Customer Service Medical

Monica S Jordan CPC

*** ********* ****

Covington, GA 30016

770-***-**** Home

678-***-**** Cell

Email:*********.***@*****.***

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