Post Job Free

Resume

Sign in

Medical Insurance

Location:
Houston, TX
Posted:
April 15, 2015

Contact this candidate

Resume:

Connie Scott

*** ***** ***** **.

Houston, TX 77090

Cell#713-***-****

aco676@r.postjobfree.com

Objective: To obtain a career utilizing medical business skills, applying the knowledge gained through school and job

experiences.

Skills-Commercial and Private Insurance billing, Medicaid, Medicare,HCFA-1500, Hospital billing UB92, CPT,ICD-9

coding, insurance verification, Microsoft Word, Medisoft, medical management, GE Centricity, Advantx, EPIC, IDX,

Imagine,Mysis, EMR,HCHB System, Allscripts,, Medical terminology, multiple phone lines, copying and faxing, cash

poster, reconciliations, ability to work under pressure, team player, self-motivated, strong leadership and dependable.

Texas School of Business- Medical Billing Specialist

Graduated 4/2000

Employment History

Addison Group /Temp Baylor College of Medicine 11/2014 to Present- Expedites and maximizes payment of

insurance medical claims by contacting third party payers and patients.

*Identifies patients accurately and assigns the patient a unique identification number.

*Secures patient accounts in order to maximize reimbursements in a customer service oriented fashion.

*AR follow-up Contacts insurance companies via telephone /website concerning unpaid accounts receivables.

*Resolves any unusual denials, low payments, or requests for information, including appeals.

*Contacts third party payers and patients to determine the reason for non-payments or delays in payments of

medical claims.

*Corrects claims and re-files.

*Assists with inquiries from outside parties regarding account status.

*Drafts letters to the insurance company's Medical Review Board to expedite payment.

*Evaluates if payments were made according to contract. Researches and appeals insurance denials.

*Performs other job related duties as assigned. Patient Account Representative 1

Community Health System Hospice/Home Health 12/2012-08/2014- Senior Billing and Posting Specialists: Bill claims

for the month for Home Health and Hospice, also post payments for 44 different agencies, reconcile all accounts for the

month keep accurately account of reconciliation sheet of all payments, Close out month end for all agencies making sure

all reconciliations balance with a zero.

McKesson 04/10 – 12/2012-Morehouse Medical Associates A/R Specialist II /Team Lead: Follow up on claims, Post

payments that didn't transmit via electronically, keep accurately account of reconciliation sheet of all payments, deposit all

check s and cash via key banks daily. Close out month end for all agencies making sure all reconciliations balance with a

zero.

Radiology Medical Insurance 01/09- 03/10

Insurance Specialist/ Collector Following Up on claims from current to 120 days of processing, also corrected all eob and

appeal letter to insurance companies, process and rebill claims Cleared all claims that were sent electronically and rejected

through real med.

Care For Women/OB/GYN 3/08-11-08Insurance Specialist/Medical Biller -Following Up on claims from current to 90

days of processing, also corrected all eob and appeal letter to insurance company. Cleared all claims that were sent

electronically that was rejected.

Liken Staffing Services 03-07-02-08-Newborn Intensive Care Specialist, PA 13211 Hargrave Rd. Houston, TX

77070Insurance Claims & Collections Specialist 03/07/2007-003/08Process billings to patient and third party

reimbursement claims: maintains supporting documentation. Processes patient statements, posts transactions, and verifies

accuracy of input for reports generated. Follow up on submitted claims, monitors unpaid claims, initiates traces of claims.

Balancing of daily batches, answering phone, mail distribution and assists office personnel with billing question and

shares expertise with billing software.

Michelle Zaniewski, M.D, 17070 Red Oak Dr., Ste 309, Houston,Tx 77090-Insurance Specialist/ Medical Biller, 09/06-

2/07Billed Medicare, Medicaid & Commercial claims, performed insurance verification, AR monthly aging report,

Accounts Payable & Posting of payments, generated monthly statements to patients, data & charge entry, and collections.

Willy Pezzia, M.D., 21830 Kingsland blvd, Ste #103, Katy, TX 77450-Medical Biller/Medical clerk, 08/01-

08/06Performed the following clerical work in support of the care and treatment of this Internal Medicine Practice:

receptionist and front office coordination including appointment scheduling& referrals, filing recordkeeping, insurance

verification, data entry,billing & coding, proficient knowledge of Medisoft medical billing software



Contact this candidate