Customer Service Manager

ANGELA BRISCOE

***** ****** ***** *******, ** ***35

Cell: 202-***-**** or Alt: 202-***-****

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

Office Manager/Medical Biller

Dedicated and technically skilled business professional with a versatile administrative support

skill set developed through experience as an office manager, secretary, administrative

assistant and health care billing.

Excel in resolving employer challenges with innovative solutions, systems and process

improvements proven to increase efficiency, customer satisfaction.

Offer advanced computer skills in various computer applications MS Office, MS Word, MS Excel,

Windows Vista and Windows XP- Proficient in ability to use various Medical

Software/Applications such as 2K Medical, Claim Gear, Medisoft, Soft Aid, Mysis/Tiger and

Raintree

Key Skills

Report & Document Records

Office Management Preparation Management

Teambuilding & Supervision Spreadsheet & Database Meeting & Event

Staff Development & Training Creation Planning

Policies & Procedures Manuals Accounts Inventory

Medical Terminology/ICD-9CM- CPT Payable/Receivable Management

Coding Bookkeeping & Payroll Expense Reduction

Account Reconciliation Microsoft Computer / Medical Billing

Applications software

Dimensions Healthcare-Cheverly MD

05/2013-07/2013

Insurance Specialist Contractor

• Responsible for contacting insurance companies and navigating insurance websites in

order to secure and expedite payments to the assigned client.

• Extensive insurance follow-up and preparing letters for appeals resolution.

• Reviewed billing reports, ensured timeliness, and accuracy of all claim submissions and

billing procedures.

• Prepared and submitted clean claims to various insurance companies both paper and

electronic.

• Processed Medicare and Commercial remittance advices in order to submit secondary

claims.

• Posted insurance payments in a timely and accurate manner

• Answered billing inquiries from patients and insurance companies.

• Identified and resolved patient billing complaints.

• Audited accounts for charity, collections, and bad debt.

• Adhered to all HIPPA guidelines.

Island Electric Contractors-Washington, DC

07/2011- 02/2012

Field Coordinator

• Dispatched laborers accordingly to work sites

• Visited worksites to ensure laborers compliance of representation of Island

Electric

• Handled all invoices for commercial and residential accounts

• Distributed work tickets daily

• Inspected upon OSHA guidelines all tools, work areas, and work performance

• Provided daily reports to CEO to include time for payroll

• Maintained all HR issues concerning wages, time off and incident reports

• Conducted weekly progress meetings with each vendor to address concerns,

additions to contracts and/or progression of job performance

Abacus Services-Farmington Hills, MI

07/2010 -10-2010

Insurance Reimbursement/Claims Specialist

• Called insurance companies for EOB explanation and/or reconciliation

• Submitted timely Appeal letters to insurance companies with supporting documentation

• Obtained and abstracted Claims that were paid verifying by batch numbers and check

payments.

• Contacted clients to update insurance information daily and updating as necessary

• Authorized credit card payments through Credit card Merchant software system daily

• Mailed authorizations and or denial of credit card payments to clients daily

• Posted payments to client accounts

• Conducted weekly audits of past due accounts for reconciliation

Resolutions Rehabilitation Agency- Landover, MD

05/2007-01/2008

Medical Billing /Office Manager

• Verified all Health Insurances HMO and Non- HMO for existing and new clients daily.

• Obtained Pre-authorizations for Mental Health and Hygiene services each visit as necessary.

• Collected Co-pay payments and out of pocket fees daily from each client and logged

payments in the client records using Microsoft Spreadsheets.

• Used Maps -MD/APS software for all Medicare Part A and Part B clients.

• Utilized Raintree Software daily to manage on and off site appointments for the Therapists

and Psychiatrist’s

• Developed and coordinated Smart Camp (Kids), Anger Management Awareness Group,

Woman support groups,

• Handled LINKSYS a 20-line extension phone system

• Conducted Work Aging reports weekly

• Functioned daily as the Medical biller and Office Manager for Office of 15

employees.

