Medical Billing

M L

**** ******** ***, ***********, ** ***** C: 661-***-**** **************@*****.***

To obtain a position of responsibilities that utilizes my skills and experience and keen to work in an environment where I can enrich my knowledge. Seek challenging assignment and responsibility with an opportunity for growth and career advancement as a successfully achievement. ICD-9-CM

ICD-10-CM

CPT-4

HIPAA

HCPCS

MS Excel

MS Word

Power Point

CPR BLS

Typing

Medical Terminology

Medical Software

Medisoft

Medical Insurance

Medical Billing

Excellent Customer Service

Phone Etiquette

EOB

EHR

10-Key

High School Diploma:

Los Angeles High School - Los Angeles, CA

Medical Billing and Coding:

UEI College - Bakersfield, CA.

Fluent: English/Spanish

Medical Billing and Insurance Coding, 06/2015 to 08/2015 Mercy Plaza Respiratory (Required 200 Hours Internship) – Bakersfield, CA Registered new patients into the Brightree/Electronic Medical Records health system and updated accounts as needed.Scanned prescription and laboratory results as well as creating sales orders into Brightree. Submit Authorizations to different Health care Insurance\\'s eligibility and claim verification performed both manually and electronically. Welcome visitors by greeting them warmly. Scheduled appointments. Answer multiple phone lines, answer inquiries about company, and taking and relay messages. Cash out people when necessary. Filling, and sending faxes. Ensure office is tidy. Stock merchandise. Gather personal and Insurance information. Data entry. Take phone orders from patient\\'s, hospital\\'s and hospice. Billing Clerk, 08/2015 to 11/2016

Mercy Plaza Respiratory – Bakersfield, CA

Prepares and submits claims to all private and third-party insurance carriers either electronically or by hard copy billing. Secures needed medical documentation required or requested by all private and third party insurances. Follow up with all private and third-party insurance carriers on unpaid claims till claims are paid or only self-pay balance remains. Processes rejections by either making accounts private and generating a letter of rejection to a patient or correcting any billing error and resubmitting claims to all private and third-party insurance carriers. Work with physician or medical record staff to ensure that correct diagnosis and procedures are reported to all private insurance and third-party insurance carriers. Efficiency perform eligibility and claim verification performed both manually and electronically.Prepare and attach all required claims documentation including referrals, treatment plans, or other P S

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required correspondence to reduce incidence of denials. Maintain confidentiality of all information. Processed payment via telephone and in person with a focus on Accuracy and efficiency.Post payment on patient accounts electronically.Submitted Authorizations to Insurance carriers. Process credit memos. Executed billing tasks and recorded information in company databases.

• HIPAA Certified • CPR- BLS Current Certification • OSHA/ Infection Control • Honor Roll C

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