Customer Service Insurance

Carla Carnell

**** ******* **. *********, **. *5134 214-***-****

E-mail: *********@***.***

Objective: I am seeking employment that will utilize my skills with the

opportunity for contributed growth and development within a company.

Professional Skills:

Medical Collections Customer Service 10-Key touch

Data Entry

Medicaid Claims Billing Insurance Verification Claim Follow-ups

Professional Experience:

2/13 to 3/14 Collections Specialist

MiDoctor/Irving, Tx

Knowledge of billing rules and requirements along with a

critical/analytical eye in order to determine if information provided

appears to be incorrect of incomplete (invalid ID format for specific

insurance, ID# not provided on copy of insurance card or handwriting on

requisition not legible, etc)

Maintain productivity and quality standards as set by management

Adjusting medical claims/appeals correctly for payment from various

insurance carriers

9/09 - 4/10 - 2/13 Customer Service Rep/Collection

Ameripath/Dallas, Tx

Stephens Little Inc

Data entry of demographic and insurance information into Billing

Information System (BIS) from source documents

Will use personal knowledge of billing rules and requirements along with a

critical/analytical eye in order to determine if information provided

appears to be incorrect of incomplete (invalid ID format for specific

insurance, ID# not provided on copy of insurance card or handwriting on

requisition not legible, etc)

Maintain productivity and quality standards as set by management

10/2007 to 7/2009 Bill Review Auditor/Team Lead Injury Mgmt

Org.

Carrollton, Texas

Review medical bills with the knowledge of CPT & ICD9 coding with accuracy

and compliance once they are posted and before they are sent to the

carriers. Meet or exceed a daily quota of 120 bills. Manage the ongoing

task of other employees along with some training to the staff as needed.

Pulling daily reports for management to ensure that the department was in

compliance with the outgoing of all bills.

Education:

Thomas Jefferson High School 1985

Computer Skills:

PC, Excel, Microsoft Word, IDX, Centricity, AS400, Microsoft Office,

OnBase, Diver, Aprima EDI

Contact this candidate