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Medical Insurance billing

Location:
Rocky Mount, North Carolina, United States
Salary:
12.00 per/hrs
Posted:
November 20, 2018

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Resume:

RESUME:

Lessie Mae DeBerry

*** ***** ***

Rocky Mount North Carolina 27804

H: 252-***-**** or C: 571-***-****

Email: ac7q2m@r.postjobfree.com

OBJECTIVE: To enhance and utilize my skills in the medical/collection management environment.

EMPLOYMENT

Volunteer Service

WB2C Outreach Ministries 6/2014 - present

Woodbridge, Virginia 22191

Title: Administrator/Facilitator

Serve as administrator to the CEO in supporting the needy families of various communities throughout the regions of North Carolina and Virginia to include:

Typing correspondences and flyers

Assist clients update their resumes and filling out application

Coordinates activities for all upcoming events such as travels to varies seminars and conferences, assist with manages and projects setup on-site conference as schedule, also counsel’s others when needed.

Wellness Center 4/09- 9/10

Woodbridge, A 22192

Title: Office/Administration

Duties: Performed clerical duties assisting the Chief Executive Officer of the center as follows:

Typed medical information into database

Answered telephone

Insurance company Hope verified patient’s insurance

Setup patient appointment with doctor

Performed other work as needed

Wisconsin Avenue Nursing Home 8//08– 3/09

Washington, D.C.

Title: Office/Staffing Coordinator

Administrated day to day support to the Nurses and Nurses’ Aides staff to include:

Coordinated and called for replacement when aide staff was absence

Monitored Dept. of Nursing (DON)office when needed

Monitored all warning suspension and termination reports

Updated on computer with day to day activities for the DON review

Maintained and monitored daily timekeeping and attendance log sheet for staff

Received all incoming calls and directed them accordingly

Assisted in facilitating day to day operations with staff

Received all verbal and written complaints from family members to be reported to DON

DC General Hospital 5/2006 - 6/2008

Washington DC

Title: Admission Clerk

Provided day to day support to the Pediatrics Out patients ER Department including the following:

Interviewed and processed patients for the hospital and various clinics admissions

Entered all patient information into the database to generate their medical record

Prepared patient medical chart for the doctor

Contacted all insurance companies for authorization to verify patient’s insurance

Knowledge in working with Medicaid and Medicare accounts to determine eligibility

Assisted doctor in pulling patients records and returned all accounts to the Medical Record department

PROMOTED

Title: Insurance Billing Clerk / Patents account (Promoted: to Admission Department)

Supported day to day in the Patient Accounts Department to include the following:

Compiled and transferred pertinent information using the encounter forms (HCFA-1500 UB-92 HCFA-1400) in filing insurance claim for the hospital.

Submitted claim forms to various insurance company for payment

Entered insurance billing for payments into the database keying an accumulation of 180 -200 patient accounts per day

Follow-up with insurance companies and patient regarding current Medicaid, Blue Cross and other insurance claims

Responsible for billing secondary insurance and billed patient if no payment was received

Knowledge of coding such as diagnostic, primary diagnosis, and procedure codes.

American Medical Collection Bureau 4/

Alexandria, Virginia

Title: Collection Representative

Provided day to day operations in collecting delinquent medical accounts to include the following:

Contacted debtors by phone concerning their delinquent account

Set up payment arrangement for clients until agreeable payment plan was made

Collected payment from clients in person

Practiced office policy and procedures daily

Processed and entered all payments into the database system daily

Resubmitted claims to various insurance companies for payment

Reviewed medical accounts to verify if payments were received

Contacted insurance for authorization to if account was in active status

Prepared accounts for legal action if debtor failed to keep their payment obligations

Utilized skip tracing to locate a client for their new address.

Training: Successfully completed 3 weeks training in Collection.

SKILL/CERTIFICATION

Medical Technician Certificate (40 hrs.- training)

CPR Certificate

First Aide Certification

EDUCATION:

Logan Business School, Washington, D.C. Received Certificate

Bookkeeping & Accounting Course

MSFA Trade School – Rich Square, N.C

Nursing Aide (Diploma)

Miller- Motte College – Wilmington NC

Course / Electronic Medical Record 05/2015- present

QUALIFICATION:

Microsoft Word/applications 2016

Internet Explorer 6.0

Windows 2011

Hewlett Packard printer 5100

Web Searching

Excel

Typing speed: 35- 40 wpm

Copying/Faxing

Accomplishment: Received “Collector of the Month” award

Reason: highest payment of the month



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