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Medical Insurance

Location:
United States
Posted:
January 06, 2014

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Resume:

Shari A. Geminn

**** ******* *** #****

Las Vegas, NV 89122

618-***-****

***********@*****.***

OBJECTIVE:

To obtain a position in the Medical Billing and Coding industry that

utilizes my education and experience.

EDUCATION:

Sanford-Brown College Collinsville, IL

Associate Degree in Applied Science emphasis on Billing and Coding October

2010 - February 2013

Graduation: February 2013 GPA: 3.75/4.0

MAJOR COURSEWORK AND SKILLS:

Basic/Advanced ICD-9/CPT Coding 3M Coder Communication

Skills

Medical Terminology CMS 1500 Medical

Manager

Microsoft Office Suite Administrative Skills Medical

Records

HIPAA Regulations Medical Law and Ethics

Medicare

Medicaid Managed Care Plans Denials &

Appeals

Explanation of Benefits (EOB) Referrals

Electronic Data Exchange

Collection Procedures Insurance Fraud Abuse

Inpatient/Outpatient Billing

Coding Certificate Preparation Health Data

Accreditation of Medical Facilities

NextGen Microsoft Simplicity

Allscripts My Way

Type 35 wpm 10 Key

Calculator ACOM

Gateway EDI DME

Medical Claims

MediSoft

WORK EXPERIENCE:

Bettencourt Skin Center

Henderson, NV

Medical Biller

October 2013 -

Work for one doctor who averages 35 to 45 patients a day. I was hired to

get them caught up on their A/R posting. I input payments from insurance

EOB's from the past 6 months. Reconciled old balances owed to the practice.

Followed up on missing EOB's for the past 2 years. Input payments from

current insurance companies to date.

Physical Medicine Clinic of Granite City

Granite City, IL

Front Desk Biller/Insurance

February 2013 - June 2013

Worked for 3 Doctors, 1 PA, and 2 Physical Therapists. Saw an average of 95-

120 patients a day. Very fast paced office. Duties: Front desk duties

included checking patient out when done, scheduling all appointments,

answer phone, input medical charges from Fee slips, closing day reports and

transmitting daily charges to EDI clearinghouse. Insurance duties included

input of medical charges from Fee slips, morning reports from Medicare and

Medicare DME, checking and working rejected claims both from clearinghouse

as well as insurance companies, checking for insurance benefits for new

patients, working from EOB's to see what was paid and what wasn't. Verified

codes when needed. End of day reports as well as transmitting claims to EDI

clearinghouse.

Bard and Didriksen Pediatrics Glen Carbon,

IL

Medical Biller and Coder December 2011 -

June 2012

Worked for 6 Doctors who saw an average of 40 patients a day each. Duties:

Entered billing charges from daily encounter forms, verified codes when

needed, entered payments from patients as well as various insurance

companies, all end of month reports for doctors, trained new employees how

to use the new EMR system, worked rejected claims from EDI clearinghouse

and insurance companies, ran and sent out patient monthly statements and

trouble shot any calls that came in about them, made corrections when

needed.

Southern Illinois Healthcare Foundation/Fiscal Office

Sauget, IL

Medical Biller and Coding Externship (120 hours)

October 2011 - November 2011

Duties: Entered billing codes from encounter forms from 35+ medical

offices, Pediatrics, Family Health, Mental Health, OB-GYN, Dental, verified

codes on forms for accuracy.

AWARDS:

Presidents List (GPA 4.0/4.0), Sanford Brown College, October 2011,

September 2012, January /February 2013

Professional Student of the Quarter, Sanford Brown College, October 2011

Perfect Attendance, Sanford Brown College, November 2012, January/February

2013

CERTIFICATIONS:

HIPAA Training Certificate, Sanford Brown College, September 2011

VOLUNTEER EXPERIENCE:

Medical Billing and Coding Peer Advisor

Duties: Mentor peers enrolled within the medical assistant program and

Tutor students.



Contact this candidate