Customer Service Insurance

Nichole Williams

P.O. Box ****, Oak Park, IL ****4

630-***-**** *-***@*******.***

OBJECTIVE

Highly experienced Medical Billing, Collection, and Coding Specialist

EDUCATION

Associate of Applied Science, 2009 Kaplan College, Merrillville, IN

Major: Medical Office Management; Medical Billing and Coding Certificate

EXPERIENCE

SPi Healthcare, Tinley Park, IL

A/R Follow-up Associate May 2010 - Present

• Pursue reimbursement of Anesthesia & Specialty Physician services rendered & achieve accounts receivable resolution

• Electronic and Manual filing of primary and secondary insurance claims; all insurance payers

• Update registration info, post denial codes & adjustments in practice management systems

• Resubmitting claims and/or appeals for recovering unpaid, rejected, and denials received

• Assisting with Internal Coverage of Customer Service Calls for Anesthesia Patients

McKesson Corp., Wheeling, IL

A/R Specialist November 2009 – April 2010

• Five month contract position auditing unpaid and denied insurance claims

• Responsible for write-offs and thorough review of payment inconsistencies

• Follow up of outstanding A/R for all payers including self-pay and resolution of denials

• Responsible for handling all correspondence related to an insurance or patient account, contacting insurance carriers and patients, as needed, to get maximum payment on accounts

Alex Orthopedics, Chicago, IL

Physician Biller/Collector June 2009 – October 2009

• Four month contract position recovering unpaid, rejected, and denied insurance claims

• Worked from Accounts Receivable (A/R) aging report on old outstanding claims

• Daily cash posting of insurance, attorney, and patient payments

• Worked with insurance companies regarding settlement and adjustment payments

• Resubmitted claims for appeals or error corrected claims for review and payment

• Responsible for writing off claims and reviewing discrepancies within accounts

Horizon Financial Management, Merrillville, IN

Physician Biller/Collector June 2007 – July 2009

• EKG Biller and Coder for five hospitals within the Midwest and East Coast

• Electronic and Manual filing of primary and secondary insurance claims; esp. Medicaid

• Follow up on submitted claims, monitor unpaid claims, initiate tracers

• Process billings to patients and third party reimbursement claims

• Post hospital and physician charges; post payments; balance daily batches and reports

Harris Detective Agency, Lansing, IL

Office Manager / Receptionist April 2003 – June 2007

• General Office duties; answering phones, sorting mail, filing, data entry, appointment setting

• Scheduled, coordinated, and facilitated meetings

• Maintained inventory, company files, and client records via computer databases

• Record and bookkeeping; weekly and monthly expense reports

SKILLS

Medical Software (Epic, GE Centricity IDX, Meditech, MediSoft, ManageMed, Zotek,

E-Care, I-Suite, Horizon Plus & Infinity Systems)

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