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Medical Billing Customer Service

Berlin, New Jersey, United States
December 21, 2018

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*** ********** ****** ***********, ** 08089 480-***-****


Customer service oriented and performance driven professional with 9+ years of value-added experience. Possesses a strong understanding of the importance of accurate claims processing. Pays close attention to detail for accurate and compliant documentation and maintains and ensures patient privacy and confidentiality.

Proficient in Microsoft Office Suite; Types 35 WPM; Values honesty, hard work, and professionalism.

Well organized with strong problem-solving and supervisory ability.

Effective in managing time, coordinating details, and balancing competing demands. KEY QUALIFICATIONS

Medical Billing Medical Coding ICD-9-CM ICD-10-CM HCPCS CPT Medical Terminology Electronic Health Records (EHR) Electronic Medical Records (EMR) Greenway Disease Processes Managed Care (HMO, PPO, and POS) Government Payers Third Party Payers Worker’s Compensation Centers for Medicare and Medicaid CMS 1500 CMS 1450 (UB-04) Tricare EOBs Payment Posting Revenue Cycle Management Scheduling Meaningful Use Insurance Verification Insurance Billing Procedures Insurance Claim Processing Practice Management Medical Office Procedures Anatomy & Physiology HIPAA Compliance Co-Payments Deductibles Co-Insurance Superbills EDUCATION & CERTIFICATION

Ultimate Medical Academy Diploma – Medical Billing and Coding, 2016 Analyze and code surgical procedures and diagnoses using ICD-9-CM, ICD-10-CM, and CPT codes. Collaborate across collection/billing departments to ensure billing related issues are resolved. Verify insurance eligibility, and submit claims to various insurance companies electronically. Pursuing National CPC-A Certification


Honor Health Hospital / John C. Lincoln – Avondale, AZ 05/2016 – 11/2018 Patient Sitter

Visited with the patients, monitored mental behavior, and ensured a safe and secure environment.

Followed treatment plans, documented patient behavior and prescriptions.

Assisted at the nurse’s station, and assigned nurses to patients.

Answered phones and patient calls for assistance, and maintained confidentiality of information. Pepco Holdings – Carney’s Point, NJ 10/2001 – 09/2009 Billing & Credit Associate

Handled all aspects of customer accounts including processing billing invoice payments, updating demographics, and issuing refunds.

Analyzed delinquent accounts and delegated revenue recovery assignment to the field Reps.

Handled 75% of the incoming calls from the Service Representative.

Maintained a high level of confidentiality while accessing customer accounts. Robert Half/ Accountemps – Mt. Laurel, NJ 07/2000 – 10/2001 Billing Specialist

Analyzed gas and electric data on large power customer accounts.

Recorded discrepancies with the computer generated bills when discovered.

Trained and supervised other employees.

Performed general everyday tasks necessary for the efficient running of the business.

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