) services, ITB92

• Inspected claims to ensure quality control

• Reviewed, processed and corrected medical billing forms from multiples offices

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