CYNTHIA D. JONES

*** ********* ****** **** ****, AL 35125 Cell: 205-***-****

Email: ac7ihd@r.postjobfree.com

Medical Billing Specialist with over 10 years of experience in billing for Doctors’ Offices, Hospitals, and Nursing Home setting. Well versed in diagnosis codes and CPT Codes such as ICD-9 and ICD-10. Knowledgeable of HIPPA Privacy Laws.

Summary of Qualifications

Great Judgment

Knowledgeable in computer skills such as Microsoft Office Suite

Good Written/Verbal Skills

Teambuilding/Event Planning Notary Public

Speaking at Nonprofit Public Engagements

EMPLOYMENT

Billing Manager, Alabama Foot Institute, Birmingham, AL

February 2017 thru Present

Billed and coded numerous procedures for podiatrist

Complete insurance follow-up with insurance companies

Schedule appointment with clients

Resubmit rejected claims to insurance companies for review

Claims Analyst, Greenway Health (AMT Staffing) Birmingham, AL

September 2015 thru February 2016

Reviewed and analyzed client accounts receivable functions.

Prepared and analyzed trends & opportunities regarding client revenue management.

Other duties included insurance follow up, third party billing, bookkeeping and collections.

Medicaid Biller, Lifeguard Ambulance (Account Temps) Birmingham, AL

November 2014 thru January 2015

Billed for ambulance trips to and from destination.

Made phone calls to insurance companies for verification.

Followed up on payments received and posted payment to accounts receivable.

Knowledge of ZIR-MED, RESCUE-NET, AL MEDICAID PORTAL, TN MEDICAID, & SOUTHEAST TRANS

MSPRC-MEDICARE/Secondary Payer Case Analyst, Cahaba GBA (Aerotek Agency) Birmingham, AL

May 2013 thru November 2014

Recouped overpayments made by Blue Cross Blue Shield.

Reviewed claim criteria & made decisions on the next step in the recovery process.

Knowledge of ReMAS, CIRTRIX, IMAGIO, RSC, HIGHGLAS, LMS, CWF (SESSION) Systems, diagnosis codes/CPT codes.

Account Receivable Specialist II, Golden Living Center Birmingham, AL

July 2007 thru April 2012

Billed for room & board for nursing homes patient's and responsible for co-insurance billing

Employee of the month July 2011

Knowledgeable of Mainframes, AS400, E-MO-MED, MS Word & Excel

Posted pending payments, denials, rejections & appeals

Called Hospice for Election Letters and posted payments

Charge Entry Clerk, UAB Medical West (Spherion Agency) Bessemer, AL

November 2006 thru July 2007

Keyed Interps, Pulmonary Functions Test Studies and performed insurance follow up

Billed and coded numerous procedures for various doctors

EDUCATION

Medical Billing/Coding Course

University of Alabama @ Tuscaloosa, AL-Certificate Program

REFERENCES AVAILABLE UPON REQUEST

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