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Medical High School

Location:
San Francisco, CA
Posted:
April 06, 2015

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Resume:

Sue Goeman

763-***-****

********@*******.***

LinkedIn

SUMMARY

Enthusiastic and dedicated, self- starter with 15 + years of experience as Medical Insurance Biller.

A highly motivated employee that works well as a team and with little supervision. Proven ability to learn

quickly and contribute greatly to billing efficiency.

COMPUTER SKILLS:

• Advanced Microsoft Office Excel skills, and proficient in Word, PowerPoint, Outlook,

and Epic Systems.

• ImageNow (scanning)

• Claimlynx (clearinghouse system)

EMPLOYMENT HISTORY:

Patient Accounting Medical Biller

HealthPartners St. Paul, MN 1997-2014

• Responsible for medical billing for Medicare, Medicaid, Veterans Administration, Ucare

and more.

• Called payers to see why charges were denied also checked payers’ websites.

• Faxed requests to Medicaid to have them term patients prime health insurance.

• Called Ucare to see if Provider was affiliated with one of the HealthPartners clinics and

or to see if Providers license was still current.

• Checked Medicaid website to see if patient received and Authorization number for a visit

that would need and Authorization.

• Prepared claims to submit to patient’s Primary and Secondary insurances for payment on

patients account.

• Submitted Prior Authorizations to various payers.

• Entered new patient information.

• Verified benefit and eligibility information to make sure we are billing the correct

insurance company.

• Followed up on unpaid claims.

• Prepared, reviewed and submitted clean claims to various insurance companies,

electronic and paper claims.

• Maintained patients account to keep them as current as possible.

• Worked zero pays and rejected claims.

• Printed and sent HCFA’S and also worked returned HCFA’S.

• Corrected coding inquires.

• Did Work Comp, No Fault and 3rd Party billing.

Medical Office Assistant

HealthPartners Bloomington, MN 1985-1996

• Checked patient’s in and took copays. Prepped patient’s charts before their appointment.

• Worked in chart room, filed patient’s lab results, referrals, chart notes into patients chart.

EDUCATION:

High School Diploma

Richfield High School Richfield, MN



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