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Medical Billing Insurance

Location:
Boston, Massachusetts, United States
Posted:
May 24, 2018

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Resume:

Elizabeth Macedo

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

New Bedford, Ma 02740

508-***-****(Cell)

ac5lki@r.postjobfree.com

OBJECTIVE

To obtain a position that enables me to utilize my current Medical Billing experience and grow and develop in a company where I am productive and effective and part of the company’s growth and success.

EXPERIENCE

University Gastroenterology 02/01/2010-present

Title: Insurance Verifier Medical Billing Specialist in AR/AP

Responsibilities:

Experienced billing for Gastoenterology, Insurance Verification

Ensure claims are entered and submitted with 48 hours of receipt; Accurately apply payments to patient accounts

Post and reconcile insurance and patient payments. Research and resolve incorrect payments, EOB rejections, and other issues with outstanding accounts

Insure accuracy of insurance claims. Verify correct ICD-10 CPT codes for a variety of specialties

Set up new patient accounts

Assign ICD-10 to physician’s diagnosis and insure correct level of service and various other CPT codes

Set-up practice management software from Athena system to the EPIC system

Send secondary claims upon processing of primary insurance

Answer and resolve patient billing inquires

Follow up on Insurance and patient aging. Re-submit insurance claims as necessary

Knowledgeable in timely filing restrictions

Insure office practices are in compliance with HIPAA regulations

Tony's Bar 2012-2015

Title: Bar Manager /Bookkeeper/Accounts Payable and Receivable

Responsibilities

Managed payroll, Bartenders, Security in a family owned establishment

Respond to all vendor inquires

Match invoices to all checks, obtain all signatures for checks and distribute accordingly

Review all invoices for appropriate documentation and approval prior to payment

Maintain files and documentation thoroughly and accurately in accordance with bar policy and accepted accounting practices

Organized events and insured everyone was above age according to state laws

Process check requests

Audit and process credit card bills

Assist with various other projects as needed to keep the family business within approved guidelines

Community Counseling of Bristol County 2009-2012

Title: Medical Billing Specialist/LPN

Responsibilities

Responsible for Medical Billing Specialist, Coding Coordinator,

Assessed Physician notes and billed according to services provided

Insured accuracy of insurance claims, verify correct ICD 9 codes were in effect

Post payments and research and resolve any issues that were incorrectly posted

Ensure claims are entered and submitted with 48 hours of receipt, Accurately apply payments to patient accounts

Maintain files and documentation thoroughly and accurately in accordance with company policy and accepted billing practices

Assisted with other projects as needed

Brockton Pediatric Associates 2000-2009

Title: Medical Billing Specialist/LPN

Responsibilities

Maintain and organized and accurate record keeping for accounting purposes pertaining to payroll, inventory, payments and co-pay expenses.

Actively assisted Physicians with sick visits, administered vaccinations, and assisted in physical examinations

Successfully organized and coordinated informative programs on breast feeding, as well as other family oriented programs that resulted in great attendance and reviews

Medically transcribed Physician notes and billed insurance companies per ICD 9 regulations

SKILLS

• Extensive knowledge of ICD-9 and CPT-4 codes

• Hands-on experience with EMR, EDI and ERA posting

• Familiar with commercial insurances, HMO’s, Medicaid and Medicare

• In depth knowledge of medical terminology, Fluent in Portuguese, Spanish and Portuguese Creole

• Hands on experience in medical transcription duties

• Functional knowledge of insurance companies and claims information

• Great attention to detail

• Profound ability to manage basic accounting functions

• Excellent negotiation and critical thinking skills

• Some knowledge of human anatomy

• Excellent technical skills – computer and internet savvy

• Microsoft Office and medical billing software

• Proven ability to maintain patient confidentiality

• Excellent knowledge of legality and ethics of the medical field

• Demonstrated ability to manage time effectively

• Professional phone demeanor

Education

New Bedford High School 1987-1991 HS Diploma

Bristol Community College 1991-1994 Accounting/Nursing

Bristol Voc Tech 1996-1997 LPN Diploma

References furnished upon Request



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