Customer Service Medical Billing

KENYA J. GREEN

**** **** ******

Temple Hills, MD 20748

240-***-**** *****.*.*****@*****.***

OBJECTIVE:

Seeking a position where I can utilize my coding skills, experience with patient records, and background in medical terminology to accurately abstract and validate ICD-10-CM, ICD-9, CPT-4 and HCPCS Level II codes, maintain patient records, and assist a facility overall in their documentation and reimbursement process.

SKILLS:

●Knowledge of Medical Terminology, HIPAA and Patient Confidentiality

●Managed Care Regulations

●Medical Office Procedures: scheduling, receiving and posting payments, managing patient accounts and charts

●Inpatient and Outpatient Coding

●ICD-10-CM (2016-2017) & ICD-9 Coding, CPT-4, HCPCS Level II

●CMS-1500 Claim Form

●Medical Group Insurance, Medicaid, CHIP, Medicare, Military Insurance, Worker’s Comp and COBRA

●Medicare / Medicaid Reimbursements

●Healthcare Insurance Reimbursement

●Anatomy, Physiology, Pharmacology

●EMR / Electronic Filing Systems

●MediSoft, Salesforce, 3M Encoder/Reference Software, MedLook

●Proficient in Microsoft Office

●Excellent Verbal / Written Communication

MEMBERSHIP:

●American Academy of Professional Coders (AAPC), Member I.D.: upon request

EDUCATION – Dual Student:

UNIVERSITY OF MARYLAND UNIVERSITY COLLEGE (UMUC), Course Major: Medical Anthropology / Social Science – August 2016-May 2020

And;

U.S. CAREER INSTITUTE (USCI), Course Major: Medical Billing/Coding (CPC) - March 2018 (Certificate):

●Apply theory and practical skills to assign diagnostic and procedural codes to medical records according to state, federal and local government regulations.

●Integrate medical terminology, human anatomy, physiology and disease processes with medical coding and billing systems.

●Apply theory and practical skills to work in medical billing.

●Implement the essential skills of medical billing, electronic claims submission and insurance form completion for medical service providers.

●Apply effective medical ethics and legal theory in my career

WORKFORCE EXPERIENCE / HISTORY:

May 2015 – December 2017, ULTIMATE STAFFING (Arlington, VA & Baltimore, MD) - CSR (Call Center) Agent, Collections, Receptionist, Office Assistant, Medical Billing Asst. - Temp Assignments, as listed below:

●UNITED WAY NCA - Partnerships Engagement Representative - November 2017-December 2017:

-Responds to customer service inquiries to the Partner Engagement phone line and email account both inbound and outbound from the nonprofit community.

-Implementation of the annual (November-December) application process for partner eligibility including process flow, data management, and overall support of the online platform.

-

Provides direct assistance to application review process, and required data and document evaluation.

-

Maintains database systems as related to Partner Engagement, including nonprofit partner and non-partner staff, volunteers, address, and contact information.

●National Committee for Quality Assurance (NCQA) – October 2017-October 2017

-Supervised the front desk/receptionist area

-Answered and transferred incoming phone calls

-Managed the “package delivery” log

-Informed employees via e-mail of packages for pick-up

●SPARGO, Inc.- October 2017-October 2017

-Assisted with mass mailing production

-Stuffed envelopes with conference literature

●C2 Imaging – October 2017-October 2017

-Assisted with mass mailing production

-Inserted tabs in binders for new engineer manual

-Inserted documents for new engineer manual

●Lincoln Property Company – July 2017-July 2017

-Assisted the Office Manager with new office transfer arrangement/set-up

-Transferred office files into new files

-Transferred office cabinet files into new cabinet files

●CEROS Financial Services, Inc. – June 2017-June 2017

-Reconciled audit for quarterly billing

-Arranged the invoices for audit reconciliation

●HOBO BAGS – April 2016-July 2016

-Placed Collection calls daily regarding payment status inquiries for 30-120 days delinquent accounts

-Documented client communication regarding account balances.

