Andrea James, NRCCS

***** ******* ****** **. ******* Texas 77038

acqfl5@r.postjobfree.com 713-***-****

OBJECTIVE

Seeking employment in a Hospital setting or Insurance company as a Medical Billing and Coding Specialist, Claims Analyst/Processor, Collection Specialist that will utilize and challenge my expertise and that offers opportunities for growth.

EDUCATION

2011-2012 Fortis Institute US-Texas-Houston

• Nationally Registered Certified Coding Specialist- Medical Billing and Coding Specialist

7/2004 National Institute of Technology US-Texas-Houston

• Certification-Pharmacy Technician (CPhT)

5/1992 Texas Southern University US-Texas-Houston

SKILLS

EMR, EHR, Insurance Verification, ICD-9, CPT, ICD-10, HCPCS II, CMS 1500, HCFA form, UB04 form, Hospital Billing, Office Management, Medical Terminology and Anatomy, SAP, WinZip, Excel, AWD(automated work detailed), ACH Verification system, Scanner, Fax Machine Microsoft Word, Microsoft Office, HIPPA,CPR, Med iSOFT, Type 50 wpm, Microsoft Word, Microsoft Office, PowerPoint, Facets

EXPERIENCE:

Nova Healthcare 2014-Current

Process Workmen’s Compensation Claims

Make adjustments to claims

Follow Texas Guidelines for Billing

Scrub claims through clearing house

Verify and Collect from carriers

United Healthcare 2013-2014

Claim Analyst/Processor

Process Claims/Verify Authorizations

Review HCFA’s and UB04 forms

Adjust payments

Process Medicare Claims/CBO

Enhance Revenue Services/Solutions

Medical Billing & Coding Specialist Externship

• Called insurance to check claims status, called patients to remind them of their due balances, faxed documentation to insurance and followed up with insurance companies

• Registered in patients into our system, verified patient benefits with insurance companies

• looked up procedure codes, added all daily charges, posted payments into MedFast

2011-2012 Fortis Institute Houston, TX

Assistant Externship Coordinator

• Outbound calls to potential sites

• Create files for new externs

• Send faxes for confirmation of sites and keep track of time sheets for externs on site

• Externship: I was placed in an Clinic offering great patient care, assisting in the front and back office; I was praised for my work and received an outstanding evaluation

2008-2011 Comerica/Sterling Bank

Telephone Banker Houston, Texas

• Assist customer with their accounts, process documentation on accounts, process fast transactions

• Route inbound calls, sales strategies, strong customer service, resolved customer concerns

2005-2007 AIG Valic Client Transaction Specialist Houston, Texas

• Approve loans, hardships and disbursement on client's mutual and annuity

• Wire funds to different carriers, fund accounts

• Quality review others process to retrieve any errors, created case for account adjustments

2004-2004 Walgreens

Pharmacy Technician Houston, Texas

• Fill prescriptions, take refills over the phone, medical terminology

• Create customers profiles, rotate stock on medications, key in scripts

• Manage inventory, inventory reports, shipping and receiving

2003 - 2004 Shell Lubricants -Burnett Staffing Houston Texas

Customer Service

Take inbound/outbound calls, Assist customers with orders,

Research discrepancies on accounts/orders Assist outside field reps. with orders and billing

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