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Medical Billing Insurance

Location:
Irvine, CA
Posted:
August 08, 2018

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Resume:

January **** ~ July ****

January **** ~ August **15

June 1995 ~ May 2011

Amy Jakobson Nelson

** ******** ******, ** *****

949-***-**** • *********@******.***

Medical Billing ~ Front Office

Diligent, detail-oriented, highly organized medical office professional offering sixteen plus years of combined experience.

Key Qualifications

● Patient & Customer Relations

● ICD-9, ICD-10, CPT, HCPCS & Medical Terminology

● Medical Insurance & Insurance Verification

● 10-Key & Keyboarding

● Explanation of Benefits (EOB's)

● Claim Entry & Payment Posting

● Online Claim Submission & ERA

● Insurance & Patient Aging

● Excelled Phone Skills

● Records Organization and Management

● HIPPA Compliance

Work Experience

Restoration Healthcare ~ Dr. Raleigh, DO ~ Dr. Bakman, DC Independent Contractor ~ Medical Billing ~ Accounts Receivable ~ Collections

● Ensure claims are entered and submitted daily.

● Insure accuracy of insurance claims, verify correct ICD-10 and CPT codes.

● 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.

● Assign ICD-10 to physicians diagnosis and insure correct level of service and various other CPT codes.

● Retrieve Electronic Remittance Advice (ERA's).

● Follow up on insurance and patient aging. Re-submit insurance claims as necessary. Knowledgeable in timely filing restrictions.

● Scheduled and set up new patient accounts.

● Processing of patient statements.

● Insurance verification and authorizations.

Hudson Wellness ~ Dr. Hudson, DC

Medical Billing ~ Front office

● Front Desk: Check patients in & out, schedule appointments, answer phone calls, collect patient payments and copays.

● Billing: Insure accuracy of ICD-9 and CPT codes, entered and submitted claims daily, EOB rejections, patient invoices, follow up on insurance and patient aging, collections, input demographics, set up new patient accounts,

● Insurance: Verification of benefits, authorizations online and over the phone. Center For New Medicine ~ Cancer Center For Healing ~ Dr. Connealy, MD Product Specialist ~ Medical Billing

● Checked patients out, schedule follow up appointments, answered multi-line phone calls/heavy June 1992

phones, collect patient payments and copays, sold recommended products and supplements, ordered nutritional supplements and skincare products, inventory and stocking, shipping UPS/USPS, extensive product knowledge.

● Billing: Ensured claims were entered and submitted within 24 hours of receipt for multiple physicians, assigned ICD-9 to physician diagnosis and insure correct level of service and various other CPT codes, input new patient demographics.

● Insurance: Verification of benefits and authorizations over the phone. Technical ~ Software Skills

● Microsoft Windows XP, Word, Excel, Quickbooks

● Mac OS, IOS.

● Medical Manager, EZ Claim, Office Ally/Practice Mate, E-Z BIS, DrChrono. Education

Diploma

Esperanza High School

● Graduated with a 3.0 GPA.

References

● Available upon request.



Contact this candidate