●CMD Outsourcing Solutions, July 2015-November 2015

-Inbound - Call Center Customer Service support services that solved and assisted with student admissions, registration, billing and financial aid inquiries for Florida State College at Jacksonville

-Notated student accounts with inquiries and resolutions of the caller’s

-Escalated further communication and/or actions to be addressed regarding a student account or new student enrollment.

●The Hanger Clinic, March 2015-July 2015, Medical Billing Assistant

-Reconciled work orders for medical billing and invoicing.

-Managed patient accounts with current data.

-Printed invoices for mailing/distribution.

-Implemented status of patient accounts for collections.

February 2013 - May 2014, FEDERAL REALTY INVESTMENT TRUST (Rockville, MD)

Collections Administrator

• Maintained Tenant accounts and interacted with Tenants with delinquent accounts

• Placed payment status inquiry calls and/or e-mails regarding 30-90 day past due accounts

• Reported status of Tenant accounts to the CFO for bi-monthly Collections meetings

• Audited and Reconciled delinquent accounts

• Prepared and submitted Demand Notices/Defaults against accounts 60 days past due

• Submitted Landlord & Tenant Suits

• Authorized/advised for company Attorney to file Unlawful Detainers

• Prepared and submitted Forbearance Agreements

• Received and logged monthly and daily check payments and/or wire transfer (ACH)

• Placed Late Fee’s monthly on accounts delinquent 5 days from the 1st of every month

• Maintained monthly open/delinquent report

March 2012 – February 2013, ACCOUNTEMPS (Bethesda, MD)

Medical A/R & Billing, Collections and Real Estate Accounts Payable Specialist - Temporary Assignments

●The Smallwood Village Properties, November 2012-February 2013, Accounts Payable Assistant:

●Implementing data using accounting software (i.e., Excel, Yardi database).

●Creating weekly batches to process and cut checks for vendor accounts

●Scanning, date stamping and filing new invoices received.

●Retrieving, sorting, and distributed incoming mail/packages.

●Processed incoming/outgoing mail.

●Meridian Senior Living, March 2012-October 2012, Medical Billing & A/R Representative:

●Reconciled work orders for medical billing and invoicing.

●Managed patient accounts with current data.

●Verified and implemented Tenants. Medicare/Medicaid and/or Group Insurance.

●Printed invoices for mailing/distribution.

●Implemented status of patient accounts for A/R, billing and collections.

●Reconciled month-end billing on Tenants accounts.

November 2004-April 2009, INTERFACE MEDIA GROUP (Washington, DC)

A/R Collections & Billing Assistant

• Administered weekly collection meetings with the CEO and Vice President

• Worked closely with the Sales team regarding billing

• Set-up new accounts and inquired client references

• Maintained client project files and interacted with clients for billing purposes

• Prepared, maintained financial records and tax certificates

• Collected work orders from media/post production facility suites

• Reconciled work orders for billing and invoicing

• Collection calls and/or e-mails regarding payment status inquiries for 30-120 days delinquent accounts

• Successfully collected debt $90k-$150k as a quota per week

• Submitted credit/debit memo’s and implemented account adjustments

• Electronically deposited payments received daily via online banking

• Received and logged wire transfers (ACH), credit card and check/cash receipts

OFFICE & TECHNOLOGY EXPERTISE/SKILLS:

Software:

• Electronic Medical Records (EMR)

• MedLook

• Salesforce

• YARDI Database

• MS Word 2010

• MS Excel 2010

• MS Outlook 2010

• Adobe 8 & Adobe 6 (editing) 2010

• QuickBooks

Office:

• Front office management/supervision

• Switchboard administration

• Copier, Scanner, Facsimile

• Troubleshooting office equipment (i.e., copier, scanner, facsimile)

• Transcription (Dictaphone)

Contact this candidate