Alliance Rehab Inc.- Washington, DC

02/2003- 04/2007

Medical Billing Specialist/ Manager

• Made 10 -20 appointments daily for new and existing clients

• Properly coded ICD-9CM, CPT codes and modifiers for claims CMS-1500 and UB-92(04)

forms

• Auto posted payments using 2klean claims and Formatted ANSI 4010 for

• Medicare, Medicaid, Blue Cross/ BlueShield Insurance

• Conducted daily and weekly follow up for reimbursements and appealed denied claims

• Generated Super bills for payment for in and out of network providers

• Faxed letters of authorization to representing attorneys for release of patient info

• Provided customer service to patients regarding various billing inquiries

• Conducted Healthcare Insurance verifications via phone and on line daily

• Generated work aging reports weekly

• Reconciled non paid accounts in timely fashion for 30 day past due accounts

• Conducted interviews for prospective staff

• Reviewed and submitted biweekly-time sheets for staff

• Resolved all chart compliance issues

• Managed monthly reviews for staff productivity

American Red Cross - Bethesda, MD

08/ 2002 - 02/ 2003

Blood Bank Recruiter /Contractor

• Scheduled 30 - 40 donors daily for Whole Blood and Bone Marrow donations

• Registered donors for Pre assessments within the clinic

• Produced weekly donor aging reports

• Handled weekly blood drive recruitment tables

• Processed appointment reminders for all donors

• Abstracted and Audited charts for compliance of all medical data and physician

signatures.

Federal Emergency Management Agency - Hyattsville, MD

11/1999 - 08/2002

Human Service Specialist I, II, III

• Processed new disaster loss applications

• Handled and processed applicant referrals for SBA (small business loans) and CCA

(Charitable Contribution Agencies) and 501c3 non profitable organizations

• Generated letters to referral agencies for applicant relief

• Handled all customer related issues for application status and or rejected claims

• Assigned Inspectors caseloads for disaster inspection using the letters of agreement and

plans provided by state and local government

• Contacted applicants for further information to determine their eligibility of benefits

• Administered, tracked, and processed paid settlements for grievance claims.

• Reviewed duplicate claims and forwarded them if necessary to escalation/resolution

department

Washington Hospital Center Washington, DC

04/1995-11/1999

Senior Unit Clerk

• Charged medical supplies daily to patient accounts

• Updated admission boards and On Call physician Numbers as needed

• Handled all maintenance requests

• Admitted and discharged patient to acute care unit.

• Transcribed Physicians orders using CPT-4 and ICD-9 codes

• Tracked all nurses and nursing assistant through centralized beeper and switchboard

system.

• Ordered and stocked Medical and Stationary supplies

• Organized transportation for pick-up and delivery for patients

• Audited charts for compliance of Physician Signature and/or orders

Labor Ready Washington, DC

08/1994- 04/1995

Customer Service Representative

• Coordinated Temporary Labor for Construction companies, Restaurants, Government

Offices,

Hospitals to include Private Sectors.

• Generated New and Maintained existing Temporary labor contracts.

• Generated each week to every Contractor/Vendor Bill and payment invoices

Processed and distributed daily payroll checks

• Interviewed day laborers and recorded necessary items for submission of form I-9

• Provided all contractors and laborers with a copy and/or training certification of Hazmat

/OSHA regulations and guidelines

• Cold called and set 8-10 appointments with prospective vendors for Branch Manager

Presentations

• Visited work sites to ensure safety and laborers working in compliance.

• Distributed all hand working tools and materials.

• Logged all petty cash purchases for weekly aging reports

Education:

High School -Graduated June 1989 Holy Spirit High School, Washington, DC

ICS home study school, Scranton P.A. 01/2003 -11/ 2003 Medical Billing / Claims

Certification

Federal Emergency Management Agency Online Course 03/ 2002 - 09/ 2002

Certified as Emergency Program Manager for Federal Acclaimed Disasters

Professional References may be furnished upon request

Contact this candidate