Medical Billing Service Representative

Davida Jennings

** **** ***** ******, *** York, NY 10025 • 212-***-**** • ***********@*******.***

SUMMARY

Seasoned Managed Care professional with over ten years experience in diverse areas of the healthcare industry with

specialized certificate in Medical Billing and Coding.

SKILLS

• Staff Supervision & Performance Management • Medical Billing & Coding (CPT-4, ICD-9,HCPCS)

• Training & Quality Assurance • MHS, Macess, MediSoft, Eagle, IDX

• Policy Development & HIPAA Compliance • MD Everywhere, Ontrac, ECW

• Member Services & Customer Retention • Proficient in MS Office Suite

EDUCATION

Sanford-Brown Institute, New York, NY 09/2011 - 02/2013

Medical Billing and Coding Certificate Program – GPA 4.0

Herbert H. Lehman College, Bronx, NY Graduated 1999

Bachelor of Science in Health Service Administration

PROFESSIONAL EXPERIENCE

Central Harlem Senior Center, New York, NY 12/2013 – Present

Receptionist

• Greet, collect, count, and disburse money from the clients

• Performs all general clerical duties, data entry, organize and file documents and operate office machines

• Responsible for answering multi-line telephone system and routing calls/messages to appropriate staff member

Mt. Sinai Beth Israel – Urology, New York, NY 01/2013 - 02/2013

Medical Billing Internship

• Collected co-payments and any outstanding balances

• Obtained authorization for procedures, managed and reconciled insurance claims and patient invoices

• Registered patients via Eagle and IDX and checked them in through ECW, IDX and Ontrac

Time Warner Cable, Flushing, NY 03/2009 -

09/2011

Client Services Specialist

• Established exceptional relationships with new and existing clients to provide support related to cable, high speed

internet, mobile hotspots and digital phone services

• Researched and resolved billing issues in a timely manner by utilizing standard TWC operating procedures

Healthfirst, LLC, New York, NY 10/1999 - 07/2008

Complaint Analyst - 06/2006 - 07/2008

• Analyzed provider and member complaints yielding root cause and submission of EOB in a timely manner

• Collaborated with the NYC Department of Health, Centers for Medicare and Medicaid Services and government

agencies to resolve complaint issues

Quality Improvement Trainer - 12/2003 - 06/2006

• Trained new hires, tracked quality assessment scores and offered key feedback to Supervisors

• Created new departmental policies and guidelines for training the staff

• Analyzed performance management metrics and identified areas of opportunity

Senior Member Service Representative - 07/2002 - 12/2003

• Assisted and received escalated calls from Member Service Representatives

• Supervised over 50 Member Service Representatives to meet or exceed performance objectives

• Ensured compliance to quality standards and introduced process improvements

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