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Medical Billing specialist, Collections, Ins Verifier

Boca Raton, FL
October 19, 2018

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561-***-**** • • 9431 SW 1st Pl, Boca Raton, Florida 33428


Medical Billing and Coding Senior Specialist prioritizing claims to be adjudicated at the highest level payout. Problem solver and analytical team player successfully meeting deadlines under high pressure conditions. Medical billing specialist knowledgeable in Microsoft Office, Word, Outlook, and Excel. Experienced in hospital claim billing, physician billing, home health billing, authorization & benefits; in addition to third party billing through managing care, commercial, non-commercial, Medicaid and Medicare.


Medical Billing Specialist / CLSC February 2018 – September 2018

Administered job knowledge assessments and competency testing for certification-level training.

Identified process improvements in the day-to-day functioning of the department.

Consistently complied with applicable laws and regulations and ensured facility adhered to Medicare and Medicaid regulations.

Reviewed patient charts to better understand health histories, diagnoses and treatments.

Medical Billing Specialist / Pain Management Strategies July 2016 - February 2018

Established and maintained systems that safely met patients' needs.

Routinely collaborated with department managers to correct problems and improve services.

Created and maintained computerized record management systems to record and process data and generate reports.

Reviewed patient records, identified the medical codes and created invoices for billing purposes.

Efficiently collected payments and communicated with clients.

Medical Billing Specialist / Prospira Paincare Inc. August 2012 – July 2016

Ambulatory Surgical Center – Authorizing and insurance verification of costly pain injection treatments, high rapport and excellent communication relationship with attending physicians

Responsibility to reduce Accounts Receivable

Authorize, Benefit, and obtain referral for accurate claim reprocessing

Patient responsibility collections when necessary


BBA in Business Administration and Management

Kaplan University - 2014

Graduated Magna Cum Laude

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