Medical Billing & Follow Up

[Phone number]•[E-mail address]

[Your Name]

**** **** **** **., *******, Texas 77040 • 832-***-**** • ***********@*****.***

Daisy K. Uppal

Objective

To secure a career in the healthcare administration field that provides an opportunity for growth.

E xperience

02/2008-present

Harris Health System Houston, Texas

Sr. A/R Billing and Follow Up Specialist

Extensive experience with billing and following up with Medicare and Medicaid (Traditional and Managed Care),

commercial, Workers’ Compensation, and Crime Victims claims.

Review denied claims, contact payers, and create and send appeal packages on a daily basis.

Knowledge of ICD10/HCPCS coding for manually editing claims in EPIC system, etc.

Identified and tracked problems and collaborated with management to resolve issues.

06/2003-02/2008

Houston Northwest Medical Center Houston, Texas

A/R Billing Specialist

Billed Medicare, Medicaid, and commercial claims.

Reviewed and sent medical records to Medicare, Medicaid, and commercial insurance payers.

Networked with various departments in order to process rejected claims.

12/2001-06/2003

First Contact Houston, Texas

Insurance Claims Representative

Processed and indexed medical and optical claims into INGENIX Edit database system.

Greeted members via in-person and over the phone to solve a variety of issues.

Communicated regularly with insurance companies to inquire and solve issues regarding patient claims.

01/1988-09/1998

NY District Council of Carpenters Benefit Fund New York, New York

Medical Claims Examiner

Examined, adjudicated, and paid medical and Medicare claims.

Analyzed data to determine eligibility and termination dates for member and dependents utilizing AS400.

Indexed medical and Medicare claims into insurance Luminex database.

Operated a system that employed CPT and ICD9 coding programs.

E ducation

1984-1985

New York Business School New York, New York

Certificate, Business Information Systems

1978-1981 Punjab University Chandigarh, India

Bachelor of Arts in Science & History

References

[Phone number]•[E-mail address]

[Your Name]

References are available on request.

Contact this candidate