Customer Service Medical

*** ******* **********, ** ***** Phone: 716-***-**** Email: ***************@*****.***

Mary Jane

Einhiple

OBJECTIVE: To secure a medical clerical position in which my experience and skills can be effectively utilized for mutual benefit.

Certifications

Medical Biller (200 hour certificate course) Erie 1 BOCES

Dental Assistant Certificate Programs NCCC

SPECIAL SKILLS

Extensive knowledge of Medical /Dental billing and terminologies

Able to handle challenges, with proven history of increased productivity

Highly reliable, well organized, flexible team player with an unique ability to adapt well to new concepts

In-depth knowledge of OSHA regulations and HIPPA compliance regulations

Knowledge of principles and processes for providing excellent customer and personal services

Extensive experience in payroll, reception and general office duties

Superior analytical and problem solving/prevention skills

Able to work independently on multiple projects at once and prioritize tasks without missing critical deadlines

Excellent computer skills, including knowledge of Word perfect, data entry, and ten-key by touch

In-depth knowledge of and experience with CPT and ICD-9 coding, medisoft software, Eclypis, EC2000, Fastrack software, HCFA 1500, and UB claim forms, also Medent.

PROFESSIONAL EXPERIENCE

McKesson Corporation 8/2014 – Present

Accounts Receivable/Biller Representative

Entered all cash and posting to insurance accounts and private pay accounts

Following up on denied claims with insurance companies

Working an exception report for all denials

Provided superior customer service, taking credit card payments over the phone

Performed additional office duties, such as data entry, typing, copying, faxing, answering incoming calls

VNA HomeCare Services (Kaleida Health) 6/2007-4/2014

Accounts Receivable/Biller Representative

Entered all cash and posting to insurance accounts and private pay accounts

Billed accounts on a weekly basis, electronically sending to clearing house

Followed up on denied claims with insurance companies

Provided superior customer service

Performed additional office duties, such as data entry, typing, copying, faxing, answering incoming phone calls

Fidelis Care New York 1/2006-3/2007

Claims Processor

Entered medical claims using the Facets software system

Adjudicated claims for payment or denial

Processed claims to specific Medicaid guidelines

Continuously meet or exceed daily quotas

Performed general office duties as assigned

Dr. Irshad Ali 6/2005-4/2006

Medical Billing Specialist/Medical Secretary

Billed all aspects of Dr.’s practice

Posted payments

Electronic transmission of claims

Responsible for running reports and preparing patient statements

Followed up on denied claims

Performed all Secretarial duties and managed the reception front desk

Responsible for taking co-pays and scheduling patients appointments

Independent Health/Nova Healthcare Administrators 7/2003-10/2004

Claims Processor

Entered all medical and dental claims

Adjudicated and processed claims according to plan specific guidelines depending on group

Continuously meet or exceed daily quotas

Performed general office duties and provided top-tier customer service

References available upon request

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