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Medical Biller/ Insurance Verification Specialist

Location:
San Clemente, CA, 92672
Salary:
$20.00
Posted:
February 19, 2019

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Resume:

Shirley Bradley

*** **** ******* ********, *** Clemente California 92672, 949-***-****,

ac8i8j@r.postjobfree.com

Summary

Medical professional with 20+ years of experience, proven skills in management and leadership, highly trained and certified medical biller/coder

Kaplan College- Vista California

Medical Billing & Coding, CCS, NCICS 4/2014-1/2015 Core Competencies and Key Classes

Knowledge of Office Allied managerial roles, sales Microsoft Office Epic Software IDC-10 Coding Workers Comp, knowledge of Medicare, Tricare, Electronic Medical Records, Referrals Proficient in HMO & PPO Authorization Acadia HealthCare Insurance VerificationVerification Specialist, Verifying Authorizations Carlsbad, CA 8/2017-12/2017

• Verifying Patients Insurance Eligibility and Benefits understanding Medical Terminology EOBS, Deductibles, Co-Insurances Working with Medicare, PPO, HMO, POS, Medicaid,EPOs, various Insurance Companies

Ambry Genetics Corp Insurance VerificationVerification Specialist, Verifying Authorizations Irvine, CA 5/2017-7/2017

• Verifying Patients Insurance Eligibility and Benefits understanding Medical Terminology EOBS, Deductibles, Co-Insurances Working with Medicare, PPO, HMO, POS, Medicaid,EPOs, various Insurance Companies

NextGen Laboratories Urine Toxicology, Chemistry, Medical Biller/Coder-Newport Beach, CA 949-***-**** 9/2016-3/2017

• In charge of urine toxicology billing, chemistry billing - CPT coding, ICD-10 coding

• Responsible for claims and denials, A/R insurance payment, Medical records, all insurance

Proove Biosciences Urine Toxicology, Medical Biller/Coder- Irvine, CA 02/2016- 09/2016 949-***-****

• In charge of urine toxicology billing-CPT coding, ICD-10 coding Responsible for claims and denials, all insurances

Integrated • Biller for Medicare, Oncology Tricare, Network PPO’s, Medical Posting Biller-A/Del R and Mar, payments CA 07/2015-Insurance 01/201 949-207-denials, 3311 patient statements, Coding ICD-9, ICD-10 CPT Coding, Chemo coding Dr. Edward Wagner Medical Biller-Newport Beach, CA 02/2015-04/2015 949-***-****

• Biller for Medicare, Tricare, PPO’s, HMO, Posting A/R and payments Insurance denials, patient statements, Coding ICD-9, CPT, Chemo coding

Dr. Daniel T. Tam Medical Assistant- San Clemente, CA 08/2008-12/2013 949-***-****

• Duties included running a successful office completing both front and back office tasks of answering phones, scheduling appointments, filing, organizing, obtaining lab results, and greeting patients

• Assisted with standard cardiology procedures like weighing patients, monitoring their vital, preforming EKG’s, suture removals, Billing for HMO, worked with all insurances

• Worked on EPIC software retrieving medical records, test results, and procedures for patients Saddleback San Clemente Hospital Cardiology Technician- San Clemente, CA 03/2004-02/2007

• Duties involved scheduling patients, EKGs, stress-tests, CPR, code blue team, obtaining records and reports for doctors, as well as assisting in the ER

• Worked on EPIC software retrieving medical records, test results, and procedures for patients



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