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Customer Service Medical Billing

Location:
Augusta, GA
Posted:
July 22, 2014

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Resume:

Nanette Pacheco

*** * *** ******* **

706-***-****

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

Medical Billing with Medical coding

More than 20 years experience as a supervisor, medical billing with collections

and retail and in customer service industry.

Profile 1. Possess solid computer skills.

2. Excellent working knowledge using Microsoft Excel, WordPerfect,

Microsoft Word, Power point.

3. Working knowledge with the following medical EMR systems:

AllScripts, Epic, Cam 2000

4. Ability to train, motivate

5. Bi Lingual speaking (Spanish).

Employment

Dr. Debra J Ware Maternal Fetal Medicine Billing Coordinator, Augusta, GA 9/10/2013 Present

Billing Coordinator

Obtained authorization for procedures.

1.

1. Scheduled all new patients referred to office, check eligibility daily for all scheduled patients.

2. Post daily payments received from insurances and patient payments.

3. Keyed all current charges for patients seen in office daily and hospitalization.

4. Worked in follow up queues daily with different categories such as: insurance denials, no insurance response,

coding errors, missing patient information.

Pediatric Partners, Medical Billing Supervisor, Front desk clinic Evans, GA 1/8/2008 Present

1. Supervised front desk and billing department 18 staff members.

2. Responsible for accounts receivable Medicaid, Amerigroup, Wellcare, Commercial Insurances

3. Ensured patient information was entered correctly and efficiently and in timely manner.

4. Entered daily charges and posted monies received from Insurance companies and patients,

5. Credentialed all new providers coming to join the practice, to include updating all current providers credentials

with insurance company as needed.

6. Trained new hires in front desk and billing department duties and software.

7. Ran weekly and monthly AR reports to ensure accounts were being worked efficiently. Informed employees of

any updates and changes to ensure the office runs efficiently.

5. Also help implement and build new EMR system All Scripts and was known as a super user. Had to know the

system from beginning to end.

Center for Optimal Health, Augusta, GA 10/2003 thru 12/2007 Accounts Receivable/ Collector

• Verified eligibility, researched patient accounts for balance, credits, errors

• Knowledge with Medicare, Medicaid and Commercial Ins. Filed claims to a variety of insurance carriers,

Posted daily charges and monies collected. Also worked as receptionist. Performed Office manager duties as

needed.

Medac, Anesthesia Billing, Augusta, GA 09/2000

10/2003

Accounts Receivable

Data entry, payment posting

2.

6. Worked daily correspondence

7. Investigated and solved account problems either by insurance or coding issues filed appeals to insurance

companies.

Education

Augusta State University, Augusta, GA

Continuing Education Medical Coding for CPC (2007)

University of Maryland, Munich Germany

Computer Programming (1990 1991)

References Furnished Upon Request



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