Post Job Free

Resume

Sign in

Insurance Manager

Location:
San Francisco, CA
Posted:
December 31, 2014

Contact this candidate

Resume:

S ANA ZAREEN

*** ******* **, ******* *******, Illinois 60169

847-***-**** acg7lj@r.postjobfree.com

SUMMARY

• More than 5 years of experience in performing Insurance billing, Coding, Reimbursement and collection

process in Heath Care firm.

• Performed functions related to insurance, Medicare advantage/replacement, Workers compensations,

Auto insurance, Account receivable (A/R) billing, Collection and reporting.

• Performed patient’s accounts representations responsibilities in a time effective, Cost effective, Results

oriented and customer-focused manner.

• Proven ability to work independently and as team to achieve goals and deadlines.

• On hand medical billing knowledge include ERA and EOB interpretations, CPT, ICD-9 and ICD-10

coding skills, and medical practice management software’s such as, Medical Manager, E- Clinical

Works, PM Misys.

• Reviews AR accounts monthly, Enters adjustments from EOBs/Remit and post-insurance EOBs.

• Audits, Bills and adjusts all accounts for payers.

• On hand knowledge of electronic claims submissions, Medicare claims and filing processes.

• Able to prioritize and multi-task in addition to processing excellent communication skills and speaking

abilities.

• Able to exercise proactive approach to billing and collections and a problem solver with a solution based

approach to financial opportunities.

• Quick learner who can easily adapt to new responsibilities.

• Highly organized, with great attention to detail and follow-through.

• Cooperative, flexible, and dependable, known for getting the job done efficiently.

EXPERIENCE

PHYSICIANS MANAGEMENT SOLUTIONS, Palatine, IL Sept.2012- Present

Medical Biller and Collector

• Insurance billing/ coding/ collection, Patient payment posting, Insurance verification, Follow up with

insurance company, Credentialing the providers, and Reimbursement.

• Update patients accounts with Coding, Denials, Credits, Collections, and Demographic information

• Prepare/Process monthly billing, Account receivable reports and maximize third party reimbursement to

including electronic billing of various reimbursement sources.

• Sends correspondence to client in accordance with member/client policies and procedures. Updates and

verifies information on computer system..

• Perform collection of receivables by monitoring accounts receivables, and resubmitting bills to overdue

accounts.

• Audits configuration of supplies based on supporting documentation, Formulary requirements and

manufacturer compatibility.

• Identifies problems or improvements within own area, Develops resourceful and alternative solutions for

work improvement or problem solution.

• Researches and follow up on all correspondence associated with assigned accounts, Including EOB’s

and documentation letters, and generate correspondence requesting required information, When

necessary.

• Reviews charts and provides one-to-one and group educational feedback to the clinicians.

• Interacts with clinician and other clinic/corporate departments to assure compliance and appropriate

billing practices.

• Daily activities includes entering charges, EOB posting, Daily deposits, Verifications of patient

insurance, Follow up with insurance denials, Appeals, Speaking to patients about their accounts, Claims

submissions, Collection calls and working closely with patients and setting up payment plans.

HORIZON OFFICE TECHNOLOGIES, Elgin, IL May2010 - Sept.2012

Medical Biller and Coder

• Perform Insurance Billing and Coding, Reimbursement, and Collections.

• Update patient’s accounts with coding, denials, credits, collections, and demographic information.

• Handle bank deposits received on a daily basis, Including logging lockbox deposits and paper post

deposits.

• Handle adjustments, Including data entry of adjustments, Printing reports.

• Input charges for all urgent care, Clinic and inpatient centers on a daily basis.

• Obtain insurance referrals and verify insurance coverage on a daily basis.

• File claims to the appropriate insurance company on a daily basis.

• Researches and follow up on all correspondence associated with assigned accounts, Including EOB’s

and documentation letters, and generate correspondence requesting required information, When

necessary.

• Initiates appeals and ensure all required documentation is submitted in the appeals process. Research all

denials and follow up as necessary.

• Post all copayments and self-pay payments and reconcile on a daily basis.

PULMONARY CRITICAL CARE AND SLEEP MEDICINE, Elgin, IL Jan.2010-May2010

Healthcare Office Manager and Health Insurance Specialist Extern

• Assisted Office Manager with daily operations of Clinic including managing Accounts Payable and

Receivable, Billing, Coding, and Reimbursement Collections.

• Assisted with High-Level Management Activities including drafting Staff Policies and Procedures.

• Assisted and worked closely with patient in setting up payment plans.

FIDAI MEDICAL GROUP, Elgin, IL Jan.2010-May2010

Health Insurance Specialist Extern

• Helped Staff with all aspects of Insurance Billing including Insurance Information Collection and

Verification.

• Billing and Coding, and Reimbursement Collection.

OFFICE OF SCHOLARSHIP AND FINANCIAL ASSISTANCE Oct. 2008-

Nov.2009

Harper College, Palatine, IL

Student Assistant

• Responded to Student Inquiries and Scheduled Appointments.

• Updated Student Information .

• Answered Phones and Assisted in Office Management.

MACYS DEPARTMENT STORE June 2008 – Oct. 2008

Schaumburg, IL

Cashier

• Answered Customer Inquiries.

• Answered Phones and Updated Sales Records .

SKILLS

• Ability to work in fast paced environment with strong customer service, Communication, and analytical

skills.

• Proficient in Microsoft Office (Word, Excel, PowerPoint, and Access) and worked on MS Windows XP,

Vista and Windows 7 OS.

• Proficient with E-Clinical works software, Medical manager software and PM Misys.

• Ability to work both independently and as part of a team.

• Strong analytical and problem solving skills.

• Ability to perform multiple tasks effectively.

EDUCATION

DEVRY UNIVERSITY, ADDISON, IL

Bachelor of Science in Technical Management, Health Service Management Sept 2012

Relevant Coursework:

Health Rights and Responsibility; Health Services Information System; Health Services Finances; Healthcare

Policy; Managed Care and Health Insurance; Health Services Planning and Marketing; Project Management

HARPER COLLEGE, PALATINE, IL

Associate in Applied Science, Health Care Office Management July 2010

Health Insurance Specialist Certificate May 2010

Relevant Coursework:

Legal and Ethical Issues in Health Care; Leadership Foundation; Leadership skills; Leadership Trends;

Principles of Health Insurance Billing; Health Care Office Procedures; Current Procedural Terminology (CPT)

Coding; International Classification/ Disease (ICD) Coding; Health Care Office Management; Human

Resources Management

Reference’s will be provided on request.



Contact this candidate