Customer Service Medical Billing
Resume:
NANCY DELGADO
acn19u@r.postjobfree.com
Houston, TX 77042
Seeking to transition into the health care industry as a Medical Billing and Coder.
Summary of Qualifications
Strong Customer Service and Administrative skills, combined with ability to provide
excellent service while remaining patient and professional. Self motivator with
strong work ethic, able and willing to learn new things in team environment.
Education Sanford Brown College
North Loop, Houston, TX
Medical Billing & Coding Certificate Medical Billing and Coding Diploma
Allied Health Associates Degree
09/2012
2014
Skills ICD 9, HCPCS and CPT coding (coded diseases, procedures, injuries and diagnosis)
•
Computer Applications including MediSoft billing software, Health quest.
•
Health Insurance Processing (CMS 1500 and UB04)
•
Strong knowledge of Medicare, Medicaid, and commercial insurance plans.
•
Office Equipment
•
Interpersonal Skills
•
10 key skills by touch
CEX FINANCIAL Houston,
Employment History
TX
Medical Insurance Specialist/ Onsite Liaison 2013 Present
• Review denial claims and submit appeals if necessary with proper documentation.
• Verify insurance policies and coverage information.
• Serve as an onsite go to person for the client.
• Review Adjustments from agents to submit to client.
• Submit weekly reports to client regarding old accounts and status to finalize each
account.
• Training new employees various job duties.
• Overseeing employee’s weekly activity on accounts to ensure actively working
accounts.
AHF Services Houston, TX
Medical Insurance Specialist 2012 2013
• Review denial claims and submit appeals if necessary with proper documentation.
Verify insurance policies and coverage information.
•
Ability to close out every month with 100,000.00 or more in reprocessed claims for a
•
major hospital in Houston.
Interactive Response Technologies
Customer Service Representative 2005 2013
• Provide services to high stressed and or irate members requiring emergency roadside
assistance and directions.
Trained new employees on computer and phone usage.
•
Evaluate calls as QA to make sure employees were handling customer’s inquiries
•
accurate and efficient.
Contact this candidate