Medical Insurance

ANDREW SIMPSON JR.

OBJECTIVE

To obtain a Senior Billing, Collection or Insurance Verification Specialist position that will utilize my skills, provide me with growth, opportunities, and individual recognition related to job performance.

EXPERIENCE

04/2015 thru Current (Dr. Ronald Killan/East Regional Medical Center) Physician Billing /Collection

11/2014 thru 04/2015 (St Luke’s Episcopal Hospital) Hospital Billing UB04 / Collections

03/2013 thru 10/21/2014 (Houston Methodist Hospital) ICU Physician Billing Department

Hospital Billing UB 04-ICU Charge Entry Billing Specialist

Cardio Vascular, Neurology, Wellness and Physical Therapy

Resolve denials, file appeals, contact patient to verify correct insurance, contact insurance companies to discuss cpt code denials, check claim payments to verify claims paid correctly, patient registration.

01/2008 thru 01/2013 (Muilenburg Prosthetics Inc.) Orthopedics

Upper and Lower Prosthetic devices I-Limb (Hand), C-Leg (Microprocessor)

Responsible for all Commercial, PPO, HMO, Medicaid, Medicare and Worker

Compensation Accounts for Medical Collections

Responsible for all calls from patients and insurance companies.

Responsible for the patient access activity to facilitate efficient operations.

Responsible for reviewing all EOB's and Remittance Notices to verify claims paid correctly.

Responsible for Insurance Verification, Pre Authorization Approval, maintain current contact with patients regarding open balance on account, responsible for speaking with each patient prior to appointment to request payment or set up payment arrangement or to apply for our check draft program.

Responsible for meeting with the advisory committee once a month to explain any balance past 90 days old, run aging reports for review, run monthly statements reports and mail to patients

Rebill to secondary insurance carriers HCFA via paper or electronic submission

EDUCATION Houston Community College

SUMMARY Experienced 10 years in the medical field; HMO, PPO, Medical terminology, CRVS, ICD10, HCPT, HCFA 1500, UB-04, Excel, Microsoft Word Software: Next Gen, Athena, HIS, EPIC PROD, Claims Administrator, Brightree, Medact, Medical Manager Medi Soft

208 Sage Drive Galena Park, Texas 77547 713-***-****

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