Medicare Billing Specialist

WORK EXPERIENCE

University Of Chicago of Illinois

Temporary Assignment

Feb 28 2014-Present

Medicare Hospital Billing

. Entering corrected claims and charges through E-care CMS.

. Late charge adjustment and submitting corrected claims.

. Updating MSP (Medicare Secondary Payer) file.

. Verify Insurance eligibility, updating patient demographics in PAM

(Patient Access Management)

Swedish Covenant Medical Group, Chicago, IL June

23 2011- Sept 30 2013

Collections Specialist

. Collecting unpaid bills from a network of close to 125 physicians

. Work with patient to determine and establish payment plans, charity

care.

. Extensive collections from patients

. Responsible for incoming and outgoing calls

. Payment posting

. Enter patient demographics

. Online insurance verification

Illinois Medical Management Consulting, Chicago, IL July 1 2010-

March 15 2011

Claims Specialist

. Claim Appeals

. Claims follow up with Blue Cross Blue Shield, commercial insurance

. Status updates with Attorneys for Worker comp., Personal Injury and

Motor Vehicle Injury

. Payment posted for Lakeshore Open MRI, Lakeside CT, Pro Clinic Pain

Management and Alevio Physical Therapy

A Plus Billing, Chicago, IL March 3 2009-

June 4 2010

Medical Biller

. Payment posted for Blue Cross, Medicare Part A/B, Medicaid

. Reimbursement for Medicare

. Thorough understanding of EOB'S, ICD9, CPT AND HCPCS coding

classifications

. Extensive collections from both Insurance and patient balance

. Entered charges for office visits, nursing homes and hospital

visits

EDUCATION

AAPC CODING - Home Internet Course

2013

Exam date: July 12, 2014

Taylor Business Institute - Chicago, IL

Associates in Medical Billing Specialist Graduate 2002

Northwestern Business College - Chicago, IL

Studied fro Certified Professional Coders (CPC) 2010

Wright College - Chicago, IL

Certificate of Completion 2008

Coding Clinic-Physician office

Coding test prep (CPC)

SKILLS

Health Quest, Rycan, CMS, ECare, Medical Manager, Meditech, Advantx,

Millbrooks, Prism and Lytec

Contact this candidate