Customer Service Medical
Resume:
Bridget Merriwether
E-mail *******.***********@*****.***
OBJECTIVE
To obtain a position with a progressive organization that would utilize my skills
and allow me the opportunity for advancement.
HIGHLIGHTS OF QUALIFICATIONS
Over fifteen (15) years of account receivable/customer service, and medical terminology.
Excellent office skills, typing 40 to 55 WPM, Fax machine, copier, printer
In-depth knowledge of Bridge, Stock Camp, and Power Chart.
Pivot Table, Microsoft Outlook, Microsoft Office Tools, and Excel Spreadsheet.
Take pride in doing a good job and achieving results.
.Enthusiastic, personable, professional in appearance and manner.
EXPERIENCE
Methodist Lebonheur Hospital 07/23/07-10/2013
Medical Billing Specialist I (Patient Financial Service Dept) - Tenncare/Medicare
Worked all Tenncare denials for UHC & Bluecare payers. Verified patients insurance
through varies websites. Handle special projects to decrease high and low dollar balances.
Medical Billing Specialist II- Research high dollars claims $10, 000 and above to resolve denials and adjustment issues.
Request Patient’s sterilization Consent Forms from doctor office.
Verify other insurance, submit appeals and take incoming calls from patients.
CBO Physician Alignment (Methodist) 10/27/2013- Present
Claims Rep II – Transferred to…. Payment Posting Rep II
Work denials- Pediatric, Arthritis, and Chiropractic groups.
Work closely with Coders to investigate coding issues. Resolve billing issues for Medicare and HMO claims.
UT MEDICAL GROUP 02/2013-06/04/2007
Patient Account Representative
Responsible for working denials for Blue Cross, Commercial, and Tenncare Insurance.
Requested medical records, handle authorization issues, create appeal letters.
Checked claim status and eligibility from varies websites.
Review modifiers and diagnosis and knowledge of payer guidelines.
BAPTIST HOSPITAL 05/2000-02/2003
Patient Account Representative
Responsible for calling insurance companies for status of claims.
Worked denials according to AR days.
Correct registration errors, filing secondary deductibles.
Filed Medicare claims and followed up with status.
EDUCATION Southwest Community College Memphis, TN
2011-2012Business Administration and Computer Science
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