Customer Service Medical Assistant

DENISE WARREN

***** ********* #**** • Houston, TX 77035

Cell: 832-***-****• Email:******.****@*****.***

Objective

Insurance Specialist with 13 years knowledge of Insurance Practices, Scheduling, Pre-Authorization, Collections / Billing experience, and Customers Services looking to secure a position with your company where I will fully utilize my skills and offer opportunities of continued professional growth, development, and advancement.

Qualifications

HMO, PPO, POS, Medicare, Medicaid, Hospice, DME

Medical Billing & Coding, AR Follow up

Referral Process, Interpret EOB’s, Ins Verification, Claim Re-submission,

Word processing, Data Entry, Email, Database

IDX, Epic, Med-occur

Appointment Scheduling

Education

2009 SmithWood College Houston, TX CNA

2006 University of Phoenix Houston, TX Business Management

2001 Medical Career Training Houston, TX Medical Coding and Billing

2000 Ultrasound Diagnostic Houston, TX Medical Assistant

Employment Experience

2013- Present Collections Specialties Global Healthcare Alliance Maintains A/R days against company guidelines for assigned carriers Make timely inquiries with third party insurance companies on charges via telephone, on-line services, e-mail, etc. Review all zero paid or incorrectly paid EOBs through resolution of account Gather materials for and apply to insurance company for reconsideration /appeal of payment on claims, as needed Provide information on received payments as requested, including identification of overpayments and refunds Track carrier trends and report negative effects on payment trends in a timely manner and work 55 accounts a day for specialty clinic such as Cardiolgy, Interal Medicine, Pulmonary Work closely with Provider Auditor and Leadership Team to answer provider inquiries Provide excellent customer service

2012 Front Office Speciali

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