Medial Biller / Customer Service

DIANE R BORDERS

*** ******* ***** #**, ********, CA 91740

Cell: 626-***-****

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

DME/Congregate Living Facility Medical Biller skilled at multi-tasking and maintaining a strong attention to detail. Employs professionalism and superior communication skills to meet client and company needs. Microsoft Word & Office proficiency

Brightree

Excel

Meticulous attention to detail

Conscientious in all tasks

Works well under pressure

Excellent Customer Service skills

08/2016 to 02/2018

CLHF HOMES, INC.

North Hollywood, CA

Billing Administrator

Billed Medi-cal, HMO, PPO and Managed Care accounts for ten six-patient facilities. Claim tracking & follow-through for disputed claims. Created excel spreadsheets for claim tracking and expected incoming payment reports for CEO. Acquire Medi-cal TARs and Authorizations. Submit applications for Medi-cal patients for the required Medi-cal IHO AH/NF Waiver program. Verified eligibilities and troubleshoot to correct any changes that may arise. 01/2005 to 07/2016

WHITTER MEDICAL HOMECARE SUPPLY

Whitter, CA

Outside Sales / Biller / Authorizations

Outside Sales - Top Sales Rep for four years

Establish & maintain relationships with Drs for referrals. Organized & conducted presentations for Drs' events, Senior & Disabled centers & events to introduce company's services & products. Met with Drs to inform them of changes in insurance requirements to ascertain referrals met insurance guidelines. Verified all required documents, eligibility & medical records before submitting sales orders.

Billing Department - Transitioned into the Billing Department for the next eight years Managed accounts, including verifying eligibilities, to place orders within the insureds allowable for Incontinence, Trach & G-Tube Supplies processed on a weekly basis. Billed all Medi-cal & Managed Care orders placed utilizing Brightree. Billed HMO & PPO claims by hardcopy. Submitted Auths, obtain Rx's & Drs notes for all orders prior to placing. Provided excellent Customer Service on phone & with in-store customers. Coordinated appointments

& scheduling of Respiratory Therapists.

BUSINESS / LAW / MUSIC

Sylmar High School, Sylmar, CA

Graduated top 10% of Class

BUSINESS ADMINISTRATION / ACCOUNTING

Sawyer College of Business, Van Nuys, CA

Graduated with Honors

LAW / MUSIC

Los Angeles Valley College, LAVC, Valley Glen, CA

1 Year

SUMMARY

SKILLS

EXPERIENCE

EDUCATION AND TRAINING

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