Medical Insurance

Lisa Johnson

***** *. ***** **.

Houston, TX ****4

713-***-****

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

SUMMARY

Several years of experience in electronic medical billing and collections. Experience with medical

coding codes and billing and terminology. Experience handling HMO, PPO, Medicare, and Medicaid

claims. Familiar with HIPPA and OSHA rules of compliance. Microsoft Word, Excel, Access, Power

Point, Payer Path, PTOS, Netwerks,FISS. excellent written and oral communication skills with great

problem-solving skills.

EMPLOYMENT HISTORY

US Physical Therapy, Hou., TX 12/05 –

02/14

Billing Specialist

• Daily input of patient charges and insurance payments

• Submit Medicare Claims, Medicaid and other commercial claims

• Work on projects consisting of high dollar aging claims to resolve payment by set deadline

• Follow-up on unpaid medical claims and resolve them

• Manage department deliveries and pickups supplies, and Medical Records

• Perform and meet individual collection goals set by the department

• Billed Out claims Electronically.

07/03 –

First Contact, Hou, TX

12/05

Billing Representative

• Collections calls for patients balance. Unpaid claims insurance balance

• Posted payments and appealed denied claims

• Reviewed claims online and, by phone

• Ensured collections, making sure AR did not go over 30 days

• Created and implemented use of spreadsheets, forms,and filing system for the office

• Managed department deliveries and pickups supplies, and Medical Records

• Processed all accounts receivable, billing, coding, collections, posting of payment

MacGregor Medical, Hou, TX 12/01 – 07/03

Financial Coordinator Representative

• Verify patients Insurance, HMO, PPO. Medicaid, Medicare

• Obtained pre-authorizations to billed out claims

• Answered phones, checked patients in and out.

• Filed medical charts, and pulled charts for the next day

• Setup Company Meetings

• Collected co pays,Billed Out claims Electronically

• Posted Payments

EDUCATION

Pursuing Bachelor of Business Administration- Online DeVryy-University-Houston TX

REFERENCES

Suitable references will be supplied upon request.

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