Insurance Medical
Resume:
Sylvia Carr
832-***-**** Home 832-***-**** Cell
E-mail address ************@*****.***
Qualification:
A/R Collection
Insurance/Cash Posting
Charge Entry
Insurance Verification
Bank Excel Reports
Account Receivable/Bookkeeping
Bank Statements
10-Key
Electronic Billing Specialist
Process CMS-1500 (BCBS, W.C., Comm. Ins., etc.)
Software Experience:
Centricity
Cetrix Xen App/Allscripts
MediSoft
Medic Visions Software
Tri Med
Window’s 95/98/2000/XP
Microsoft Excel
Professional Experience:
12/13-01/15 eCardio Diagnostics / Ajilon Professional Staffing
AR and Patient Collections Specialist: Billing of invoices and claims to insurance
companies, as well as responding to denials and making appeals. Correcting claims
for payments, and working with insurance companies to find resolutions. Making
adjustments on accounts and follow up with insurance companies and patients for
payment.
08/12-04/13 Mckesson/UT Physicians, Houston, TX
AR Collection Specialist: Resolving issues or errors, with codes that do not confirm to
approve coding guidelines by evaluating medical record documentation and charge
ticket coding to optimize reimbursement. Excellent knowledge with surgical and clinical
coding. Specialist in both Inpatient and Outpatient billing, intimate knowledge of various
insurance programs includes Medicaid, Medicare, and private insurance plans. Ability to
research and analyze data, draw conclusions, and resolves issues for payment.
10/11-02/12, Houston, TX Gessner Anesthesia Associates- PMB Staffing
AR and Patient Collection Specialist: Coding with accuracy on all cases including the
most complex, by evaluating medical record documentation and charge ticket coding to
optimize reimbursement. Resolving issues or errors, with codes that do not confirm to
approve coding guidelines. Research and analyze data draw conclusions, and resolve
issues for payment.
3/08-10/10 Metrowest Anesthesia Professional Billing, Houston, TX
Billing and Coding Specialist: Verify and enter the patient demographic information and
determine the appropriate insurance carrier to bill based on the information received from the
Doctor. Code with accuracy on all cases including the most complex, by evaluating
medical record documentation and charge tickets coding to optimize reimbursement.
Review and enter the visit documentation and the encounter to ensure all charges are captured.
Responsible for filing claims and collecting payment for all services rendered by the
doctors. Manual post all insurance and patient payments received via web or by mail.
07/01-03/08 Obstetrical and Gynecological Associates, P.A., Houston, TX
Cash Posting and Charge Entry Specialist: Enters charges for all visits, reviewing the visit
documentation and the encounter to ensure all charges are captured. Manual post all insurance
and patient payments received via mail or lockbox. Back-up Biller (electronic submission), Back
–up in completing the end of the month bank statements using excel reports.
09/00-07/01 Pro-Consulting Billing Services, Houston, TX
Billing and Coding Specialist: Verify and enter the patient demographic information and
determine the appropriate insurance carrier to bill based on the information received from the
Doctor. Coding with accuracy on all cases including the most complex, by evaluating
medical record documentation and charge ticket coding to optimize reimbursement.
Review and enter the visit documentation and the encounter to ensure all charges are captured.
Responsible for filing claims and collecting payments for all services rendered by the
doctors. Manual post all insurance and patient payments received via web or by mail.
03/00-09/00 Susan Bruce and Associates Dermatology – C.N Staffing, Houston, TX
Front Medical Assistant: Greeting patients when they arrive for their office visits. Help
run, organize and maintain the front desk by handling paperwork, answering phones
and inputting data into the computer. Scheduling and verifying appointment for visits or
next day visits.
09/97-03/98 Total Medical Management/ Home Health Inc., Houston, TX
Billing and Coding Specialist: Verify and enter the patient demographic information and
determine the appropriate insurance carrier to bill based on the information received from the
Doctor. Coding with accuracy on all cases including the most complex, by evaluating
medical record documentation and charge ticket coding to optimize reimbursement.
Review and enter the visit documentation and the encounter to ensure all charges are captured.
Responsible for filing claims and collecting payments for all services rendered by the
doctors. Manual post all insurance and patient payments received via web or by mail.
Education:
1999 Trans World Academy- Medical Coding and Billing Specialist, Houston, TX
2004-2005 Med Vance Institute-Certified Coder, Houston, TX
2005-2006.1 Member of the American Academy of Professional Coders, Houston, TX
1993 Westbury High School- Diploma, Houston, TX
References:
Professional:
Sheri Valin (McKesson Super.) 713-***-****
Amalia Ohe (Metrowest Super.) 714-***-****
OGA HR 713-***-****
Personal:
Cynthia Rogers 832-***-****
Erma Spikes 832-***-****
Contact this candidate