Insurance Medical

Shenekia Harris

Obj***

Houston, TX ***** ***************@*****.*** 713-***-****

EXPERTISE

Extremely adept at integrating communication, training, and team buy-in to

maximize project completion, and change management. Experienced in

employing an inclusive supervisory style with strong emphasis on quantifying

and communicating organizational goals. Able to assimilate complex information

quickly and succinctly while maintaining confidentiality to manage risk and

foster workplace resilience.

CORE COMPETENCIES

CPT, ICD-9CM, HCPSC Coding

HIPPA and OSHA certified

CMS-1500 Claim Forms

UB-04 Claim Forms

Medisoft Medical Software Systems

Appeals for denied claims/insurance verification

EDUCATION

Medical Billing and Coding

Remington College – 2010

PROFILE OF EXPERIENCE

Laboratory Corporation of America

Healthcare Billing Specialist– 2011-2014

Records and issues correspondence to claimants regarding debt obligations

and follow-ups

Performed edit review for the processing of invoices and statements, followed

up on all delinquent accounts, and placed non-performing accounts in

collection

Registers new patients, verifies established patient information, and updates

demographics

Maintains accurate and complete records concerning billing activity

Serves as a liaison to other team members and to client hospital and

government agency staff in a collaborative effort to facilitate eligibility

coverage for incurred medical expenses

Determines correct diagnosis and procedure codes and answers and resolves

billing inquiries

Enters charges with accuracy and required coding in accordance with CPT,

ICD-9 rules and guidelines

Handles eligibility verifications and obtained insurance authorizations when

necessary

Actively pursues past due claims and posts all payments received from

insurance and patients

Keeps current on new requirements and changes regarding HIPPA and

compliance

Reconciles missing and suspended list with required lag time and maintained

copies of billing information

Assists with accounts receivables, charge and payment entry, and collections

RELATED SKILLS & ABILITIES

Experienced in managing projects, medical terminology, data entry,

processing electronic/paper claims, verifying insurance, and handling

confidential information.

Proficient in: Windows OS; Microsoft Office Suite; Outlook; Adobe Acrobat.

Knowledgeable of office equipment: Multi-line phone systems, copiers,

printers, scanners, and faxes.

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