Data Entry Medical Billing

Amy E. Baier

**** * **** **** **** #****, Scottsdale, AZ 85255 ● 720-***-**** ● *********@*****.***

SUMMARY

Production-oriented claims professional with 16 years’ experience in data entry and medical insurance claims processing.

Currently process highly classified claims of television and radio personnel. Have processed highly-confidential claims of company employees.

Also have extensive experience in claims dispute/resolution, Workers’ Compensation claims, high-dollar transplant claims, claims adjustments and bodily injury claims for auto policies.

Always meet and/or exceed quantity and accuracy quotas.

EXPERIENCE

Keying and processing claims in accordance with claims policies and procedures

Medical billing, collections, coding, payment posting, claims adjudication, appeals and EOBs

In-depth knowledge of ICD9, ICD10, CPT, DRG, HCPCS as well as and medical terminology and procedures

Pay Medicare claims with established government policies and procedures

Identifying, correcting and documenting errors encountered during the claims submission process

Resolving disputed claims to correct payments to doctors and health care facilities

Processing claims of multiple health insurance plans simultaneously

Processing high-dollar and highly complex claims

Researching and verifying referrals, benefits, diagnosis codes and payment schedules

Adjusting claims to correspond with correct fee schedules

SKILLS

Self-motivated, organized, efficient and dependable

Worked with Benesys, Computrak, MediCom and several home-grown claims processing systems

Ability to learn and use new, complex computer billing systems

Extensive computer knowledge, including use of Microsoft Office and the Internet

Use of basic office equipment

WORK HISTORY

Clerk Paper Claims (2/2018 – Present)

CVS Health, Scottsdale, AZ

**processed prescription claims for Veterans Administration and Department of Defense

Data Entry Operator (6/2017 – 1/2018)

Edgenuity, Scottsdale, AZ

Processed work orders from schools

Health Claims Examiner (9/2009 – 3/2017)

American Federation of Television and Radio Artists (AFTRA), New York, NY

See above experience for job description

Claims Processor Senior Associate (2005 – 2009), Great West Insurance through 2008 then CIGNA after purchase, Denver, CO

See above experience for job description

Claims Services Processor (2003 – 2004), Nationwide Insurance, Inc., Dublin, OH

Healthcare Cost Specialist (2000 – 2002), Zurich Insurance Group, Columbus, OH

See above experience for job description

Benefit Approver (1996 – 2000), CIGNA, Columbus, OH

See above job experience for job description

EDUCATION

1987 – AA - Executive Secretarial Technology, West Virginia University Parkersburg, Parkersburg, WV

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