Insurance High School

Marie Ellis James

**** ** *** ******, *******, FL 33068

Home 954-***-**** Cell 954-***-****

******************@*****.***

objective

To obtain a position in which I can apply my professional and personal experiences

that will enhance the productivity of a well established organization.

Qualifications

Over 23 years of experience with in the field, Work well with other, Able to master

new skills with little or no training, computer literate. Intermediate understanding of

CTP, HCPCS and ICD 9 coding regulations. MS excel, MS word, Passport, EMS

web, Trailblazer Health Enterprises.

Experience

Billing and Collection Specialist, Conifer/Tenet Health Solutions, Boca Raton,

FL July 2009 – Nov 2014

Responsible for working remittance advice from Medicare ensuring accuracy of

payments, change account financial class as appropriate; correct account balance

follow up on denied claims, update system. Communicates with providers regarding

verifications of patient and insurance demographic information. Also performs

payment/refund follow up on patient accounts and correct claims with errors by

referencing account notes, UB04, Medicare manual or by referring claim. Follow up

with facility on previously referred claims. Investigates and responds to error

generated from electronic claim submissions. Verifies patient information using

links to hospital and web based sites.

Insurance Verification, Anesco Anesthesia Associates, Ft Lauderdale, FL Nov

2007 Mar 2009

Responsible for assuring appropriate insurance verification prior approvals, and all

authorization requirements obtained prior to the patients discharge. Inputting

demographic information and cross trained in all areas of billing, as well as working

directly with insurance companies on appeals and denials with patients to resolve

any billing and/or payment inquires.

Surgical Coordinator, Cleveland Clinic Hospital, Weston, FL

Oct 2000 Aug 2007

Responsible for scheduling patients for surgery, also verification of insurance

benefits, deductibles and co pays. Register patients by obtaining necessary and

accurate financial and demographic information. Determine the financial status of

the patient or guarantor and complete all financial/insurance related functions and

signatures. Accountable for the collection of money due prior to the patients

admission and discharge.

education

James Monroe High School / Graduate 1977

Atlantic Vocational Technical / Certification 1990

References Available Upon Request

2

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