Medical Insurance
Resume:
Evile Ann Finley
Hutchins, TX 75141
972-***-**** (home)
214-***-**** (cell)
OBJECTIVE
To obtain a position within a progressive medical company where my twenty one years of
medical billing, payment posting and EOB’s knowledge and experience will be utilized.
TECHNICAL SKILLS
Medic System Kinetra IMS System
Procedure Coding Medical Terminology ICD-9
Medical Manager System EOB'S
WORK EXPERIENCE
February, 2000 – Present
RHEUMATOLOGY ASSOCIATES
Medical Biller and Medical Payment Poster
• Post all insurance plans EOB' S Medical payment checks and adjustments received
from HMO, PPO, Medicare, Medicaid, Workers Comp & Patients Checks for (14)
Doctors and (4) Nurse Practitioners.
• Print daily reports to balance checks and process daily close for checks.
• Bill Secondary and Third Party Insurance Plans - EOB'S.
• Process and mail all HMO, PPO, Medicare and Medicaid Claims.
• Open and distribute all incoming mail to the assigned collectors.
• Distribute all denied EOB’S Claims to assigned collectors.
Download electronic EOB’and EFT’s and save on spreadsheet.
Post all online credit card payments, recoupments.
September, 1999 – February, 2000
HEALTHCARE CLINIC
Medical Biller - Charge Poster
• Coded all ICD-9 codes for all claims
• Input all insurance plans HMO, PPO, Medicaid, Medicare, Workers Comp.
charges in system.
• Prepare charges to bill electronically to all insurance plans.
• Correct and re-bill any rejections on reports.
• Input referrals and verified insurance.
January, 1999 – July, 1999
HEALTHCOR HOME HEALTH CARE
Intake Coordinator
• Coordinating patients for home medical equipment, nursing and pharmacy via
telephone and fax.
• Verify insurance benefit for patients at insurance companies and Medicare and
Medicaid.
• Obtain reauthorization of benefits.
June, 1998 – December, 1998
BAYLOR PEDIATRIC CENTER
Physician Office Representative - Asst. Referral Coordinator
• Checked patients in and out; answered all incoming calls.
• Schedule appointments on Medics system.
• Enter patient's demographic information.
• Process all out patient's referrals on Kinetra IMS System.
• Code diagnosis and procedure codes
• Verify accurate insurance information.
• Daily cash balancing.
HERITAGE SOUTHWEST MEDICAL GROUP July, 1995 - June, 1998
Referral Processor
• Process all inpatient and outpatient referrals and open cases to verify accurate
information for pre-certification.
• Code diagnosis and procedure codes.
PROVIDENT AMERICAN INSURANCE October, 1993 - June, 1995
Data Entry Clerk
• Process all health claims, coded ICD-9 and procedure codes.
• Receptionist Relief
AMERICAN EAGLE INSURANCE January, 1990 - September, 1993
General Clerk II
• Process general information on policies.
• Typed and mailed notices of cancellation and re-instatements.
• General office duties as needed.
RESERVE LIFE INSURANCE COMPANY October, 1987 - September, 1989
Data Entry Clerk
• Process and finalize information for all claims to be added to microfiche.
• Typed insurance policies.
EDUCATION
Business Management Center
Dallas, Texas
High School Diploma
References available upon request
Contact this candidate