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Medical Billing

Las Vegas, Nevada, United States
March 09, 2019

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Las Vegas, NV ***** 702-***-****


Detail-oriented,confident and focused Medical Biller/Collector 15+ years of experience managing medical insurance claims. Investigates and resolves insurance company disputes/denials and communicates with patients regarding account balances and claim statuses. SKILLS

• Medical Billing (Institutional and Professional)

• Medicaid, Medicare and all insurances,Health Insurance Portability & Accountability Act (HIPAA) statue and regulations

• Wide knowledge of ICD-9,ICD-10 and CPT-4

• Explanation of Benefits (EOB)

• Profound knowledge of Microsoft Office applications

• Adjustment

• Post and accept credit cards,cash and monthly payments

• Medical Invoices/Statements

• Collection

• Analytical and auditing skills, and basic mathematics for reconciliation of accounts

• Communication skills and excellent phone demeanor

• Attention to detail

• High Accuracy

• Manage deadlines

• Ability to access all resources


Patient Account Representative, 03/2018-08/2018

University Medical Center of SO Nevada - Las Vegas, NV

• Evaluated accounts and prepared adjustments to refund payments and corrected discrepancies as necessary.

• Performed a detailed reconciliation of accounts and resubmitted claims to payers.

• Contacted insurance companies regarding unpaid or denied claims and provided payer with required information to expedite approval and payment.

• Answered patient's payment, billing and insurance questions and resolve complaints.

• Reviewed payment postings for accuracy and to ensured account balances are current. Patient Account Representative/Financial Counselor, 03/2015-11/2017 SBH Montevista Hospital - Las Vegas, NV

• Timely and accurate processed and mailed invoices and statements.

• Contacted patients after insurance was calculated to obtain payments for outstanding balances.

• Collected patient deductibles,co pays at the time of visit by check,cash or credit card.

• Posted payments and processed refunds.

• Reported to manager all self-pay payments made on balances and placed all no response self-pay accounts to an outside collection agency.

• Verified insurance and updated coverage termination or new insurance information in the system and rebilled insurance. Medical Collector/Back up Receptionist, 03/2013-03/2015 Cardiovascular & Thoracic Surgeons of NV - Las Vegas, NV

• Responsible for the processing accounts, managing the records information, billing,collection.

• Researched and appealed denied claims.

• Maintained all patient account balances within required time-frame.

• Responsible for communicating with the insurance companies for the payment,according single case agreements.

• Answered the patient's queries, problem and complaints and also identify the solutions.

• Maintained patient information and updated in the system.

• Ensured compliance to HIPPA laws and federal regulations. Program Support Assistant-contractor, 08/2006 - 09/2012 DVA Medical Center Harbor NY - Brooklyn, NY

• Verified and edited patients' insurance information

• Reviewed all CPTs and modifiers in Quadramed, CPRS, and VISTA programs for accurate billing and submitted electronically and hard copy.

• Reviewed paper denials and resubmitted claims (with/without EOB) or corrected claims to primary or secondary insurances.

• Conducted monthly audits for unbilled episodes or incorrect cancellation of episodes EDUCATION

Associate: Business Administration in Economic

Dnepropetrovsk Colledge of Industrial Ecomomics, Ukraine Diploma: Comprehensive Accounting and Office Automation ASA Institute of Business and Computer Technology, Brooklyn, NY Diploma: Medical Billing Specialist

DCIC Business Institute, Brooklyn, NY

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