Medical Billing and Collection / Customer Service
Resume:
RHONDA SMITH
***** *********** **** ********* **, 93536 · 818-***-**** Fax: 661-***-****
*************@*****.*** · www.linkedin.com/in/rhonda78
I am a medical biller/collections specialist with 13 years of experience. I am looking for a full-time position and have ample experience in the medical field. I am committed to delivering only the finest and most accurate service for my clients, utilizing the latest coding procedures to date. I am adept in analyzing medical documentation and communicating with other medical providers including referral to specialists as well as filing claims with various insurance companies.
EXPERIENCE
08/19 – PRESENT
ACCOUNTS RECEIVABLE/MEDICAL BILLER – ROBERT HALF ACCOUNTS TEMPS
Process accounts and incoming payments in compliance with financial policies and procedures.
Perform day to day financial transactions, including verifying, classifying, computing, posting and recording accounts receivables’ data. Prepare bills, invoices and bank deposits. Reconcile the accounts receivable ledger to ensure that all payments are accounted for and properly posted. Verify discrepancies by and resolve clients’ billing issues. Facilitate payment of invoices due by sending bill reminders and contacting clients
10/29/2018 – 04/26/19
CASE MANAGER/ COLLECTION SPECIALIST– HEALTH ADVOCATES LLC
Responsible for the timely follow up and collection efforts on outstanding receivable accounts. Managed care entities, government programs, and other liable third parties. Primary coordinator for reviewing accounts to determine patient eligibility for various forms of coverage, determining merit of collection efforts, reviewing aged accounts, tracing and appealing unpaid and/or erroneously paid or denied accounts. Determining expected reimbursements according APR-DRG and DRG’s calculations.
09/10/2015 -09/14/2018
MEDICAL BILLER/COLLECTIONS SPECIALIST- BpP LLC
Setting up client’s medical records, keypunching all demographics using various software including Raintree and Lytec, along with creating claims on UBO4 forms to be process an uploaded to clearinghouse Office Ally, conducting follow up calls to various insurance companies tracking claims for processing and payments, follow on all EOB”s as needed . Determined eligibility for direct care services for new and current patients
04/07/2007 – 07/14/2017
OFFICE MANAGER/MEDICAL BILLER, Dr Birendra N Das M.D.
Pediatrics~ Front Office administration, answer telephones, appointment scheduling, referrals and authorizations, insurance verification, file management, co-payment collection, post payments and charges into Lytec practice management software, bill insurance companies using 1500 claim form as well also sufficient in billing UBO4 claim forms, claims follow up, rebill and make billing corrections, ability to multi-task in a fast paced setting, take inventory and order office supplies, ensure office is run efficiently, supervision of staff, prepare work schedules, and provide excellent patient services. Interview patients for registration information
01/07 – 03/07
Medical Biller/Externship
Sonus Hearing Center - Lancaster, CA - 2007 to 2007
Externship~ Completed 160 hours of on the job training in the following key areas: Front Office Administration, answer a heavy volume of telephones, data entry of patient demographics, prepare superbills and billing packets, insurance verification, co-payment collection, patient processing and appointment scheduling, check in hearing aid products and prepare for patient appointments and provide support to all departments.
EDUCATION
JANUARY 2007
MEDICAL BILLER AND CODER, av Medical college
JUNE 1978
HIGH SCHOOL DIPLOMA, mission high school
SKILLS
Sufficient in billing UBO4 claims forms
Master billing on 1500 claim forms
Excellent customer service skills
Collection techniques and authorizations
Experience in a hospital collections department
Knowledge of commercial health insurance and managed care laws and regulations
Knowledge of Managed Care Contracts Interpretation and Calculations
Understanding of settlement practices and procedures common to medical collections
Experience with the claim processes involving Medicare, medi-cal, BCBS, and worker’s compensation guidelines.
Managed care guidelines including : HMO, PPO, IPA, and POS plans.
ICD-9, CPT, HCPCS coding skills and accurate CMS 1500 completion.
Medical Terminology and medical related acronyms
Determine eligibility for direct care services for new and current patients
Explanation of PPO Commercial/HMO Managed Care benefits to new and current patients
REFERRENCES
ALIS BLANTON – LEAD COLLECTIONS SPECIALIST – HEALTH ADVOOCATES
1540 PLUMMER ST SUITE B, CHATSWORTH, CA 91311
********@***.***
PATRICE ABRENICA – BILLING MANAGER – BPP LLC
*********@***.***
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