Medical Billing Insurance Specialist

Tanya R. Wade ***********@*****.***

504-***-**** • 2631 Dawson St Kenner, La 70062

Objective

To contribute in an striving and growing healthcare organization in which my education, experience, and skills will provide me with opportunities for advancement.

Summary of Qualifications

I’m experienced in resolving escalated issues and ability to perform effectively in a team environment. Proficient in Microsoft Windows, Excel, Word, ICD-9, CPT, HCPCS, UB04, and HCFA 1500

Experience

December 2014-Present Fresenius Medical Care, Metairie, La

Collections Patient Acct Rep

Responsible for performing collection duties on an assigned work list for outstanding high dollar dialysis claims. Efficiently follow up on claims by calling all Commercial insurance companies or checking status online. Review all denied claims and corrected to resubmit for payment. Send appropriate disputes, reconsiderations, or appeals written or online for optimal reimbursement.

January 2013- December 2014 Spectrocell Laboratories, Houston, TX

Billing/Collections Specialist

Checked status on laboratory insurance claims, Appealed claims for out of network benefits, updated denials and approvals, billed initial and corrected claims to insurance companies, mailed out invoices to patients of outstanding balances.

January 2010- January 2013 MEDCO Medical Supply Co, Houston,TX

Commercial Medical Collector/Biller

Responsible for working all rejected and denied commercial claims on monthly AR report, check status on claims to determine denial reasons, send appeals by mail or fax, handle all correspondence and refund request.

March 2007-January 2010 McKesson Corporation, Houston, TX

A/R Reimbursement Specialist II

Responsible for working rejected and denied claims, contact insurance companies, patients, other facilities and depts as needed. Correct denials, coding issues, and identifying problems and trends

Education

Alfred T. Bonnabel High School Metairie, La - Graduated May/1991

USL-University of Southwestern La Lafayette, La 1991-1995

MCCC- Coding Certificate Missouri City, TX 8/2010

EDUCoder Coding Works, LLC Metairie, La 4/2015

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