Customer Service Insurance

AKILAH SIMMONS, CCS

**** ********** ***** .*********, ** 76018

682-***-**** . ************@*****.***

OBJECTIVE

Detail oriented and quality focused professional billing specialist trained

in medical administrative support. Successful track record handling

complicated assignments and administrative/clerical requests. Highly

experienced in posting deposits, payments, and reconciling accounts with a

high degree of accuracy. Offer solid foundation in software applications,

database management, and data entry; proven ability to readily master new

technology. Dedicated to maintaining strict patient confidentiality.

SKILLS

. CPR Certified

. HIPAA Certified

. Typing 80 WPM

. 10 Key 11,000

. Medical terminology

. ICD-9/CPT/HCPCS

. A/R & Payables Reports

. Receptionist/Front Office

. Collections

. Patient Benefits Education

. MD Suites

. Centricity

. Microsoft Office- PowerPoint, Outlook, Word & Excel

. Insurance Verification

. MCR/Medicaid Knowledge

. EDUCATION

April 2011 Graduate- Kaplan College, Medical Billing & Coding

Arlington, TX

. HIPAA Certified, Perfect attendance, maintained 4.0 GPA

1999-2000- Tarrant County College, Business (courses taken)

Arlington, TX

WORK EXPERIENCE

5/2013 - 6/2014 - Cergis Billing

Payment Poster

. The full spectrum involves receiving, sorting, batching and line item

posting into the current practice management system

. Posting of electronic vouchers

. Processes all contractual adjustments as necessary to ensure

appropriate third parte reimbursement processing of accounts.

. Accurately applies collection debt payments on appropriate accounts

. Balances daily posting batches to ensure accuracy and reconciliation

of daily lockbox.

. Posting of payments in various billing software's to patient's

accounts accurately and within the assigned deadlines

. To work closely with various parties i.e., patients, clients, co-

workers and insurance companies to quickly address and resolve issues

identified

. Reviews insurance Explanation of Benefits and posts payments to

billing system

. Posts payments and ensures allowances, adjustments and write-offs are

posted correctly

5/2011 - 5/2013 - Allergy, Immunology & Respiratory Care (Aircare)

Medical Billing and Coding Specialist

. Posted all payments/charges to patient accounts and wrote off any

balances using the correct adjustment code

. Utilized ICD9-CM, Physical CPT and HCPCS coding systems to ensure

accurate coding

. Completed patient forms, verified patient benefits and counseled

patients concerning their financial responsibility

. Reviewed claims to resolve outstanding balances and secured accurate

payments

. Sent out patient statements, and arranged for payments on outstanding

patient balances

. Assisted in monthly closeout ensuring that all payments and charges

from previous month were posted

12/2009 - 3/2010 - Travis Robinson, Marketing CEO

Dallas, TX

Executive Personal Assistant

. Maintained all phone and email communication, filing, bookkeeping, and

reports.

. Assisted with driving, scheduling, travel arrangements, and office

supply purchases

. Gathered promotional items and materials, business letters, and

communicated company knowledge with potential clientele.

. Electronic and paper filing of corporate receipts; invoicing and

financial record keeping.

. Implemented and executed special tasks assigned by owner.

. Handled all customer service, and client inquiries

9/2003 - 7/2009- State National Insurance Co. Fort Worth, TX

Account Research Specialist

. Researched insurance documents for validity to ensure loan compliance

. Performed insurance verification procedures and reviewed claims

information

. Processed CPI cancellations, and performed general policy maintenance

Contact this candidate