Customer Service Medical
Resume:
Nicole Hollins
Missouri City, Texas *****
*************@*****.***
Professional Summary:
In my profession in the Medical field I have held several titles which include Medical Biller,
Collections Specialist and Medical Assistant. I am looking for a position in which I can utilize
a ll of my skills in the healthcare filed.
P rofessional Experience:
10/2014 to Present Next Level Management Sugarland, TX
Sr. Billing Specialist
• Charge Verification & Compliance review to capture rejection data.
• Data Management and reporting.
• Charge Capture and payment posting
• Collaboratively works with other Departments and areas within the hospital regarding
t he charge capture process, patient billing compliance issues and appropriate use of
I CD-9 and CPT codes.
• Identifies opportunities to maximize charge capture for both inpatient and outpatient
coding. (dual coding (ICD-9 & ICD-10))
• Commercial, Medicaid and Medicare Billing
• Claim billing for Hospice and Physician charges.
• EOB posting and Electronic Remittance Posting
11/2011 to 09/2014 Houston Methodist Hospital Houston, TX
Senior Billing Specialist
• Correct and process billing for professional charges. A/R follow up
• Coordinate billing and compliance processes within the Department by doing claim
audits.
• Researches documentation issues and provides recommendations for improvement and
accurate documentation to ensure compliance as appropriate.
• Develops proficient understanding and utilization of charge master for professional
fees.
• Identifies opportunities to maximize charge capture for both inpatient and outpatient
coding. (dual coding (ICD-9 & ICD-10))
• Collaboratively works with other Departments and areas within the hospital regarding
t he charge capture process, patient billing compliance issues and appropriate use of
I CD-9 and CPT codes.
• Check in and check out patients for clinic appointments.
• Schedule follow- up appointments and collect coinsurance and copays.
8/2011 to 11/2011 T ime Warner (Burnett Staffing) Houston, TX
Accounts Payable
• Coding vendor invoices for accounts payable runs.
• Entering charges for reimbursement to payers.
• Vendor reimbursement processing. Cash disbursement and petty cash auditing.
• Handling all vendor related questions or issues
• Compiling AP reports for review and audit.
08/2010 to 4/2011 Global Healthcare Houston, TX
M edical Collector
• Commercial and government carrier collections.
• Account Resolution for submitted claims.
• Account auditing, billing, insurance verification and appeals
• Review and submission of corrected claims under the correct fee schedule.
• Recoupment Review and processing.
• Meet Daily Quotas and Quality Assurance review.
• Corrects and processes billing for professional charges.
07/2006 to 3/2009 Christus Health-TLRA Houston, TX
Patient Accounts Specialist I I I
• Medical Collections for self-pay and bad debt accounts.
• Account resolution and review.
• Submission of claim rebills and corrected claims
• Charity screening for patient billing assistance.
• Communicating with clients and customer while adhering to Federal guidelines
• Reviewing reports for credit balances and adjustments.
• Received calls via a predictive dialer for outgoing and incoming calls.
06/2005 – 07/2006 HCA Healthcare Houston, TX
Collections Specialist
• Monitor insurance claims, collections
• Contacting insurance companies to resolve claims for government and commercial
carries.
• Update patient information
• Insurance verification and medical appeals.
• Claim review for the correct ICD-9 codes payable to the correct fee schedule.
• Met weekly quota and Q&A
11/2002 to 01/2005 ACS/PASC Houston, TX
I nsurance Follow- Up Representative
• Followed up with commercial and government insurance companies Adjusted and
audited claims
• Reprocessed claims for billing, collections
• Data entry, Heavy phones and customer service
• Insurance follow up with commercial and Medicaid insurance
E ducation:
2012 to P resent Houston Community College Houston, TX
Nu rsing Major
1992 TO 1996 W illow Ridge H igh School H ouston, TX
D iploma Received
01/1998 to 06/1998 Southwest Medical Academy Houston, TX
Medical Assistance Diploma
O ther Experience
• 10 Key touch, 50-60 wpm, Microsoft word, Meditech, Artiva, Microsoft Excel, Adobe,
Word Perfect, Power Point, Windows, Media, and Corel Office and Collections, Host,
Medisoft, CUBS, Epro, HBOC, IDX, Centricity, Bright Tree, Real Med, NextGen, Pace
A rt, Availity, Navinet, Eclinical, Mysis, Peachtree, Athena, H IS, DDE, EASE, Ability
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