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Medical Customer Service

Location:
Oakland, CA
Salary:
18+
Posted:
June 13, 2015

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Resume:

AKIA CHIAPPELLI

OBJECTIVE: Medical Billing & Coding

MDS *Misys *Next Gen* Compulink * Microsoft Office Suite

(Word, Excel, PowerPoint Publisher and Access)

**-*** (12,000 KPH) financial proof operator Electronic Health/Medical

database management ICD-9, CPT Codes Medi-Cal/Medicare hipAa regulation Electronic payments Private Insurance

Intake coordinator General Human Resources contract development

financial reporting Quick response planning cost control

Vision *Peachtree * QuickBooks * MAS90 * Medi-soft * Claims Gear Records Management*DDE

WORK HISTORY:

01/2014 – 03/2015 Medical Coder/Insurance Verification Highland Hospital, Oakland CA (temporary)

Entered charges from super bills (Pediatrics, Ambulatory Surgery, GI, etc.)

Verified ICD-9 and CPT Codes

Retrieved super bills from various clinics throughout the hospital (Pediatrics, Ambulatory Surgery, GI, etc.)

Weekly EBEW list with charges that required correction

06/2013 – 10/2013 Medical Biller & Coder UC Berkeley School of Optometry, Berkeley, CA (Contract Assignment)

Responsible for assigning ICD-9-CM/CPT- diagnosis and procedure codes for all patients records

Generates revenue by making payment arrangements; collecting accounts; monitoring and pursuing delinquent accounts.

Responsible for prioritizing and completing various work assignments, preparing complex reports, maintaining records and resolving routine problems or concerns.

Claims processing and management for government funded programs.

08/2011 – 02/2013 Medical Biller & Coder, Nutrix PRN, Fremont, CA

Prepares source data for computer entry by compiling and sorting information; establishing entry priorities.

Responsible for prioritizing and completing various work assignments, preparing complex reports, maintaining records and resolving routine problems or concerns.

Claims Processing.

Claim filing using electronic and paper formats.

10/2010 – 05/2011 Medical Biller & Coder, Alternative Business Solutions, San Leandro, CA

Prepares invoices, reports, memos, letters, financial statements and other documents, using word processing, spreadsheet, and medical database.

In patient/Outpatient billing and coding for Medicare/Medical in an acute care facility.

Monthly insurance verification for Inpatient/Outpatient mental health facility

Soliciting payments on accounts as needed

08/2009 – 06/2010 Medical Biller & Coder, Kaiser Permanente (Temporary), Oakland, CA

Submitting claims via billing system daily

Verifies insurance copayment.

Ensure charge entry and coding is correct.

07/2009 – 08/2009 Medical Biller & Coder, Planned Parenthood, Hayward, CA (Externship)

Greets visitors and determines whether they should be given access to specific individuals

Reads and analyzes incoming memos, submissions, and reports in order to determine their significance and plan their distribution.

Manages daily schedule

Processes insurance payments and rejections

Record management.

11/2003 – 10/2008 Customer Service Representative, Numi Tea, Oakland, CA

Prepares responses to correspondence containing routine inquiries.

Prepares agendas and makes arrangements for committee, board, and other meetings.

Conducts research, compiles data, and prepares papers for consideration and presentation by executives, committees and boards of directors.

EDUCATION:

2008-2009 Medical Assisting and Billing, Everest Career College, Hayward, CA

OSHA Safety and Awareness for Patient Safety for Medical Facilities, Oakland, CA

CONFIDENTIALITY OF PATIENT RECORDS -Code Section l.B, Berkeley, CA

PRINCIPLE: NONMALEFICENCE (“do no harm”) – HIPAA Medical Regulations - Federal Health & Safety Regulations



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