Customer Service Medical Billing
Resume:
Kimberley Lighty
*******@*****.***
Objective
Obtain a position within a progressive company that will utilize various aspects of my professional background
and provide a platform for continued growth and development.
Professional Experience
Tax Professional
• Prepare Federal and State tax returns for 60 clients comprised of individuals and small businesses.
• Interview clients and review financial records to determine taxable income, deductible expenses, allowances, and
forms needed prepare tax returns.
• Furnish taxpayers with sufficient information and advice to ensure correct and lawful tax preparation.
• Compute taxes owed or overpaid and input into electronic filing software and/or tax forms in accordance with form
instructions and tax tables.
• Apply all appropriate adjustments, deductions, and credits to keep clients' taxes to a minimum and ensure they
receive the maximum benefit permitted by law.
• Consult tax law handbooks, bulletins and IRS to determine procedures for preparation of complex returns.
Medical Billing/Coding Specialist
• Proficient in use of medical billing forms (HCFA-1500, UB-92, Medical Reports, Superbill).
• Perform Daily Journal and Patient Ledger entries in a clear and concise manner.
• Experienced in various medical insurance programs (Medicare, Medicaid, Champva, Tricare).
• Process medical & workers’ compensation claims within HIPAA regulations.
• Well versed in payment & medical coding systems (HCPCS, ICD9-CM & CPT).
• In depth understanding of terminology, anatomy and physiology, body structure and function.
• Responsible for collecting all medical billing. (Self pay -Medicare Part (B) Aetna and Coupons).
Office Administration
• Schedule pharmaceutical representative visits and maintain appointments.
• Respond to patient inquiries regarding scheduling, insurance & invoices.
• Data processing procedures and treatments into Mediteck.
• Maintain patient charts and physician orders for doctors and nurses.
• Assist nursing staff in maintaining & documenting inventory of vaccines and medical supplies.
• Order patients specimens for testing, prepare labels and prep for Lab Technicians.
• Research, respond and catalog constituent’s letters/emails referencing to or involving a case.
• Work with various state, county and municipal departments as well as non-profit organizations to resolve
constituent’s cases.
• Assist the Chief Of Staff with various community outreach projects.
Management & Customer Service
• Manage day-to-day store operations.
• Ensure escalated customer complaints are resolved and documented within specified service level agreements.
• Accurately process staff payroll and maintain vacation schedule.
• Provide training and guidance for assigned staff.
• Evaluate and document employee performance.
• Assist in screening and hiring of new employees.
2
Clerical/Reception
• Professionally answer calls, take messages and greet clients.
• Copy, file and fax documents as needed.
• Prepare correspondence, presentations, and reports using Microsoft Office Suite.
• Data entry into excel worksheets and various databases.
• Process check requests and cash advances.
• Process bundles of customers bank checks into Maverick (M) system.
• Proofread, enter routing, account and check numbers using ten key machine with accuracy.
• Check encoding, cross-referencing spread sheets and tape receipts.
• Prepare work order forms for several banks in a timely manner.
• Process data files for retail accounts.
Work Experience
2010 - Present Independent Tax Professional
04/2004 - 07/2007 Barnert Hospital Paterson, NJ
01/2006 - 08/2006 Temps Unlimited Hackensack, NJ
09/2005 - 10/2006 Maxim Health Care Services Hackensack, NJ
10/2004 - 04/2004 Office of Assemblyman Gordon M. Johnson Englewood, NJ
1997 - 2002 L.A. Enterprise Paterson, NJ
1993 - 1997 St Joseph Hospital Paterson, NJ
1989 - 1993 Mid Atlantic Bank Bloomfield, NJ
Education
Taylor Business Institute
Business Administration
Manhattan Institute
Medical Billing/Coding
Certificate - Entrepreneurial Studies
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