10 years plus medical and billing rep
Resume:
Laterra Jones
Bellwood, Il *****
Phone 773-***-****
************@*****.***
Dear Hiring Executive:
I am very interested in the new position within the organization. Please find my resume
enclosed; it will furnish you with information relative to my education, experience, and
abilities. Reference and any additional information you require are available at your
request.
As my resume indicates, I have experience Healthcare in the environment. I pride myself
on my ability to work with clients from inception through completion. In addition, I am
thorough and well organized. I would like to apply my talents and skills to a person with
your corporation.
I can offer you the following qualifications:
Excellent communication and interpersonal skills in working with clients and employees,
the ability to recognize potential problems, evaluate alternatives and implement positive
solutions.
Exceptional organizational skills, combined with the ability to adapt to new challenges.
Realizing that this summary cannot fully communicate the benefits I can provide you, I
would appreciate the opportunity to speak with you personally.
I’m available any time in the evening.
I thank you for your consideration and look forward to your reply.
Sincerely,
Laterra Jones
Laterra Jones
1130 Bohalnd
Bellwood, Il 60104
************@*****.***
PROFESSIONAL SKILLS
Very energetic, fast learner, good listener and optimistic. Microsoft
Word, Access, Excel, Word Perfect, IDX, E-Bridge Solutions, Mc
kesson and SMS systems, CPT and ICD Coding, Basic Medical
Terminology, EPIC paperless Medical Records system, Billing
Managed Care, Commercial, Medicare, and Medicaid Insurance.
Read and understand Explanation of Benefits (EOB). Analyze and
resolve problems efficiently. Effective planning and organizational
skills, Excellent verbal and written communication, Work well
with all levels of management, 10-key 12,000 ksph, Typing 50
wpm, Current business equipment
Experience
2010-Current Northwestern Medical Faculty Foundation
Chicago, IL
Physician Billing Representative
* Responsible for appealing and managing large volumes of
insurance claims.
* Identify and resolve that delay claims payment which resulted in
a 35% decrease of denials over a 3 month’s time period.
* Develop strategies that result in increase collections.
* Determine denial trends/issues with payers and resolve quickly
to allow for payment.
* Allocate insurance to patient accounts.
* Resolve credits and refunds for patient’s accounts.
* Maintain a working knowledge of various contracts (ex:
Medicare, Medicaid, and BC/BS).
* Meet production and performance target goals on an ongoing
basis as outlined in the department policies.
*Maintain a working knowledge of various departments (ex:
Anesthesiology, Plastic Surgery, Gastroenterology, and
Hematology Oncology).
*Maintain a working knowledge of various National drug codes.
* Receive and resolve incoming telephone calls, e-mails and
voice-mail inquire/complaints in a professional and courteous
manner.
2010-Current Ob Hospitalist Group
Berwyn,Il
Medical Biller
*Manage collection of billing data from on-site physicians.
*Communicate with billing service to ensure all super bills and
reciprocal bills are correct, complete, and sent.
*Scanned all super bills and reciprocal bills for review.
*Receive and review all release/requests for patient information,
medical records
*Ability to understand and become knowledgeable of release of
information standards, policies & procedure and HIPPA
regulations and to complete work in compliance of these and other
standards.
2010-2014 Advocate Lutheran General Hospital
Park Ridge, IL
Document Imagine Specialist
* Performed image checking and identified and corrected errors.
* Communicated workflow and other service issues to team
members.
* Prepared, scanned and analyzed patient’s medical data and
records timely.
* Ensured proper record maintenance of inpatient, outpatient and
emergency department.
* Notified physicians of incomplete and pending records to be
completed.
* Indexed patient’s medical documents and records carefully in
correct file.
* Used document imaging system to ensure ready availability of
patient’s medical records.
2004-2010 Loyola University Physicians Foundation
Westchester, IL
Denial/Transplant Specialist
*Responsible for appealing and managing large volumes of
transplant claims.
*Develop strategies that result in increase transplant collections.
*Maintain a working knowledge of various transplant contracts
(ex: BQCT, Lifetrac, Coventry)
*Determine denial trends/issues with payers and resolve quickly to
allow for payment.
*Meet production and performance target goals on an ongoing
basis as outlined in the department policies.
*Contact third parties via telephone, correspondence or e-mail, as
needed to initiate payment.
*Allocate transplant payments to patient accounts.
*Resolve credits and refunds for transplants.
*Worked very closely with physicians in the Anesthesiology, and
Ophthalmology departments.
Education
1998-1998 Cosmopolitan Prep School Chicago, IL
High School Diploma
2013-2013 Harry S Truman Community College
Chicago, IL
Medical Billing and Coding Certificate
REFERENCES
Available upon request
Contact this candidate