Customer Service Insurance

ERIKA WARNER

LAS VEGAS, NV 702-***-**** / 702-***-****

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

OB J EC T IVE

Seeking a position with a growing organization to make a positive impact on revenues, and experience long term career growth, and where helping

people understand their healthcare benefits is priority.

SKILLS PROFILE

• Professional demeanor and excellent people skills

• Superb communication skills, verbal and written, and thrives on solving problems

• Strong attention to detail, excellent filing, organizational skills, and proficient at running and handling office equipment

• Efficient Medicaid, Medicare, Commercial Ins electronic claims submission, and outstanding knowledge of ICD-9/10 CPT codes

• Superb payment posting skills, Inpatient/Outpatient charge entry, appeals process, and extreme collection knowledge

• Successful leader, equally effective as member of a team, and excellent customer service

• Highly organized and able to multitask and accomplish multiple objectives

EDUCATION

Electronic Medical Insurance Biller EMB, Inc., Online- Certificate of Completion - 2000

Career Training Institute, Las Vegas, NV- Medical Billing/Diploma - 1996

Eldorado High School, Las Vegas, NV -Graduated/Diploma - 1991

RELATED EXPERIENCE

Group Practice – Las Vegas, NV

12/2014- Current

Independent Medical Contractor Specialist

• Enter charges daily and send claims electronically

• Appeals and collections preparation

• Insurance/Patient follow-up on aging report

• Insurance and patient payment posting and refunds

• Month end reporting

• Credentialing

Populus Group- WellPoint- Las Vegas, NV

12/2014- Current

Medical Biller

• Enter charges daily and send electronically

• Prepared accounts for appeals when required

• Daily Insurance/Patient follow-up on aging report

• Post patient payments over the phone and process insurance company’s virtual payments

Sykes Enterprises, Inc.

09/2014- 12/2014

Customer Service Support

•Add payment instruments on the account when requested

•Transfer past due balance from one credit card to another one

• Assist customers with password resets

• Assisted customers with game issues

Accurate Billing Solutions, LLC – Las Vegas, NV

05/2014- 10/2014

Biller Representative

• Post insurances/patients payments daily

• Appeal and collections preparations when required

• Electronically sent claims daily and worked batch report

• Daily charge entry

Rose International - Well Point Las Vegas, NV

09/2013- 04/2014

Medical Biller

• Insurance/Patient refunds prepared when required

• Prepared accounts for appeals when required

• Daily Insurance/Patient follow-up on aging report

• Took patient payments over the phone and process insurance companies virtual payments

Nevada Heart & Vascular Las Vegas, NV

9/2011-7/2012

Insurance Verification & Demographics

• Verified Insurance and patient's demographics daily

• Efficient filing, charting, and documenting

• Verified procedures for authorization requirements from various insurance companies

• Billing and insurance verification via the computer’s internet, created referrals, appointment scheduling

Nevada Cardiology Associates Las Vegas, NV

6/2006-6/2011

Lead Medical Biller

• Assisted co-workers with tasks whenever needed

• Submission of claims electronically to Medicare, Medicaid, and Third-Party Insurances

• Intensive patient and insurance payment posting

• Inpatient/Outpatient charge entry daily

• Insurance/Patient refunds prepared when required

• Secondary claims submission electronically and/or by paper daily

• Prepared accounts for collections and appeals when required

• Responsible for customer service

Holdsworth Inc. Las Vegas, NV

4/2006-10/2006

Resident Trainer Support

• Planned activities that would stimulate growth in social skills

• Provided clients with money skills needed

• Assisted clients with daily medications, chores, social activities, and meal preparations

Internal Medicine Associates Las Vegas, NV

5/2004-4/2006

Business Office Account Representative

• Responsible for customer service

• Prepared delinquent accounts for collections

• Assisted team with payment posting when needed

• Insurance/Patient aging report kept at monthly low

• Prepared insurance/Patient refunds

Desert Endocrinology Las Vegas, NV

7/2003-1/2004

Medical Biller

• Inpatient/Outpatient charge entry daily for 2 locations

• Responsible for customer service

• Prepared refunds and accounts for collections

• Daily payment posting to accounts

• Electronic submission of claims daily and corrections made from submission report

• Prepared month end reports for physicians

On Staff Temporary Agency (Mountain View Hospital) Las Vegas, NV

6/2002-10/2003

Medical Biller

• Responsible for customer service

• Daily executing billing information to different departments

• Prepared billing folders to maintain records

• Filling and scanning EOB' S into patient accounts daily

Portable X-Ray Las Vegas, NV

12/2001-5/2002

Medical Biller

• Responsible for daily charge entry for several nursing homes

• Daily claims and patient statements submissions

• Daily Insurance/Patient follow-up on aging report

• Updated bed days report monthly for the nursing homes

• Prepared and submitted month end bills for the nursing homes

Health Plan of Nevada Las Vegas, NV

11/1999-11/2001

Skilled Nursing Facility Representative

• Responsible for daily updating nursing homes bed days for physicians

• Coding hospital census for physicians daily

• Daily updates of admits/discharges from hospital and nursing homes

• Responsible for monthly HCFA reporting for Medicare

Southwest Medical CTR. Las Vegas, NV

9/1998-11/1999

Clerk 3

• Responsible for customer service

• Ordered medical equipment for patients

• Compiled doctor reports and correspondence for the nurse/social worker for assessment

• Scheduled meetings between doctors and case management team

• Answered telephone calls from patient's regarding medical services and appointments

Community Health CTR. Las Vegas, NV

7/1996-9/1998

Patient Account Representative

• Responsible for daily charge entry

• Responsible for electronic claims submission on a daily basis

• Responsible for keeping insurance aging report balances at a minimum

• Helped front office with scheduling appointments and collecting co-pays

• Responsible for customer service

HONORS AND AWARDS

On the Spot Gold Medal Award, Sierra Health Services - For going beyond the call of duty and commitment to success, 2000

Customer Service Award, Sierra Health Services - for a job well done for providing excellent customer service, 1999

Special Commendation Team Committee Award, Community Health Centers of S. NV- Developed and implemented the formations of new

policies and procedures that enhanced the abilities of CHCSN to provide the highest of services for the patient's and the most desirable working

conditions for the employees, 1996

References

Work references and letters of recommendation provided upon request

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