Medical Coder, Biller, Claims Processor

KIMBERLY WILLIAMS

***** * **** * **** Pembroke Township, IL 60958 815-***-**** ******************@***.***

PROFESSIONAL PROFILE

Customer service oriented professional who offers combined claims processing and medical industry experience. Pays close attention to detail to review and correct errors and maintain high levels of accuracy. Accustomed to handling information that is sensitive and confidential in nature.

Experience with QuickBooks; Typing Speed: 50 WPM.

Leads by example and sets high standards for performance.

Follows policies, procedures, and guidelines to assure consistent quality.

KEY QUALIFICATIONS

Medical Billing & Coding ICD-9-CM HCPCS CPT Introduction to ICD-10-CM Co-Payments & Deductibles

Greenway PrimeSUITE Electronic Medical Records EHR/EMR Practice Management Software

Insurance Billing Procedures Insurance Verification Medical Records Management

Anatomy & Physiology Medical Terminology Disease Process HIPAA

Medicare, Medicaid, TRICARE CMS 1500, CMS 1450 (UB-04) EOBs Managed Care (HMO, PPO, and POS)

Insurance Claim Processing Electronic Payment Posting Appointment Scheduling

Government & Third-Party Payers Office Management Data Entry 10-Key Skills Microsoft Office/Word

EDUCATION

Ultimate Medical Academy, 06/2015

Associate in Science Degree – Medical Billing & Coding (GPA: 3.82)

Completed an intensive, accredited training program which included:

Analyze and code surgical procedures and diagnosis using ICD-9 -CM and CPT codes.

Collaborate across collection/billing departments to ensure billing related issues are resolved.

Maintenance of medical charts and electronic medical records (EMR/EHR) systems.

Verify insurance eligibility, and submit claims to various insurance companies electronically.

Enhanced knowledge base included: Research and Writing Skills, Analyzing and Solving Issues, Business Communications, Accounting for Managers, Biology, and Sociology.

Working towards Certified Professional Coder – Apprentice (CPC-A)

PROFESSIONAL WORK EXPERIENCE

G & J Trucking of Illinois LLC, Pembroke Township, IL 09/2013 – Present

Administrative Assistant

Perform and coordinate the administrative activities of the office.

Submit payroll, handle A/P and A/R accounts, and file quarterly and annual taxes.

Maintain office files, coordinate mail, and order supplies.

Cigna, Bourbonnais, IL 05/2011 – 07/2013

Medical Claims Processor

Processed all new claims and priced inventory in manual mailboxes for dual platform/networks.

Identified steps necessary to process a varying complexity of contracts for pricing accuracy.

Researched, analyzed, and calculated claims in accordance with provider contracts.

Country Inn & Suites, Manteno, IL 01/2009 – 05/2010

Assistant General Manager

Maintained hotel financial reports, submitted payroll, and handled A/R and A/P duties.

Monitored and adjusted time punches and created work schedules.

Addressed any guest questions, concerns, or complaints.

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