Customer Service Medical Billing

Kelli Polk

**** ****** ****** ** *******, Tx

Phone: 615-***-****

Email: ************@*****.***

Objective

To obtain a challenging position that can use all of my talents and skills. A position with opportunity to grow in knowledge.

Work Experience

Insurance Collector

06/15/15 – 03/17/17 CHS, Franklin, TN

*Work other Government Payer, Corrected billing mistake with Barrt, Rebilled claims in SSI. Reviewed accounts for posting errors. Worked 6 Different Financial Classes, Contacted VA, Tricare, Tri-west, and hospices. Worked 2ndary claim. Submitted prim and secondary adjustments.

Biller/Follow-up Rep

10/2006 - 11/2006 HMS, Nashville, TN

Corrected billing information (ICD-9, CPT, HCPCS, REV CODES) updated insurance information, posting errors, locating payments, posting payments and contractual.

Biller/Collector

9/2005 - 9/2006 Home Healthcare Labs of America, Franklin, TN

Everything from coding to contracting with insurance. Dealt with insurance companies across the United States. Medicare, Medicaid for different states, BC/BS for different states. Corrected ICD-9 codes for Medicare billing. Posted payments for all insurance companies.

Patient Account Rep

2/2004 - 8/2004 HCA Healthcare, Nashville, TN

Follow up with insurance companies on hospital claims. Worked claims that need medical record, patient information, cob update, corrected ICD-9 and CPT coding.

Follow Up Rep

12/2003 - 2/2004 DSM Temp for Ajilon, Hendersonville, TN

Follow-ups with insurance, work denial, appeals. Corrected code issues. Worked with insurance groups and try to get claims paid.

Overpayment Recovery Specialist

10/2001 - 2/2002 AIM HealthCare, Franklin, TN

Collection on behalf of insurance companies. Worked third party accounts. Dealt with other insurance companies.

Practitioner Data Coordinator

9/2000 - 9/2001 CIGNA HEALTHCARE, Franklin, TN

Supervising 5-10 people, Analyzing data and providing customer service to practitioners, loading complex data in CIGNA Claims, Medicom, Central Provider Files (CPF), and working with TPV's networks (third party vendors), coordinating information with accuracy and detail. Liaison between practitioner and claims office (fco). Helping Customer Service Reps with special projects.

Temporary Assignments

2/2000 - 6/2000 AccounTemps/Office Team, Ascend, Adecco, Nashville, TN

Medical Billing, Third Party Collection, Refilling Claims, Follow-Up with Insurance Companies, Write-Offs, Working Denials. Financial and Billing Services. Receptionist, Greeting Guests, Answering Phones, Processing Mail (Airborne, FedEx, UPS Deliveries), Scheduling Meetings Through Microsoft Outlook, Processing Employee Expense Reports.

Medical Biller/Collector

4/1999 - 8/1999 Precision Billing Service, Medical Biller, Collector

Medical Billing, Collections, Refund Request, and Working Denials

Asst Manager

4/1997 - 12/1999 Texas Boots Inc. (Boot Country), Nashville, TN

Supervising 2-5 People, Opening And Closing The Store, Transferring Stock, Checking In Merchandise

Education

06/2017 to present Academy of Medical Professionals

Some College Coursework Completed

Medical billing and Coding classes.

11/2000 Practitioner Data Class, Franklin, TN

Certification

Knowledge of Medicom, Cigna claims, Cpf, Fallout.

11/1998 Northeast High School, Clarksville, TN

High School or equivalent

Skills

Medical Accounting, Claims Procedure, Collections, CPT-4, ICD-10, HCPCS, Microsoft Office, QuickBooks, Reimbursement, Insurance Procedures Va Knowledge, Tricare Knowledge

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