Customer Service Medical
Resume:
Monica S Jordan CPC
Covington, GA 30016
770-***-**** Home
678-***-**** Cell
Email:acottc@r.postjobfree.com
Personal Qualities: A team player with strong organizational skills which enables
me to meet deadlines accepts challenges and overcome obstacles. Additional
strengths include interpersonal skills, detailed oriented, solid integrity, joyful
personality and dependable.
Education: Omni Technical Institute
Coarse: Medical Billing & Coding 2006
Externship: Rockdale Medical 2006 (4 months)
Medical Coding: Abstracts clinical information from patients medical records and assigns
appropriate ICD-9CM and or CPT codes to patients records according to established procedures.
Experience:
The Emory Clinic
March 2013- Present Patient Accounts Follow-Up Specialist
Contact payers, resolved issues of denials
Appeal claims that are being denied
Follow up on pre-certs, referrals & authorizations
Correct all data errors & resubmit all unprocessed or returned claims.
Obtains demographic & insurance information for pre-registration/registration on all patients.
Collects & follow up on all accounts assigned prior to during or after admission & discharge.
Communicates financial policies to all patients.
Verifies, research & completes all paper work & forms to bill all types of claims for
reimbursement.
The Emory Clinic
June 2008- March 2013 Patient Account Representative
Applies payments & contractual adjustments to patient and company accounts following industry
specific rules and guidelines.
Applies denials to patient’s accounts accurately and timely.
Completes accurate documentation on line item.
Identifies all components of Explanation of Benefits.
Balance entire patient account as needed.
Verifies insurances as needed to resolved account balances.
Maintains up to date knowledge of insurance plans and current government & hospital contracts
& working knowledge of co-pays and deductibles.
East Atlanta Pediatrics
October 2007- May 2008 Medical Biller
Post Medicaid & Commercial payment
Submit Claims Electronically
Researched collections accounts
Followed Up with Insurance Company regarding unpaid claims
Emory University Hospital (Blackstone Resources)
March 2007- August 2007 Financial Coordinator Assistant
Conduct Insurance Verifications
Assist with training other employees
Better Billing Solutions
January 2006- December 2007 Medical Biller
Responsible for compiling amounts owed to medical facility
After review call Insurance Company to follow up on denial
Posted payments
Correct all data errors and rebill unprocessed or return claims
Conduct monthly denial correspondence reports
Haband
January 2004- December 2005 Customer Service Representative
Provide outstanding customer service across all boards
Inbound and outbound calls daily from an automatic dialer
Systems: IDX & ISuite, Microsoft office & word, MS Outlook
Qualification: Coding Certification through AAPC 2007 Attending continuing education courses
annually and maintaining my certification. Medical Biller/Coder, Medical Terminology, EOB’s,
CPT/ICD-9, Medical Law & Ethics, Customer Service Relations, Insurance Verification
Contact this candidate