Insurance Medical

Cecilia D. Parker

***** ********* ****

Apt# ****

Tampa, FL 33618

Cell 631-***-****

Objective: Seeking a position in an office with opportunity for growth.

Profile:

Over 15 years experience Medical Office. (3) Years Medical claims examiner experience. Self -starter highly

motivated and organized. Dedicated individual, dependable with a positive attitude, eager to learn, excellent

written/oral and interpersonal communication skills. Ability to work well under pressure and maintain a professional

manner.

Experience:

Health Diagnostics/ Stand-up MRI 110 Marcus Drive, Farmingdale, N.Y. 11747 11/11-08/2014

Collections

-Radiology Billing, Professional claims entered and processed with constant contact with insurance companies

& Lawyers for in and out of network claims. Correcting claims and satisfying insurance company needs, so the claims

will be paid correctly, satisfying patients needs, self pay accounts, negotiations, HCFA, EOMB, Workers

compensation, No-fault, Medicare/Medicaid, authorizations, referrals, computer, filing, faxing, medical records,

phones, updating patients files/charts.

-Work with CPT codes, ICD9 codes.

-Subscriber information, COB, Dates of Services, Surgical codes and pricing, Provider information, Tax

Identification numbers, NPI numbers, payment of claims, Operative reports, pathology reports, discharge summary,

places of services, procedure codes, STFR and STTO dates, on set dates and other information to process claims.

- Refunds, credits. Negotiations.

Island Surgical and Vascular Group 15 Park Avenue, Bayshore, N.Y. 04/02-11/11

Office Biller/Billing Supervisor

-Medical Billing, Professional claims entered and processed with constant contact with insurance companies for in

and out of network claims. Correcting claims and satisfying insurance company needs, so the claims will be paid

correctly, satisfying patients needs, self pay accounts,, negotiations, HCFA, EOMB, Workers compensation, No-fault,

Medicare/Medicaid, authorizations, referrals, computer, filing, faxing, medical records, phones, updating patients

files/charts.

-Work with CPT codes, ICD9 codes.

-Subscriber information, COB, Dates of Services, Surgical codes and pricing, Provider information, Tax

Identification numbers, NPI numbers, payment of claims, Operative reports, pathology reports, discharge summary,

places of services, procedure codes, STFR and STTO dates, on set dates and other information to process claims.

- Refunds, credits. Negotiations.

- Training co-workers.

-Support for the entire office, answering questions and finding and the correct information if answer cannot be

answered.

Dr. Cecily Anto, MD 521 Route 111, Hauppauge, N.Y. 03/01-12/01

Office Biller/Manager/ receptionist

-Medical Billing, Entering payment, computer, scheduling appointment, phones, filing, faxing, correcting

transcription errors, satisfying patients needs, ordering supplies, working closely with Insurance companies, Workers’

Compensation, authorizations, and referrals, HCFA, C4, C27, EOMB, Arbitration, etc. Opening and closing the office,

employee work scheduling, payroll.

Blue Cross/Blue Shield-Huntington Quadrangle, Route 110, Melville, N.Y. 1998-2001

Claims Examiner/Processor

-Key claims in the system, check claims for errors for keying and coding errors.

-Work with CPT codes, Authorizations, Revenue codes, Subscriber information, Dates of Service, diagnosis codes,

Medicare information, EOMB, Drug codes, radiology codes, and pricing. Surgical codes, work claims that are for

Professional or Facility. UB92 forms, Provider information, Federal Tax Identification numbers, payments of claims,

place of service, procedure codes, discharge status, form types, units, STFR and STTO dates, onset dates, Handle

special edits to stop late payments, no answers on letters sent out for missing or incorrect information, credit

deductibles.

Graduated from:

Long Island Business Institute (Commack Campus) 2002

References upon request

Contact this candidate