Customer Service Medical

Software:

Epic,NextGen, IDX, Healthport, CodeScan, Eclinical Works, AllScripts PM, Sage Intergy, Cener, Medical Manager, SSI.

Key Skills:

ICD-9 and CPT coding

** ***

Online-insurance and claims verification

Medical terminology

Microsoft Programs (Word, Excel, Access)

Education

Education

1997 Burdett College

Worcester, MA

Medical Coding Specialist

Certificate

3.0-3.2 GPA

Dean’s List

Tiffany R. Trotter

**********@*****.*** 336-***-****

MEDICAL BILLING & INSURANCE SPECIALIST

Professional Experience

Aug 13- present Novant Health, Inc.

Winston-Salem, NC

Billing /Insurance Specialist/Team preceptor

Filing reconsiderations/appeals to insurance

Claims resolution/Working denials

Verifying patients eligibility and benefits

Jul 12- April 13 Med3000

Winston-Salem, NC

Medical Billing Specialist II

Data entry

Working claim denials for commercial, and government payers

Posting of denials

Claim resolution

Account receivable

Collections/Workers Comp

Mar 12- July 12 Greensboro Plastic Surgery Association

Greensboro, NC

Claims Biller/Follow Up Rep (TEMP POSITION)

Billing surgical claims to payers

Setting patients up on payment plans

Claims follow up/worked denials/insurance verification

Front Desk (check in/out, collect patient payments, schedule follow-p appointments)

Nov 03- Mar 12 Eagle Physicians Associates, PA.

Greensboro, NC

Medical Billing Specialist

Verify patient insurance information in billing management.

Apply CPT/ICD-9 and carrier guidelines to electronic claims.

Research and resolve any coding discrepancy.

Proof electronic claims for errors & apply financial adjustments.

Review denials; work with sites & Customer Service to resolve.

Sept 02- Oct 03 United Healthcare

Greensboro, NC

Customer Service Rep ( Benefits/Claims)

Provided claim status and/or benefit information to members/providers

May 98 – Sep 02 Moses Cone/LeBauer Healthcare, PA.

Greensboro, NC

Front Office Support /Front Office Team Leader/Medical Records/Referral Coordinator

Scheduling

Answered incoming calls from patients

Medical Records

Posted daily charges from super bill

Check In/OUT

Verified insurance

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