Customer Service Medical Billing
Resume:
La Porshe Green
P.O. Box ******
Charlotte, NC **266
********.*****@*****.***
Objective: To secure a position that will allow me to effectively utilize my skills and
enhance workflow.
Employment
Physicians Choice Laboratory Services, LLC Charlotte, NC 09/2012- Current
Payment Poster
• Responsible for maintaining accounts receivable
• Post payments manually and balancing electronic payments
• Work correspondence and note accounts for follow-up
• Contact insurance companies for claim payment and discrepancies
• Post monies, denials, and adjustments to patient accounts
• Work denials/rejections to ensure proper payment
• Adjust accounts for contractual adjustments per EOB
• Adjust and post refunds to forward back to insurance companies
• Adjust accounts to write-off balance per EOB or manager’s signature
• Identify, assign, and follow up on work activities of team members under
supervision of manager
• Audit and compile patient’s accounts to send to collection agency
Novant Medical Group Charlotte, NC 2/2009-4/2011
Payment Specialist
• Responsible for maintaining accounts receivable
• Post payments both manual and electronic (Accupost)
• Responsible for balancing payments received daily
• Act as Preceptor for payment posting
• Responsible for payments from collection agencies
• Responsible for all payroll deduction payments
• Responsible for entering in denials and remarks from insurance companies on
patient accounts
• Perform insurance verifications
• Post monies, denials, and adjustments to patient accounts
• Work denials/rejections to ensure proper payment of submitted EOBs
PMAB LLC Charlotte, NC 2/2008-
7/2009
Medical Billing Specialist
• Medical billing
• Claims processing
• Make outbound calls to insurance companies
• Read and interpret Explanation of benefits
• Review delinquent accounts
• Identify and correct claims issues
• Determine if claims paid according to contract
• Contact insurance for billing discrepancies
Nate’s Computer Repair Charlotte, NC 8/2006-2/2008
Administrative Assistant
• Answer phones
• Responsible for accounts payable
• Responsible for accounts receivable from customers
• Ship out computer equipment
• Help set up computer equipment
Cigna Healthcare Charlotte, NC 2/2002-8/2006
Senior Customer Service Associate
• Take inbound calls from providers/members
• Verify benefits and eligibility
• Determine if claims are paid according to contract and the members
benefits
• Make outbound calls to verify member’s information
• Do claim adjustments
• Verify if claims are received through electronic or paper claim system
• Assisting member with billing discrepancies
Summary of Qualifications
• Well-developed written and verbal communication skills
• Attention to detail
• Ability to function in a team or independently
• Ability to multi-task, prioritize work, particularly in a high volume setting
• Strong computer skills
Education
PCLS Leadership Program, Certificate 8/2013-10/2013
University of Phoenix, Charlotte NC, Business Administration 1/2010 – 7/2012
Graduated, Bachelors of Science Degree
Belmont Abbey College, Belmont NC, Business Management 8/2007 -1/2009
Brookstone College of Business, Charlotte NC 9/2000 - 9/2001
Graduated, Medical Office Technology, Diploma
References Available on Request
Contact this candidate