Medical Billing Specialist

Victoria Pope

** ****** **. **********, ***** ***20 (C) 903-***-**** ***.**********@*****.***

Professional Summary

Billing Specialist with almost 2 years experience in billing and coding and over 5 years in healthcare. Skilled in providing excellent medical coding and billing.

Work History

Correctional Officer III

Texas Department of Criminal Justice- Huntsville, TX 06/2014 to 06/2015

Managed offenders in Administrative Segregation. Assisted and escorted offenders in daily activities such as showering, feeding, recreation, medical, disciplinary, attorney visits, visitation and reclassification. Counted offenders and assisted with offender property.

Billing Specialist

EMS Plus- Glenpool, OK 03/2010 to 06/2011

All clerical duties such as fax, multi-line phone, took messages, copies and medical records. All initial billing electronic and paper CMS-1500. Denials, aged claims, filing, explanation of benefits, payment collection, sending clients to third party collection agency, verifying insurance, updating patient demographics, correcting coding errors and resubmitting claims, contacting vendors to update patient demographics. Assisted dispatch with non-emergency transfer paperwork. Pre-authorization for non-emergency transfers. Familiar with all major insurance companies as well as Medicaid, Medicare, Veteran Affairs, Indian Nation, Motor vehicle accidents, Workers Compensation and private pay claims. Set up payment arrangements for patients with outstanding balances. Filed all mail in patient charts and sent out payment reminders to patients with payment plans.

Patient Service Specialist and Phlebotomist

St. Johns Medical Center- Tulsa, Ok 07/2006 to 03/2010

In-patient Phlebotomist: All in-patient lab draws. Venipuntcure, heel sticks, finger sticks, blood gases and arterial sticks, data entry Infant- geriatric experience.

Lab Billing Specialist: Answered billing phone lines in billing call center, set up payment plans with clients with outstanding bills. Worked Medicare denials denied due to coding errors. Sorted mail and collected payments from clients.

Patient Service Specialist: Worked front desk in Neurosurgery and Stroke Neurology for 7 surgeons. Answered busy multi-line phones, verified insurance, updated patient demographics, collected co-payments, scheduled appointments, took messages for nurses and doctors, medical records and opening and closing the office.

Out-patient Phlebotomist: All clerical duties. Opening and closing patient service center, processing specimens for courier and ordering supplies. Infant-geriatric experience and delivered lab results to clients within medical building. Venipuntcure, heel sticks and finger sticks.

Skills

Types 65 WPM Insurance eligibility

Multi-line phone operation proficiency AS/400

Safety and security-oriented Medical terminology

Workers Compensation knowledge Suicide prevention

CMS-1500 billing forms Firearm trained

International Classification of Diseases (ICD.9CM) Segregation unit specialist

Crisis intervention training Self defense tactics

Correctional facility procedures knowledge Word processing

Inmate behavior modification tactics

Cerner

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