Manager Insurance

PO Box **** savannah, ga. *****

912-***-**** ( ********@*******.***

Kadesia golden

objective

Detail oriented quality focused professional billing specialist. I am a

current member of AAPC. Successful track record handling complicated

assignments. I am highly experienced in reconciling insurance and patient

payments and resolving account disputes. I am proficient in a variety of

practice management software applications. I am dedicated to maintaining

strict patient confidentiality.

SUMMARY OF QUALIFICATIONS

. Ambulatory Surgical Billing

Ensure claims are entered and submitted with 48 hours of receipt

. Accurately apply payments to patient accounts

. Post and reconcile insurance and patient payments. Research and resolve

incorrect payments, EOB rejections and other issues with outstanding

accounts

. Insure accuracy of insurance claims. Verify correct ICD-9 and CPT codes

for a variety of specialties

. Set up new patient accounts

. Assign ICD-9 to physician's diagnosis and insure correct level of service

and various other CPT codes

. Set-up practice management software for submission of electronic claims

to clearinghouse. . Retrieve Electronic Remittance Advice (ERA's)

. Send secondary claims upon processing of primary insurance.

. Monthly processing of Patient statements. Answer and resolve patient

billing inquires

. Follow up on Insurance and patient aging. Re-submit insurance claims as

necessary. Knowledgeable in timely filing restrictions

. Insure office practices are in compliance with HIPAA regulations

NexGen, Navicure, eClinicalWorks, Medisoft, Emdeon, EDI Claim Manager

Work experience

Medical Biller-Savannah Pain Management- Savannah, GA-December 2010 - March

2013

Manager-Barnes Restaurant -Savannah, GA-January 2009 -September 2010

Medical Biller-Arrowhead Clinic-Savannah, GA February 2006-December 2008

education

1991 - 1992 Savannah Technical

College, Savannah, GA

Diploma Information & Office

Technology

2011 - Present Saint Leo University,

Savannah, GA

Pursing Bachelor's Degree Healthcare Administration

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