Medical Billing Manager

Phone: 951-***-**** ************@*****.***

Sherri Bell

Summary:

Professional with several years of experience in the medical billing industry. Most recent experience is in a supervisory position at a third party administrator. Have expertise in medical terminology and coding, claims policies and client relations.

Professional Profile:

Healthcare professional with 6 years of experience

Managed staff of over 20 claims professionals

Medical and facility claims adjudication

Experienced in examining claims for 6 years

Knowledge with HMO’s PPO’s and Medicare

Proficient in using MS Office Applications

Professional Experience:

03/2013 to 04/2015 Affordable Billing Solutions Pasadena, CA

Claims/Billing manager

Facility claims auditing and adjudication

Supervised staff of over 20 claims professionals including examiners and auditing staff

Knowledge of different providers’ payment methodologies

Researched all difficult claims, complex request for overpayment, underpayment, refund, contract issues and stop loss to ensure compliance with departmental and company policies and procedures

•Knowledge of ICD9-CM, HCPCS level II and III, CPT, and revenue Codes,

•DRG Coding

•Comprehended, implemented, and regularly complied with policy and procedures

•Ensured compliance with government regulations and requirements (NCQA, DOC, HCFA)

06/2008 to 03/2013 Summit Career College Colton, CA

Program Director Billing/Coding

Taught ICD-9, CPT, HCPCS, Medical Insurance, Medical Billing, and Medical Terminology, Processed Workers Compensation Claims, and Taught Medi-Soft.

Developed lesson plans for medical billing and coding programs.

Processed grades and lesson plans for students.

Coordinated and developed strict discipline plans for students with behavior problems.

Counseled students on their grades and personal problems.

EDUCATION:

Bachelor of Business Administration

LeMoyne Owen College –1991

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