Customer Service Representative

Annmarie Smith

** ********** ******, *********, ** 30016

404-***-**** **********@****.***

PROFESSIONAL SUMMARY

Over 12 years of hospital billing and medical collections experience for inpatient and outpatient

ambulatory care clinics and laboratory services. Extensive knowledge of Medical terminology,

Medicaid, Medicare care and Third party payers.

CORE COMPETENCIES

• Detailed-oriented • Compassionate

• Customer-focused • Quality –focused

• Team-oriented • High –performing

• Self-directed • Professional

PROFESSIONAL EXPERIENCE

Robert Half Agency-Office Team, Hauppauge, NY

Denial Billing Specialist 2013-2014

Corrected claims in regards to charges, CPT and ICD-9 codes

• Audited accounts showing denial to resolve balances

• Ability to interpret explanation of benefits

• Ability to stay work focused & perform job duties efficiently & accurately

• Strong organizational skills, strong data entry skills, with ability to meet account

receivable policies

• Worked with minimal direction, consults with team leader and supervisor as needed

Annmarie Smith 404-***-****

Healthcare Corporation of America, Norcross, GA

Medicare Billing Specialist 2008-2011

Working knowledge of contract insurance, HMO’s, PPO’s, Medicare/Medicaid

Understand medical billing for hospital and physician

• ICD-9 and CPT medical coding knowledge

• Identified and resolved issues regarding account adjustments

• Had ability to analyze, trend, track and escalate billing issues

• Possessed strong organizational and follow-up skills

Virtual Property Realty, Dunwoody, GA 2006-2010

Sell real estate properties

• Wrote contracts for Buyers and Sellers

• Negotiated contracts between Buyers and Sellers

• Determined Competitive market analysis for Sellers listing residential properties price

• Assisted Buyers with finding a property

• Reviewed appraisal to determine fair market value of desired properties

• Made sure all special terms of the contract are met before the closing date

Verizon Wireless, Alpharetta, GA

Customer Service Representative 2005-2007

Sell, upgrade and retain customers during all contacts

• Responded to customer inquiries regarding orders, billing and services

• Researched account problems and issues credits or debits accurately when applicable

• Multi tasked several computer system

Annmarie Smith 404-***-****

• Assisted customers with trouble shooting issues

Social Service Administration, New York, NY

Medicaid Fraud Investigator/Supervisor 1996-2001

Knowledge of state Medicaid application, process and program

• Screened and interviewed clients for Medicaid and Public Assistance

• Revised budget for Medicaid and Public Assistance

• Wrote reports based on interview & documents provided by the clients

• Supervised 3-5 staff (investigators & clerical) and trained new staff

• Prepared reports and examined case records to detect fraud

EDUCATION AND TRAINING

Certified Professional Coder (CPC), AAPC (pending)

Microsoft Office certificate, New Hope Enterprises (2014)

Bachelor of Science in Health Care Administration, Long Island University (1996)

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